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Relias Prophecy โ General ICU RN A V
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Answers | 2025 Update | Grade A+
Which of the following actions complies with ventilator acquiredpneumonia (VAP) prevention protocols? - โโโ Correct Answer > Keep head of bed 30-45 degrees What ventilator adjustment do you expect when your patient's ABG ispH 7.40, PaCO2 112, BICARB 22? - โโโ Correct Answer > Decrease in FiO What information do you need from the provider to setup a cerebralintraventricular drainage system? - โโโ Correct Answer > Maximum ICP After turning a patient with CVP monitoring what should you do toensure accuracy of the CVP reading? - โโโ Correct Answer > Zero the line at phlebostatic axis
What assessment tool is needed for a patient who has uncomplicatedretrosternal hemorrhage? - โโโ Correct Answer > Follow up imaging test Which condition may cause increased effects from a medication that ismostly metabolized by the liver? - โโโ Correct Answer > Hepatitis C An intubated patient with a GCS of 3 is admitted to the ICU from the ERafter being found down for an unknown amount of time at home. The CT scan reveals profuse cerebral edema. When is the BEST time tonotify organ donation services? - โโโ Correct Answer > Within 24 hours of admission to the ICU What order is included in the pre-procedural checklist for patients atrisk for acute kidney injury who are to receive IV contrast? - โโโ Correct Answer > Pre-hydration with IV Fluids Your patient is intubated with an ETT and sedated without spontaneousmovements when the ventilator alarms with a high-pressure warning. The ventilator tubing is free and unkinked. What should you do NEXT? โโโ Correct Answer > Provide 100% oxygen and prepare to suction - the patient Your postoperative patient suddenly becomes dyspneic, clutches theirchest and their Sp02 drops to 89% the patient has a swollen left calf.
In a patient with septic shock, after fluid administration which of thefollowing findings is MOST suggestive of the need to start a vasopressor?mmHg - โโโ Correct Answer > Mean arterial pressure 40-
Your patient's family does not want to tell the patient of their life-threatening diagnosis and pleads with you not to let the patient know. What is the MOST appropriate response? Acknowledge the family's concerns and recommend a meeting with the - โโโ Correct Answer > family and interdisciplinary team.
What is the BEST way to determine a STEMI?> 12 Lead ECG - โโโ Correct Answer
What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect? - โโโ Correct Answer > Delirium
You are caring for an underweight, older adult who is intubated,sedated, and septic. You have implemented turning every 2 hours. While inspecting the patient's back you notice bony prominences withintact but reddened skin. What should you include in the plan of care?
- โโโ Correct Answer > Use of specialized air bed You are to administer 1 mg of morphine IV but it only comes in a 2 mgvial. How should you proceed? - โโโ Correct Answer > Waste 1 mg with a second nurse and then give the drug to the patient
The provider has ordered 2 units of FFP to be transfused. Your patient'sreligious beliefs prevent them from accepting blood products. What is your BEST response?and discuss additional options. - โโโ Correct Answer > Inform the provider
During cardiogenic shock what temporary intervention might beordered to improve perfusion until definitive treatment is provided? - โโโ Correct Answer > Inotropic infusion While reviewing your patient's EHR prior to receiving report, you notice that their documented urine output for the past 24 hours is600ml. What would be the MOST important action to take for this patient?if this is a known situation. - โโโ Correct Answer > Confirm with the off-going nurse
You are caring for a confused patient with edema who has largeswollen wrist. You find that someone has taped their ID bracelet to the side of the bed. How should you secure their ID bracelet? Correct Answer > Place a new ID bracelet on the patient's wrist while - โโโ confirming perfusion to the hand You are caring for a patient with diabetic ketoacidosis with suspectedsepsis. You have the following tasks to complete: Draw blood cultures, check blood glucose, administer antibiotic, insert urinary catheter, and
What acid/base imbalance is MOST likely to be found in a patient withCOPD - โโโ Correct Answer > Respiratory acidosis
Which of the following should you do if your patient suddenly becomesdiaphoretic, anxious, tachycardic, and has clammy skin? - โโโ Correct Answer > Check their glucose What information is MOST important for you to confirm in smart IVpump settings? - โโโ Correct Answer > Weight
Besides the white blood cells, what laboratory value is used in thediagnosis of sepsis? - โโโ Correct Answer > Lactic acid
Which medication is associated with increased delirium in critical carepatients? - โโโ Correct Answer > Lorazepam (Ativan)
What is an effective way to evaluate for cyanosis in a person of color? โโโ Correct Answer > Check inner eyelids -
What laboratory value should you monitor closely if your patient isvomiting coffee ground emesis? - โโโ Correct Answer > Hemoglobin
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