Prophecy general ICU A V3. LATEST Summer 2022. Graded A

Prophecy general ICU A V3

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

- ANS-Give report and ask the nurses to prepare the patient for transfer.

Your patient was intubated but still has oral medications on their list of medications. How should

you ensure they receive their medications?

- ANS-Ask the provider to update the route of administration.

What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis

- ANS-Hemoglobin

What ECG finding is indicative of hyperkalema?

- ANS-peaked T wave

You witness a patient that is not assigned to you fall out of bed and begin crying for help but you do

not see the assigned nurse to assist the patient. What should you do first

- ANS-Check on the patient's status and call for assistance.

When assessing for fever in your intubated patient, placement of the thermometer in which area

would be most accurate?

ANS-Pulmonary artery or bladder

Your patient has just completed IV potassium replacement. When should you collect their repeat

potassium level?

- ANS-30-60 min

Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is

the MOST important for you to evaluate?

- ANS-ECG

Your patient is undergoing a weaning trial from the ventilator. Fifteen minutes into the trial the

patient's heart rate increases to 140 bpm and they start to grab at their oxygen and IV tubing. What

should you do NEXT?

- ANS-C. Stop weaning and rest the patient

While assessing a patient just admitted to the hospital, he admits to drinking 12 cans of beer a day,

with the last drink being right before admission. What is the expected onset of delirium tremens?

ANS-Within 48-72 hours

You have administered a pain medication that has a half-life of 120 minutes, onset of action 6 min,

tmax of 15 minutes, and is mostly excreted in the uring. when can the patient expect the medication

to start working

- ANS-6 minutes

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

- ANS-It is best if your family takes your belongings.

What is a significant complication of imaging studies performed with iv contrast

ANS-Acute kidney injury

What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive

FIRST

- ANS-Bipap

Your intubated and unresponsive patient is scheduled for surgery in the morning. Who is the most

appropriate person to make decisions for your patient?

- ANS-The healthcare POA

When administering a titratable infusion what information must you check on the medication IV bag

to confirm the correct dose is being administered?

- ANS-Concentration

Your patient has a known baseline heart rate of around 45. The ECG monitor keeps alarming when

the heart rate decreases below 50. Their vital signs are stable. What would you do?

- ANS-A. Adjust the alarm parameters

How is dopamine usually administered in the icu when given intravenously

- ANS-Titratable continous infusion

Which of the following can be given through an enteral feeding tube?

- ANS-Immediate release pills

When donning an N-95 mask, how should you secure the nose?

- ANS-Fit the nose piece with both hands

What type of medication is used in the critical care setting to help manage the symptoms of alcohol

withdrawal?

- ANS-Benzodiazepines

While admitting a patient with a history of IV drug use, what precautions should you take?

- ANS-Carefully inspect items for presence of sharps.

Your patient is intubated and begins to cough up clear mucous inside their ETT. What should you do

NEXT?

- ANS-A. Instill normal saline to lavage ETT*WRONG*

B. Sit the patient up to 30 degrees in bed *wrong*

C. Inspect their oral cavity and suction mouth

D. Provide 100% oxygenation and prepare to suction

What is a complication of long term TPN? –

ANS-Liver injury

Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line

placement

- ANS-Allen Test

You find the concentration of an IV medicat