Acute Care Nurse Practitioner Neurological Assessment and Management in the ICU 2

Question 1

Which sedation scale is most validated for ICU use and includes assessment of agitation levels from +4 to -5?

Accepted Answer

RASS (Richmond Agitation-Sedation Scale)

Answer

Ramsay Sedation Scale

Answer

CPOT (Critical Care Pain Observation Tool)

Answer

FOUR Score

Question 2

Per PADIS guidelines, what is the target RASS for most mechanically ventilated ICU patients?

Accepted Answer

-1 to 0

Answer

-3 to -4

Answer

-4 to -5

Answer

0 to +1

Question 3

Which agent is the preferred sedative for mechanically ventilated ICU patients due to ease of titration and ability to reduce ventilator days?

Accepted Answer

Propofol

Answer

Lorazepam

Answer

Midazolam

Answer

Haloperidol

Question 4

Delirium in the ICU is BEST assessed using which validated tool?

Accepted Answer

Confusion Assessment Method for ICU (CAM-ICU)

Answer

Mini-Mental State Examination (MMSE)

Answer

RASS

Answer

GCS

Question 5

Which modifiable risk factor is MOST strongly associated with ICU delirium development?

Accepted Answer

Benzodiazepine use

Answer

Female sex

Answer

Hypertension

Answer

Elevated BNP

Question 6

An ACNP orders dexmedetomidine for a delirious, agitated ICU patient. Which side effect must be monitored closely?

Accepted Answer

Bradycardia and hypotension

Answer

Respiratory depression

Answer

Hypertension and tachycardia

Answer

Hyperglycemia