ICU Nursing Test

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MULTIPLE CHOICE:   Select the one correct answer.
1. Which condition would not be indicative of the use of an arterial Line:
A. Shock with blood pressure too low to be measured with a cuff
B. For the administration of IV drugs
C. Mechanical ventilation with frequent blood gases
D. Treatment of patient with nitroprusside IV

2. CVP reading reflects pressure in which:
A. Ileft atrium
B. pulmonary artery
C. left ventricle
D. right atrium

3. Which is an indication of an elevated CVP reading:
A. a fall in hematocrit
B.acute dehydration
C. right heart failure
D. peripheral vasodialation

4. PCWP (wedge pressure) reading reflects pressure in which:
A. Vena cava
B. Left ventricle
C. Right atrium
D. Left atrium

5. Which condition would be reflected in an elevated PCWP reading:
A. Systemic hypotension
B. Hypovolemia
C. Peripheral blood pooling
D. Left ventricular failure

6. For complete heart block, which would be one of the first drugs administered:
A. Digoxin
B. Atropine
C. Quinidine
D. Lidocaine

7. What drug would be used first under the following conditions: Pt. Is apneic, pulseless, with monitor showing asystole.
A. Atropine
B. Lidocaine
C. Calcium Gluconate
D. Epinephrine

8. The best assessment measure for the proper placement of an endo-tracheal tube would be which of the following:
A. Check for chest expansion
B. Listen for minimal leak of the cuff
C. Listen for bilateral breath sounds
D. Check the tidal volume indicator on the ventilator

9. Which would be the likely cause of shortness of breath in a pt. With a 4 day post fractured femur:
A. atelectasis
B. fat embolus
C. pulmonary edema
D. pleural effusion

10. Which observation is the most important in a pt. With cervical spine injury:
A.cardiovascular system
B.renal system
C. respiratory system
D. gastrointestinal system

11. Which drug would be used to decrease intracranial pressure:
A.Mannitol
B. Dilantin
C. Aldomet
D. Phenobarbital

12. Which would not be included in the initial nursing care of a stroke pt.
A. Preventing injury
B. Increasing sensory input
C. Control of secretions
D. Providing a quiet environment

13. Which are signs & symptoms of diabetic ketoacidosis:
A. Vomiting, hyperactivity and diaphoreses
B. Dilated pupils, flushed skin and coma
C.Dry warm skin, fruity breath and deep rapid breathing
D.Slow, shallow breathing, pallor and headache

14. Which complaints would be indicative of impending insulin shock:
A. thrist, hypotension and fruity breath
B. decreased skin turgor, fever and abdominal pain
C.flushed skin, tachycardia and Kussmaul breathing
D. weakness, headache and diaphoreses

15. Which kind of insulin when given sub-q will peak within 2-4 hours:
A. NPH
B. Lente
C. Ultralente
D. Regular

16. In a pt. Diagnosed with acute renal failure, the sudden development of dyspnea, sinus tachycardia and rales would indicate:
A. Infection
B. Pericarditis
C. Fluid overload
D. Hyperkalemia

17. Which is not considered a complication of peritoneal dialysis:
A. Peritonitis
B. Hyperkalemia
C. Hypotension
D. Respiratory distress

18. Which is the most important aspect of nursing care in a patient with a Blakemore tube in place for control of bleeding from esophageal varices:
A. Release pressure in the balloons periodically
B. Accurate I & O
C. Maintaining pressure in the balloons
D. Frequent hemoblobin checks

19. There is coffee-ground material coming from the NG tube of your post-op cholecystectomy pt. You should:
A. Irrigate the tube
B. Test the drainage for blood
C. Listen for bowel sounds
D. Know that this is normal

Match the following meds with their definition:
20. Dobutrex a. Diuretic
21. Albuterol Sulfate b. Antacid
22 .Riopan c. Sympathomimetic
23. Betapace d. Bronchodialator
24. Norcuron e. Antiarrhymic
25. Bumex f. Neuromuscular blocker