CCRN Pain, Agitation, and Delirium Management 3

Question 1

Which neuromuscular blocking agent is preferred in ICU patients with acute respiratory distress syndrome (ARDS) requiring paralysis?

Accepted Answer

Cisatracurium

Answer

Succinylcholine

Answer

Vecuronium

Answer

Rocuronium

Question 2

When using a daily spontaneous awakening trial (SAT), which patient condition is an absolute contraindication?

Accepted Answer

Active seizures

Answer

Mild sedation (RASS -1)

Answer

FiO2 requirement of 40%

Answer

Heart rate of 90 bpm

Question 3

Which component of the ABCDEF bundle specifically addresses family engagement and empowerment?

Accepted Answer

F — Family engagement and empowerment

Answer

A — Assess and manage pain

Answer

B — Breathing trials

Answer

D — Delirium assessment

Question 4

A patient's ICDSC (Intensive Care Delirium Screening Checklist) score is 5. What does this indicate?

Accepted Answer

Delirium is likely present

Answer

No delirium

Answer

Subsyndromal delirium

Answer

Patient is comatose

Question 5

Which medication is used as an adjunct analgesic in the ICU to reduce opioid requirements through its action on NMDA receptors?

Accepted Answer

Ketamine

Answer

Acetaminophen

Answer

Ketorolac

Answer

Gabapentin

Question 6

Which sleep-promoting strategy is recommended by PADIS guidelines to improve ICU sleep quality and reduce delirium?

Accepted Answer

Promoting sleep hygiene: clustering care, reducing noise/light at night

Answer

Routine nightly benzodiazepine administration

Answer

Melatonin infusion via central line

Answer

Continuous propofol to ensure uninterrupted sleep