Prophecy general ICU A V3 1 Latest Update 70 Questions and Correct Answers Guaranteed Success A code is initiated and the second nurse is observed not following ACLS protocol. What is the BEST actionsto take? - Correct Answer:Stop the nurse immediately and institute ACLS protocol
A lethargic but oriented patient is being admitted for sepsis and their family member is in the waiting area. Their belonging include a ring, cell phone, and wallet. The patient asks if they can keep the ring on and phone at bedside. What is your BEST response? -
Correct Answer:It is best if your family takes your belongings.
After turning a patient with CVP monitoring what should you do to ensure accuracy of
the CVP reading? - Correct Answer:Zero the line at phlebostatic axis
An intubated patient with a GCS of 3 is admitted to the ICU from the ER after being found down for an unknown amount of time at home. The CT scan reveals profuse cerebral edema. When is the BEST time to notify organ donation services? - Correct
Answer:Within 24 hours of admission to the ICU
Besides the white blood cells, what laboratroy value is used in the diagnosis of sepsis?
- Correct Answer:Lactic acid
During cardiogenic shock what temporary intervention might be ordered to improve perfusion until definitive treatment is provided? - Correct Answer:Inotropic infusion
During the first hour of tPA infusion, how frequently should you monitor blood
pressure? - Correct Answer:Every 15 minutes
For a patient with septic shock, What would you monitor to objectively determine the
effectiveness and need to titrate a dobutamine infusion. - Correct Answer:ScVo2
How is dopamine usually administered in the icu when given intravenously - Correct
Answer:Titratable continous infusion
In a patient with septic shock, after fluid administration which of the following findings is MOST suggestive of the need to start a vasopressor? - Correct Answer:Mean arterial pressure 40-50 mmHg
One of your patients coded but is now stabilized and you are catching up on charting.The step-down unit calls to get report on your other patient who is to be transfered. The nurses near you do not appear busy. How should you prioritize your time? - Correct
Answer:Give report and ask the nurses to prepare the patient for transfer.
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The provider has ordered 2 units of FFP to be transfused. Your patient's religious beliefs prevent them from accepting blood products. What is your BEST response? -
Correct Answer:Inform the provider and discuss additional options.
What acid/base imbalance is MOST likely to be found in a patient with COPD - Correct
Answer:Respiratroy acidosis
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - Correct Answer:Follow up imaging test
What cardiac condition shows cardiomegaly on chest x-ray - Correct Answer:Systolic heart failure
What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect? -
Correct Answer:Delirium
What ECG finding is indicative of hyperkalema? - Correct Answer:peaked T wave
What information do you need from the provider to setup a cerebral intraventricular
drainage system? - Correct Answer:Maximum ICP
What information is MOST important for you to confirm in smart IV pump settings? -
Correct Answer:Weight
What is a complication of long term TPN? - Correct Answer:Liver injury
What is a significant complication of imaging studies performed with iv contrast -
Correct Answer:Acute kidney injury
What is an effective way to evaluate for cyanosis in a person of color - Correct
Answer:Check inner eyelids
What is the BEST way to determine a STEMI? - Correct Answer:12 Lead ECG
What is the normal cardiovasculat response to early sepsis? - Correct
Answer:Increased cardiac output
What IV sedative would MOST likely be ordered for a non-intubated patient? - Correct
Answer:Dexmedetkomidine (precedex)
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? - Correct Answer:Hemoglobin
What MUST you confirm before removing a cervical spine collar? - Correct
Answer:Presence of active order to remove
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