Critical Care/Hemodynamic Monitoring

First Response

100

What is the first priority in any emergency situation?

Airway

200

During a code, the patient’s spouse enters the room distressed. What is the nurse’s first action?

Assign a support person to the family member to explain the situation and stay with the family member

300

A patient’s arterial BP drops suddenly — what is your first response?

check the patient's responsiveness (then check equipment)

400

Your patient who is on hospice starts gurgling and appears in distress - what is your first action?

Administer the ordered morphine dose

500

A patient with a PA catheter suddenly has a wedge waveform  — what is your first action?

Deflate the balloon

Line it Up

100

Where does the PA catheter tip rest?

Pulmonary artery

200

Which line is used to measure arterial blood pressure?

arterial line

300

What does CVP measure?

right ventricular pressure

400

Which PA catheter port can be used to measure CVP?

Proximal

500

What does the Allen test measure?

Collateral circulation of the wrist

ICU Basics

100

What is the nurse to patient ratio in the ICU?

1:2

200

What does a full code mean?

all heroic measures to save patient

300

What is the difference between a ventilated patient in the ICU vs a ventilated patient in the PCU?

endotracheal tube in ICU, trach in PCU

400

What does the Glasgow coma scale measure?

eyes, motor, voice

500

Complete this math question: Your patient is ordered a drug that is weight based. The order is 6mg/kg. The patient weighs 176 lb. How many mg are to be given?

480 mg

Primary/Sec Surveys

100

What does the B in the primary survey stand for?

Breathing

200

What are two main tasks in the secondary survey?

head-to-toe assessment, inspect posterior surfaces

300

What is included in the disability assessment?

GCS, PERRLA

400

What is the goal of the primary survey?

To identify life threatening problems and address ASAP

500

During the secondary survey, you turn the patient to look at their back and you see a large area of bruising over the bilateral flank areas - what is your next action?

Assess the patients BP and LOC

ICU vs ER

100

What is the primary focus of the ER?

Triaging and stabilizing

200

Which setting (ER/ICU) uses ESI system?

ER

300

True or false. Both ICU and ER nurses know how to manage ventilators. 

True

400

What types of illnesses are treated in the ICU?

shock, pneumonia, hemodynamic instability, trauma recovery, organ failure

500

What was the score of the Phillies vs Brewers on Labor day?

10-8