Airway/Respiratory
Cardiac
Neuro
GI/Biliary
Renal
100
A patient with pneumonia has a respiratory rate of 28 breaths/min and an spO2 of 88% RA. What is your priority?
Administer oxygen
100
Name this rhythm:
What is ventricular fibrillation?
Image from: https://litfl.com/ventricular-fibrillation-vf-ecg-library/
100
What is considered a normal ICP?
5-15mmHg
100
What must the nurse ensure is completed prior to instilling anything into a patient’s newly placed NG or OG tube?
Chest Xray to confirm correct placement
100
These are the necessary changes for a renal diet.
What is restricted protein, low potassium and low sodium?
200
Where is the Cricothyrotomy Kit kept?
Bottom drawer of the crash cart.
200
A patient in the ICU develops ventricular tachycardia (VT) with a pulse and blood pressure of 100/60 mmHg. What is the next best step?
Administer IV amiodarone
200
What is the earliest indicator of a potential rise in ICP?
Change in LOC
200
This is the next step a RN will do when a patient vomits coffee-ground material.
What is collect a sample for a hem-occult?
200
What is the best method to monitor fluid balance in a critically ill patient with AKI?
Daily weight
300
Which finding is most indicative of impending respiratory failure?
Use of accessory muscles and paradoxical chest wall movement
300
Whats the "Gold Standard" Treatment for a myocardial infarction?
Percutaneous coronary intervention (PCI)
300
TNK can be initiated within this time frame from "last known normal"?
What is 0-4.5 hours?
300
What diagnosis might the nurse expect in patient with firm/distended abdomen and a sustained intrabdominal pressure >20mmHg?
Abdominal compartment syndrome
300
Which action is most important for the nurse to monitor after administering desmopressin?
Monitor Serum sodium levels for hyponatremia
400
A 45-year-old patient is admitted to the ICU following a traumatic chest injury. The patient suddenly develops severe dyspnea, hypotension, distended neck veins, and absent breath sounds on the right side. What is the next immediate action?
Perform an emergency needle decompression in the second intercostal space, midclavicular line
400
This is the maximum length of a NORMAL QRS complex?
What is 0.12 seconds?
400
What does this acronym mean: B.E. F.A.S.T.?
Balance, eyes, face, arm, speech/slur, time.
400
This suction setting is always used on GI bleeds.
Low continuous suction
400
You would suspect this if your patient with Acute Renal Failure presents with a sudden onset of shortness of breath.
What is fluid overload?
500
Your postop patient suddenly develops wheezing, rales, expiratory grunting, cyanosis, mottling, and jugular venous distention (JVD). These are all potential symptoms of this syndrome.
What is ARDS?
500
These 3 classic signs/symptoms can be seen in a patient with cardiac tamponade.
What is JVD, pulses paradoxus, and decreased SBP?
500
Name three interventions if you suspect a patient is having an acute stroke.
Stay with patient
Call a BAT
Check blood glucose
Obtain 12-lead EKG
500
What symptoms may be present in a patient with hepatic failure--Name 4?
Jaundice, ascites, hepatic encephalopathy, coagulation abnormalities, dark urine, pruritis, nausea/vomiting, fatigue
500
Name three symptoms of Diabetes insipidus.
Polydipsia, Polyuria, Hypernatremia, High serum osmolarity, nocturia, fatigue, dehydration