Saudi Prometric Nursing Critical Care Nursing

Question 1

A nurse assesses a patient in the ICU and notes a central venous pressure (CVP) of 2 mmHg. What does this finding most likely indicate?

Accepted Answer

Hypovolemia

Answer

Fluid overload

Answer

Right ventricular failure

Answer

Cardiac tamponade

Question 2

Which arterial blood gas result indicates uncompensated metabolic acidosis?

Accepted Answer

pH 7.30, PaCO2 38 mmHg, HCO3 16 mEq/L

Answer

pH 7.50, PaCO2 30 mmHg, HCO3 22 mEq/L

Answer

pH 7.30, PaCO2 55 mmHg, HCO3 24 mEq/L

Answer

pH 7.48, PaCO2 40 mmHg, HCO3 30 mEq/L

Question 3

A mechanically ventilated patient develops sudden hypotension, absent breath sounds on the left side, and tracheal deviation to the right. The nurse should first suspect:

Accepted Answer

Tension pneumothorax

Answer

Pulmonary embolism

Answer

Hemothorax

Answer

Pleural effusion

Question 4

Which nursing intervention is most appropriate for a patient with increased intracranial pressure (ICP)?

Accepted Answer

Elevate head of bed to 30–45 degrees

Answer

Place patient in prone position

Answer

Position patient in Trendelenburg (head-down)

Answer

Keep patient supine with head flat

Question 5

A patient in the ICU develops sudden, regular tachycardia at 180 bpm with narrow QRS complexes. What is the first-line management for this stable patient?

Accepted Answer

Vagal maneuvers

Answer

Immediate synchronized cardioversion

Answer

Amiodarone infusion

Answer

Insertion of a temporary pacemaker

Question 6

A malnourished patient receiving total parenteral nutrition (TPN) develops confusion, muscle cramps, and a phosphate level of 0.4 mmol/L. The nurse recognizes this as:

Accepted Answer

Refeeding syndrome

Answer

Hypercalcemia

Answer

Hyperglycemia

Answer

Hyperosmolar hyperglycemic state

Question 7

A patient who has been on mechanical ventilation for 7 days develops a new pulmonary infiltrate on chest X-ray, fever (38.6°C), purulent sputum, and leukocytosis. The nurse recognizes this as:

Accepted Answer

Ventilator-associated pneumonia (VAP)

Answer

Cardiogenic pulmonary edema

Answer

Atelectasis

Answer

Spontaneous pneumothorax