2026 MULTISYSTEM REVIEW CCRN Quiz (15 Questions And Complete Answers)
1 / 15
Terms in this set
15
Ms. J has been in the ICU for 3 days following a motor vehicle collision. She is now febrile (temperature 38.5°C) with an elevated WBC count (20,000). The following are her vital signs: BP 124/64 HR 112 RR 24 Lactate 2 mmol/L Which of the following best describes the complication Ms. J is experiencing? .
1. Sepsis/SIRS
2. Severe sepsis
3. Septic shock
4. Multisystem organ dysfunction
1. Sepsis/SIRS
2. Severe sepsis
3. Septic shock
4. Multisystem organ dysfunction
Sepsis/SIRS
Mr. M is in the ICU for management of exacerbation of his congestive heart failure. He develops fever and his WBC count has elevated to 14,000. What is the recommended time frame to initiate antibiotics?
1. Within 1 hour
2. 2 to 3 hours
3. Within 6 hours
4. Antibiotics are not indicated at this time
1. Within 1 hour
2. 2 to 3 hours
3. Within 6 hours
4. Antibiotics are not indicated at this time
Within 1 hour
A physician orders an initial bolus of fluids to be administered in a sepsis-induced hypoperfused patient. Which of the following fluids would be recommended for an initial bolus?
1. Albumin
2. Normal saline
3. Hetastarch
4. Packed red blood cells
1. Albumin
2. Normal saline
3. Hetastarch
4. Packed red blood cells
Normal saline
Which of the following is recommended before initiating a hydrocortisone infusion in septic shock patients?
1. Low cortisol levels
2. ACTH test
3. Hypotension despite vasopressors
4. Presence of three organs in failure
1. Low cortisol levels
2. ACTH test
3. Hypotension despite vasopressors
4. Presence of three organs in failure
Hypotension despite vasopressors
Which of the following electrolytes need to be monitored closely during infusion of hydrocortisone?
1. Sodium and chloride
2. Sodium and magnesium
3. Phosphate and glucose
4. Glucose and sodium
1. Sodium and chloride
2. Sodium and magnesium
3. Phosphate and glucose
4. Glucose and sodium
Glucose and sodium
A patient with severe sepsis is receiving fluid boluses. The physician has ordered that vasopressor therapy be initiated according to the sepsis bundles. Which of the following vasopressors is considered the first-line vasopressor for treating hypotension in severe sepsis?
1. Phenylephrine
2. Dopamine
3. Norepinephrine
4. Vasopressin
1. Phenylephrine
2. Dopamine
3. Norepinephrine
4. Vasopressin
Norepinephrine
A patient presents with airway edema, wheezing, nausea, and vomiting after eating dinner at a seafood restaurant. Which of the following is the most likely cause for this presentation?
1. Anaphylactoid reaction
2. Anaphylaxis
3. Drug-induced angioedema
4. Food poisoning
1. Anaphylactoid reaction
2. Anaphylaxis
3. Drug-induced angioedema
4. Food poisoning
Anaphylaxis
A patient presents to the emergency room with vomiting, incontinence, and increased salivation. The family states that the patient took an overdose of pills but they are not sure what the pills were. Based on the presentation, what type of overdose is most likely in this patient?
1. Cholinergic
2. Anticholinergic
3. Sedative
4. β-blocker
1. Cholinergic
2. Anticholinergic
3. Sedative
4. β-blocker
Cholinergic
A patient in the ICU has been on a lorazepam infusion for 4 days and is noted to have a new anion-gap metabolic acidosis. Which of the following accumulations is most likely the cause of the metabolic acidosis?
1. Ketones
2. Propylene glycol
3. Thiocyanate
4. Lactic acid
1. Ketones
2. Propylene glycol
3. Thiocyanate
4. Lactic acid
Propylene glycol
Which of the following methods of inducing TH is associated with a faster decrease to goal temperature?
1. Surface cooling devices
2. Ice packs
3. Intravascular cooling
4. Cooling blankets
1. Surface cooling devices
2. Ice packs
3. Intravascular cooling
4. Cooling blankets
Intravascular cooling
Showing the first 10 terms. Use the flashcard player above to study all 15 terms!