Question 1 of 5

A patient is admitted to the ICU with injuries sustained from a fall from a third-story window. The patient is conscious, his breathing is labored, and he is bleeding heavily from the abdomen. He groans constantly and complains of severe pain, but his movements are minimal. His heart rate is elevated. Which of these is a sign that he is in the second phase of the stress response? Select all that apply.

A. Bleeding heavily from his abdomen B. Labored, slow breathing C. Severe pain D. Elevated heart rate

Question 2 of 5

The patient has a Glasgow Coma Scale (GCS) score of 3 and discussions have been held with the family about withdrawing life support. Which statemen t by the nurse best describes requirements that must be met to sustain Centers for Medicare and Medicaid Services (CMS) Conditions of Participation?

A. �I need to notify the organ procurement organization O PO of my patient�s impending death.� B. �I will contact the physician to obtain informed consen t for organ donation.� C. �The charge nurse will notify organ procurement organization OPO once the patient has been pronounced brain dead.� D. �I need the physician to evaluate my patient�s suitability for organ donation.�

Question 3 of 5

The nurse is caring for a terminally ill patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which action by the nurse would be most appropriate?

A. Suction the patient. B. Administer oxygen via face mask. C. Place the patient in a high Fowler�s position. D. Document the respirations as Cheyne-Stokes.

Question 4 of 5

Which of the following situations may result in a low cardiac output and low cardiac index? (Select all that apply.)

A. Exercise B. Hypovolemia C. Myocardial infarction D. Shock

Question 5 of 5

A nurse needs to communicate with a patients family regarding consent to treat an unconscious patient in the ICU. Which member of the group should the nurse approach first?

A. A man she recognizes as the patients brother B. A teenage boy who approaches the nurse C. A woman who originally escorted the patient in D. A woman in the group whom the others look at and call over when the nurse approaches

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Critical Care Nursing Practice Questions

Skildor

ATI RN

ATI RN