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Worksheets2200 exam 2 review
Total questions: 40
Worksheet time: 30mins
Which of the following is NOT a common cause of changes in blood pressure?
Hypotension
Hypertension
New arrhythmias
Increased hemoglobin levels
A BUN increase of 10 to 15 mg/dl per day is a sign of:
Liver failure
Pulmonary edema
Renal failure
Cardiac arrhythmias
Which urine output pattern suggests poor renal perfusion?
Polyuria
Oliguria
Normal urine output
Increased urine pH
Which condition can develop due to the administration of total parenteral nutrition (TPN)?
Cardiac arrest
Liver dysfunction
Hypoglycemia
Chronic kidney disease
Liver dysfunction may manifest with:
Increased white blood cell count
Increased liver size and tenderness
Decreased respiratory rate
Low blood pressure
Which of the following is NOT a liver function test?
Bilirubin
AST
ALT
Creatinine
Which factor is commonly monitored to assess fluid and electrolyte composition in critically ill patients?
Hemoglobin levels
BUN and creatinine
Platelet count
Blood glucose
Which of the following are global monitoring indexes? Select all that apply
APACHE
APS
TISS
ATS
Which of the following should be considered first if medical and mechanical problems have been excluded and the patient continues to fight the ventilator or exhibit high levels of agitation or distress?
Paralytics
Sedatives
Narcotics
Anesthetics
Which of the following are used to determine a patient's neurologic status? Select all that apply.
Measuring VD/VT ratio
Pupillary response and eye movement
Corneal and gag reflex
Respiratory rate and pattern
What is the most commonly used laboratory marker for assessing nutritional status in ICU patients?
Hemoglobin
Serum albumin concentration
White blood cell count
Creatinine
Which physical assessments are included in a nutritional status examination?
Lung auscultation and chest expansion
Hair, skin, eyes, mouth, extremities, muscle mass, and function
Reflex testing and gait assessment
ECG and heart rate variability
Which of the following laboratory values is NOT typically assessed for nutritional status?
Sodium
Magnesium
Troponin
BUN
The Harris-Benedict equation is used to estimate:
Glomerular filtration rate
Basal energy expenditure (BEE)
Oxygen consumption
Cardiac output
What is the primary purpose of global monitoring indices in the ICU?
Diagnosing specific diseases
Estimating illness severity and mortality risk
Measuring electrolyte balance
Monitoring blood glucose levels
Which scoring system is most commonly used for assessing ICU illness severity?
SOFA
APACHE II
GCS
MODS
Which neurological assessment provides information on brain function and autonomic nervous system status?
Reflex testing
Pupillary light reflex
Blood pressure measurement
Lung auscultation
What is the purpose of assessing corneal reflexes in ICU patients?
To evaluate oxygenation status
To test the function of cranial nerves V and VII
To measure blood flow to the retina
To determine cardiac output
Which of the following is an indicator of brainstem dysfunction?
Elevated serum albumin
Abnormal eye movements
Increased urine output
Hyperactive deep tendon reflexes
What is the first step when troubleshooting a patient in distress on a ventilator?
Increase the ventilator settings
Remove the patient from the ventilator and manually ventilate with 100% O2
Perform a tracheostomy
Administer a sedative
If a ventilated patient does not improve with manual ventilation, what does this indicate?
The ventilator was causing distress
The problem is within the patient
The patient has fully recovered
The endotracheal tube is properly placed
Which organ is primarily responsible for filtering and excreting waste from the blood?
Liver
Kidney
Lungs
Pancreas
What is a common cause of liver dysfunction in ICU patients?
Total parenteral nutrition (TPN)
Hypoglycemia
Low blood pressure
Pulmonary edema
Which neurological assessment is commonly used to evaluate the level of consciousness?
Glasgow Coma Scale (GCS)
APACHE II Score
Baroreceptor Reflex Test
Harris-Benedict Equation
Which electrolyte is critical for neuromuscular function and is commonly monitored in ICU patients?
Bilirubin
Sodium
Troponin
Hemoglobin
What is the normal range for intracranial pressure (ICP) in adults?
0-5 mmHg
10-15 mmHg
20-25 mmHg
30-35 mmHg
Which vital sign change is an early indicator of a neurological problem?
Increased respiratory rate
Hypertension with bradycardia
Low urine output
High blood glucose
What is a common sign of acute kidney injury in ICU patients?
Increased urine output
Decreased BUN levels
Increased creatinine levels
Low blood pressure
Which intervention is required when a ventilated patient suddenly deteriorates?
Increase sedation
Remove the patient from the ventilator and provide manual ventilation
Decrease oxygen flow
Administer diuretics
Which laboratory value is typically elevated in patients with liver dysfunction?
Creatinine
Bilirubin
Hemoglobin
Troponin
Cardiac output is not affected by changes in blood pressure.
True
False
Oliguria refers to an abnormally low urine output, which may indicate poor renal perfusion.
True
False
Creatinine levels increasing by 3–5 mg/dl per day is a typical sign of renal failure.
True
False
Liver dysfunction can develop as a result of total parenteral nutrition.
True
False
Serum albumin concentration is commonly used to assess nutritional status in ICU patients.
True
False
The Harris-Benedict equation is used to estimate caloric needs based on age, weight, and height.
True
False
Neurologic assessment in the ICU does not include pupillary response evaluation.
True
False
Corneal reflexes are used to assess the function of the fifth and seventh cranial nerves.
True
False
The Glasgow Coma Scale is primarily used to monitor liver function.
True
False
If a ventilated patient experiences sudden distress, the first step is to remove them from the ventilator and initiate manual ventilation with 100% oxygen.
True
False
