{"id":110126,"date":"2023-07-26T09:17:04","date_gmt":"2023-07-26T09:17:04","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=110126"},"modified":"2023-07-26T09:17:07","modified_gmt":"2023-07-26T09:17:07","slug":"prophecy-general-icu-rn-a-v2-updated-summer-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/26\/prophecy-general-icu-rn-a-v2-updated-summer-2023\/","title":{"rendered":"Prophecy General ICU RN A v2 updated Summer 2023."},"content":{"rendered":"\n<p>Common complications of massive transfusions are<br>Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis<\/p>\n\n\n\n<p>ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq\/L<br>Metabolic Acidosis<\/p>\n\n\n\n<p>Long term use of TPN may lead to:<br>Liver Failure<\/p>\n\n\n\n<p>Which of the following is a potential complication of high PEEP<br>Pneumothorax<\/p>\n\n\n\n<p>What is a common assessment finding for a patient returning from a small bowel resection?<br>Hypoactive bowel sounds<\/p>\n\n\n\n<p>Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the following would you suspect.<br>A)WRONG Hypoxemia<br>B) Acute MI<br>C) Panic Attack<br>D) Hypoglycemia<\/p>\n\n\n\n<p>The staff nurse asks the nursing assistant to check on a patient. The nursing assistant reports back that the patient is experiencing chest pain and is diaphorectic. Which of the following can the staff nurse delegate to the assistant?<br>A) WRONG Calling the physician<br>B) Gathering vitals and assessing the cause for the change in status<br>C) Informing the charge nurse that a patient needs attention<br>D) Obtaining a medication for the nurse to administer to the patient<\/p>\n\n\n\n<p>Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a candy bar and begins to choke. The physician is unable to clear the airway. You would expect to prepare for which of the following. emergency procedures?<br>A) WRONG Endotracheal Intubation<br>B) Chest tube insertion<br>C) Tracheostomy<br>D) Bronchoscopy<\/p>\n\n\n\n<p>The initial insulin therapy for a patient with acute DKA is usually administered by which route<br>Intravenous bolus followed by a continuous infusion<\/p>\n\n\n\n<p>Screening tests for DIC include:<br>D-Dimer and FDPs<\/p>\n\n\n\n<p>Which of the following hormones is secreted by the hypothalamus in an effort to regulate water balance?<br>ADH<\/p>\n\n\n\n<p>Which of the following IV sedatives would most likely be ordered for a non-intubated patient?<br>Precedex<\/p>\n\n\n\n<p>Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they become dyspneic and bradycardic with excessive salivation. What do you suspect happened?<br>Aspiration<\/p>\n\n\n\n<p>Which of the following is a response of the cardiovascular system to early sepsis?<br>Increased cardiac output and reduced systemic vascular resistance<\/p>\n\n\n\n<p>Which patient would you expect to be extubated?<br>Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5<\/p>\n\n\n\n<p>Hypertensive crisis<br>Nicardipine<\/p>\n\n\n\n<p>Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in the urinary catheter tubing and decreased urinary output. Which of the following conditions would you suspect?<br>Rhabdomyolysis<\/p>\n\n\n\n<p>Which class of drugs should be avoided in patients with asthma?<br>Beta Blockers<\/p>\n\n\n\n<p>CAM-ICU is a measure for which condition?<br>Delirium<\/p>\n\n\n\n<p>Which of the following drugs would you expect to administer in a patient diagnosed with myasthenia gravis?<br>Mestinon<\/p>\n\n\n\n<p>ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq\/L<br>Respiratory Alkalosis<\/p>\n\n\n\n<p>When assessing a chest tube, which of the following indicates a possible air leak<br>Excessive bubbling in the water chamber<\/p>\n\n\n\n<p>Which of the following medications improves contractility, increases stroke volume, and increases cardiac output?<br>Dobutamine<\/p>\n\n\n\n<p>Muffled heart sounds would indicate what condition?<br>Cardiac tamponade<\/p>\n\n\n\n<p>Pain assessment in an unconscious patient<br>Requires astute assessment skills using multiple approaches<\/p>\n\n\n\n<p>Which of the following tests should be performed prior to administering tPA<br>CT Scan<\/p>\n\n\n\n<p>Which of the following classes of drugs are used in an effort to therapeutically decrease venous return and reduce peripheral vascular resistance?<br>Vasodilators<\/p>\n\n\n\n<p>Identify the type of renal failure that results from bilateral obstruction of urine outflow<br>Post-renal failure<\/p>\n\n\n\n<p>A patient exhibits hypotension without an increase in HR is indicative of<br>Neurogenic Shock<\/p>\n\n\n\n<p>Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and coumadin. Which medication would you hold for a blood pressure of 80\/50?<br>Lasix<\/p>\n\n\n\n<p>A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin, confusion, and agitation, BP 80\/40, HR 145. What type of shock is this?<br>Hypovolemic<\/p>\n\n\n\n<p>The patient is admitted with suspected Guillain-Barre syndrome. The nurse would expect CSF analysis to reveal which of the following to confirm the diagnosis?<br>CSF protein of 60 mg\/dL and WBC 0 cells\/mm3<\/p>\n\n\n\n<p>Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the following should the nurse observe for during the assessment?<br>Hypotension<\/p>\n\n\n\n<p>CVP measures the pressure in the<br>right atrium<\/p>\n\n\n\n<p>Which lab value is used to determine the severity of sepsis<br>lactic acid<\/p>\n\n\n\n<p>Which of the following hormones is secreted by the thyroid gland?<br>calcitonin<\/p>\n\n\n\n<p>An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which diagnosis?<br>Adrenal crisis<\/p>\n\n\n\n<p>The most common cause for the patient to file a nursing negligence claim is<br>Ineffective communication<\/p>\n\n\n\n<p>Which medication is a paralytic<br>Vecuronium<\/p>\n\n\n\n<p>90% of thrombi develop in which area of the body?<br>Legs<\/p>\n\n\n\n<p>Which of the following medications is usually the first to be administered during status epilepticus<br>Ativan<\/p>\n\n\n\n<p>Pt&#8217;s BP on admission was 110\/40, and Hgb was 10.5. The BP is now 80\/50 and pt is vomiting coffee ground emesisi. You expect Hgb to be:<br>8<\/p>\n\n\n\n<p>You note the appearance of a U wave on the ECG tracing of your patient, This would indicate that the nurse check laboratory values for the presence of<br>Hypokalemia<\/p>\n\n\n\n<p>Must be performed prior to A-line insertion<br>Allen test<\/p>\n\n\n\n<p>Diet best for patient with renal failure?<br>low sodium, low potassium, and moderate protein<\/p>\n\n\n\n<p>You&#8217;re caring for a 49 yo head trauma pt with an ICP line. What is the formula for calculating the CPP?<br>MAP &#8211; ICP<\/p>\n\n\n\n<p>Pt presents with fever, chills, cough, SOB and chest pain. Which diagnosis would you anticipate?<br>Pneumonia<\/p>\n\n\n\n<p>CVP normal range<br>2-8 mmHg<\/p>\n\n\n\n<p>Pt presents with stiff neck, headache and fever for the last 24 hr. What condition would you suspect?<br>Bacterial meningitis<\/p>\n\n\n\n<p>Hypotensive crisis, which med would you anticipate giving?<br>Levophed<\/p>\n\n\n\n<p>Hypotonic solution<br>0.45% NS<\/p>\n\n\n\n<p>What pathological condition might you suspect in a patient with a serum sodium of 165 and serum osmolality of 330?<br>Diabetes Insipidus<\/p>\n\n\n\n<p>Med commonly used to decrease ICP<br>Mannitol<\/p>\n\n\n\n<p>ABG 7.35, paCO2 60mmHg, HCO3 38 mEq<br>Compensated respiratory acidosis<\/p>\n\n\n\n<p>Contraindicated for Lorazepam<br>Pt with acute angle-closure glaucoma<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Common complications of massive transfusions areDilutional Coagulopathy, DIC, hypothermia, and fibrinolysis ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq\/LMetabolic Acidosis Long term use of TPN may lead to:Liver Failure Which of the following is a potential complication of high PEEPPneumothorax What is a common assessment finding for a patient returning from a small bowel [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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