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NUR 425 EXAM 1 - CRITICAL CARE LATEST 2025
ACTUAL EXAM| COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS ) GRADED A+|
BRAND NEW 2025!!
Which of the following is an appropriate assessment tool for delirium in the ICU?Ramsey Scale RAAS CPOT
CAM-ICU - ANSWER - CAM-ICU
Which of the following is true about pharmacologic management of delirium?
- Most sedatives are not associated with delirium in ICU patients
- Benzodiazepines and narcotics may actually worsen a patient's
- One of the risk factors of Haloperidol is a shortened QT interval
- Once a patient has been given a medication to treat delirium, further
cognition rather than treat delirium
assessment is typically not necessary - ANSWER - b.
Which of the following is true about delirium?
- Delirium is often a choice, patients can choose whether or not they
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- Delirium has an acute onset
- Patients with delirium can be given instructions with multiple steps
and will have an intact short-term memory
d. Assessment of delirium should be completed one time: upon
admission to the ICU - ANSWER - b. Delirium has an acute onset
Which is true about Dabigatran?It does not require INR monitoring It is an antiplatelet drug It has irreversible actions It prevents the synthesis of clotting factors - ANSWER - It does not require INR monitoring
Which statement is true about DIC?DIC is controllable with lifelong heparin usage DIC is characterized by an elevated platelet count.DIC is a genetic disorder involving a vitamin K deficiency.DIC is caused by abnormal coagulation involving fibrinogen - ANSWER - DIC is caused by abnormal coagulation involving fibrinogen
A nurse is reviewing the aPTT and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect? 2 / 4
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pg. 3 The values should be in normal range The values should be prolonged The values should be decreased The values should be the same as the last visit - ANSWER - The values should be prolonged
A nurse is assessing a client who has DIC. Which of the following findings should the nurse expect?Excessive thrombosis and bleeding Progressive increase in platelet production Immediate sodium and fluid retention Increased clotting factors - ANSWER - Excessive thrombosis and bleeding
A 45-year-old female brought to the Emergency department. Multiple deep wounds, multiple fractures. She just received epinephrine IV. - ANSWER - CVP: 1 mmHg SVR:1500 dynes/sec/cm-5 (HIGH) HR: 122 beats per minute
A 64-year-old male in the ICU with end stage renal failure. His car broke down last week and he hasn't been able to drive himself anywhere in 7
days. - ANSWER - CVP: 12mHg, CO 8L/min, HR 69, RR 26
A 74-year-old male with end stage left heart failure. He is on the transplant list. - ANSWER - CI:1.9 L/minute/meter2 HR:74, irregular CVP:20 PAOP/PAWP:18mmHg (HIGH) 3 / 4
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pg. 4 A 23-year-old female status post suicide attempt. She was resuscitated three days ago and has been receiving IV fluids and Norepinephrine via continuous IV drip. The night nurse says that she was probably running the IV fluids too fast and that her Norepinephrine should be turned down. - ANSWER - CO:8.5L/Mn CVP: 10mmHg SVR: 1500
dynes/sec/cm-5 (HIGH) HR: 128 beats per minute
A 71-year-old male who was the victim of a medication error. He was supposed to get 0.5mg Digoxin PO, but the nurse accidentally gave 15mg of Metoprolol (Lopressor) IV. - ANSWER - CO:3L /min CI:1.5 L/min/meter2 HR:39beats per minute CVP:10 mmHg
A 37-year-old male admitted with septic shock. He is on a phenylephrine drip. The physician has just told you it needs to be turned down because she is noticing some adverse effects. - ANSWER - SVR:2200dynes/sec/cm-5 (HIGH) MAP: 120mmHg HR: 45 beats per minute
Your patient has suffered a gunshot wound to the chest after being
assaulted. She has the following hemodynamic measures and vital signs:
HR: 140
CO: 3L/minute
SVR: 1600 (high)
BP: 75/30
CVP: 1
What type of shock is this patient most likely experiencing? - ANSWER
- hypovolemic shock
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