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PROPHECY TRAUMA ICU EXAM A V2 QUESTIONS AND ANSWERS UPDATED
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PROPHECY TRAUMA ICU EXAM A V2 QUESTIONS AND ANSWERS UPDATED
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PROPHECY TRAUMA ICU EXAM A V2 QUESTIONSAND ANSWERS UPDATED 2024 - 2025
An,adult,male,client,was,admitted,to,the,trauma,service,after,an,MVC.,During,his,stay,,the,patient,suffers
,an,acute,MI.,He,is,attached,to,a,cardiac,monitor,and,has,an,IV,catheter,in,place.,His,cardiac,rhythm,has,b
een,NSR,with,occasional,PVCs.,The,nurse,notes,a,sudden,change,on,the,cardiac,monitor,screen,to,a,very,i
rregular,,chaotic-
looking,pattern.,The,client,appears,to,be,sleeping.,The,primary,action,on,the,part,of,the,nurse,is,to:,ANS,-
Check,the,client's,ECG,electrodes.
Your,patient,has,a,serum,sodium,of,162,and,a,serum,osmolality,of,330.,What,pathological,condition,do,y
ou,suspect?,ANS,-SIADH
A,client,had,a,right-
sided,craniotomy,due,to,an,SDH.,What,neurological,findings,are,consistent,with,this,injury?,ANS,-
Left,sided,weakness,with,right,visual,disturbance.
The,#1,cause,of,traumatic,death,in,the,elderly,is:,ANS,-falls
Which,of,the,following,IV,push,medications,requires,cardiac,monitoring?,ANS,-cardizem,(diltiazem)
For,the,following,ABG,values,,please,interpret,the,acid-base,abnormality:
pH,=,7.56
PaCO2,=,24,mmHg
HCO3,=,23,mEq/L,ANS,-Respiratory,alkalosis
Which,of,the,following,assessment,findings,are,indicative,of,spinal,or,neurogenic,shock?,ANS,-
hypotension,and,bradycardia
Whenever,there,is,an,increase,in,carbon,dioxide,levels,,the,pH,will:,ANS,-decrease
What,is,the,normal,value,of,PAWP?,ANS,-4-12,mmHg
, Which,of,the,following,is,NOT,a,function,of,angiotensin,II?,ANS,-causes,vasodilation
The,abdominal,organ,MOST,susceptible,to,injury,in,blunt,trauma,is,the:,ANS,-liver
Which,of,the,following,is,an,appropriate,indication,for,transcutaneous,cardiac,pacing?,ANS,-
complete,heart,block,with,pulmonary,edema
What,is,a,common,finding,in,a,patient,recovering,from,a,frontal,lobe,injury?,ANS,-change,in,personality
A,patient,has,an,MRI,ordered.,The,nurse,would,educate,the,patient,that,the,procedure,will,take,approx.,
30-
45,minutes,to,complete,,they,need,to,lie,as,still,as,possible,during,the,procedure,,and,which,of,the,follow
ing:,ANS,-the,machine,will,make,loud,,banging,noises.
The,INITIAL,dose,of,atropine,for,a,conscious,adult,experiencing,symptomatic,bradycardia,is:,ANS,-
0.5,mg,IVP
On,a,chest,x-ray,,the,tip,of,a,correctly,placed,endotracheal,tube,appears:,ANS,-3-5,cm,above,the,carina
A,hypertensive,patient,is,started,on,nitroprusside,(nipride),,and,his,O2,sat,decreases,to,90%.,ABGs,are,dr
awn,and,show,a,PaO2,of,60,mmHg,and,an,O2,sat,of,90%.,What,is,the,mechanism,for,this,change?,ANS,-
intrapulmonary,shunt
Your,patient's,PEEP,has,just,been,increased.,A,sign,that,the,patient,is,NOT,tolerating,this,change,is:,ANS,-
a,decrease,in,cardiac,output
Which,medication,is,administered,for,treatment,of,acute,ischemic,stroke?,ANS,-activase,(alteplase,tPa)
When,administering,adenosine,in,an,adult,patient,for,treatment,of,PSVT,,how,would,you,administer,the,
medication?,ANS,-IV,push,over,1-2,seconds,followed,by,a,rapid,saline,bolus
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