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2200 exam 2 review

Total questions: 40

Worksheet time: 30mins

Name
Class
Date
1.

Which of the following is NOT a common cause of changes in blood pressure?

a)

Hypotension

b)

Hypertension

c)

New arrhythmias

d)

Increased hemoglobin levels

2.

A BUN increase of 10 to 15 mg/dl per day is a sign of:

a)

Liver failure

b)

Pulmonary edema

c)

Renal failure

d)

Cardiac arrhythmias

3.

Which urine output pattern suggests poor renal perfusion?

a)

Polyuria

b)

Oliguria

c)

Normal urine output

d)

Increased urine pH

4.

Which condition can develop due to the administration of total parenteral nutrition (TPN)?

a)

Cardiac arrest

b)

Liver dysfunction

c)

Hypoglycemia

d)

Chronic kidney disease

5.

Liver dysfunction may manifest with:

a)

Increased white blood cell count

b)

Increased liver size and tenderness

c)

Decreased respiratory rate

d)

Low blood pressure

6.

Which of the following is NOT a liver function test?

a)

Bilirubin

b)

AST

c)

ALT

d)

Creatinine

7.

Which factor is commonly monitored to assess fluid and electrolyte composition in critically ill patients?

a)

Hemoglobin levels

b)

BUN and creatinine

c)

Platelet count

d)

Blood glucose

8.

Which of the following are global monitoring indexes? Select all that apply

a)

APACHE

b)

APS

c)

TISS

d)

ATS

9.

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?

a)

Paralytics

b)

Sedatives

c)

Narcotics

d)

Anesthetics

10.

Which of the following are used to determine a patient's neurologic status? Select all that apply.

a)

Measuring VD/VT ratio

b)

Pupillary response and eye movement

c)

Corneal and gag reflex

d)

Respiratory rate and pattern

11.

What is the most commonly used laboratory marker for assessing nutritional status in ICU patients?

a)

Hemoglobin

b)

Serum albumin concentration

c)

White blood cell count

d)

Creatinine

12.

Which physical assessments are included in a nutritional status examination?

a)

Lung auscultation and chest expansion

b)

Hair, skin, eyes, mouth, extremities, muscle mass, and function

c)

Reflex testing and gait assessment

d)

ECG and heart rate variability

13.

Which of the following laboratory values is NOT typically assessed for nutritional status?

a)

Sodium

b)

Magnesium

c)

Troponin

d)

BUN

14.

The Harris-Benedict equation is used to estimate:

a)

Glomerular filtration rate

b)

Basal energy expenditure (BEE)

c)

Oxygen consumption

d)

Cardiac output

15.

What is the primary purpose of global monitoring indices in the ICU?

a)

Diagnosing specific diseases

b)

Estimating illness severity and mortality risk

c)

Measuring electrolyte balance

d)

Monitoring blood glucose levels

16.

Which scoring system is most commonly used for assessing ICU illness severity?

a)

SOFA

b)

APACHE II

c)

GCS

d)

MODS

17.

Which neurological assessment provides information on brain function and autonomic nervous system status?

a)

Reflex testing

b)

Pupillary light reflex

c)

Blood pressure measurement

d)

Lung auscultation

18.

What is the purpose of assessing corneal reflexes in ICU patients?

a)

To evaluate oxygenation status

b)

To test the function of cranial nerves V and VII

c)

To measure blood flow to the retina

d)

To determine cardiac output

19.

Which of the following is an indicator of brainstem dysfunction?

a)

Elevated serum albumin

b)

Abnormal eye movements

c)

Increased urine output

d)

Hyperactive deep tendon reflexes

20.

What is the first step when troubleshooting a patient in distress on a ventilator?

a)

Increase the ventilator settings

b)

Remove the patient from the ventilator and manually ventilate with 100% O2

c)

Perform a tracheostomy

d)

Administer a sedative

21.

If a ventilated patient does not improve with manual ventilation, what does this indicate?

a)

The ventilator was causing distress

b)

The problem is within the patient

c)

The patient has fully recovered

d)

The endotracheal tube is properly placed

22.

Which organ is primarily responsible for filtering and excreting waste from the blood?

a)

Liver

b)

Kidney

c)

Lungs

d)

Pancreas

23.

What is a common cause of liver dysfunction in ICU patients?

a)

Total parenteral nutrition (TPN)

b)

Hypoglycemia

c)

Low blood pressure

d)

Pulmonary edema

24.

Which neurological assessment is commonly used to evaluate the level of consciousness?

a)

Glasgow Coma Scale (GCS)

b)

APACHE II Score

c)

Baroreceptor Reflex Test

d)

Harris-Benedict Equation

25.

Which electrolyte is critical for neuromuscular function and is commonly monitored in ICU patients?

a)

Bilirubin

b)

Sodium

c)

Troponin

d)

Hemoglobin

26.

What is the normal range for intracranial pressure (ICP) in adults?

a)

0-5 mmHg

b)

10-15 mmHg

c)

20-25 mmHg

d)

30-35 mmHg

27.

Which vital sign change is an early indicator of a neurological problem?

a)

Increased respiratory rate

b)

Hypertension with bradycardia

c)

Low urine output

d)

High blood glucose

28.

What is a common sign of acute kidney injury in ICU patients?

a)

Increased urine output

b)

Decreased BUN levels

c)

Increased creatinine levels

d)

Low blood pressure

29.

Which intervention is required when a ventilated patient suddenly deteriorates?

a)

Increase sedation

b)

Remove the patient from the ventilator and provide manual ventilation

c)

Decrease oxygen flow

d)

Administer diuretics

30.

Which laboratory value is typically elevated in patients with liver dysfunction?

a)

Creatinine

b)

Bilirubin

c)

Hemoglobin

d)

Troponin

31.

Cardiac output is not affected by changes in blood pressure.

a)

True

b)

False

32.

Oliguria refers to an abnormally low urine output, which may indicate poor renal perfusion.

a)

True

b)

False

33.

Creatinine levels increasing by 3–5 mg/dl per day is a typical sign of renal failure.

a)

True

b)

False

34.

Liver dysfunction can develop as a result of total parenteral nutrition.

a)

True

b)

False

35.

Serum albumin concentration is commonly used to assess nutritional status in ICU patients.

a)

True

b)

False

36.

The Harris-Benedict equation is used to estimate caloric needs based on age, weight, and height.

a)

True

b)

False

37.

Neurologic assessment in the ICU does not include pupillary response evaluation.

a)

True

b)

False

38.

Corneal reflexes are used to assess the function of the fifth and seventh cranial nerves.

a)

True

b)

False

39.

The Glasgow Coma Scale is primarily used to monitor liver function.

a)

True

b)

False

40.

If a ventilated patient experiences sudden distress, the first step is to remove them from the ventilator and initiate manual ventilation with 100% oxygen.

a)

True

b)

False