CCRN Pain, Agitation, and Delirium Management 2

Question 1

Which sedative agent is preferred for ICU sedation in patients at high risk for delirium due to its analgo-sedation properties?

Accepted Answer

Dexmedetomidine

Answer

Midazolam

Answer

Propofol

Answer

Lorazepam

Question 2

According to the PADIS bundle, which approach should be used first when managing pain in ICU patients (analgesia-first strategy)?

Accepted Answer

Treat pain before titrating sedation

Answer

Administer benzodiazepines before opioids

Answer

Start sedation before assessing pain

Answer

Use neuromuscular blockade before analgesia

Question 3

Which opioid is most commonly used for analgesia in mechanically ventilated ICU patients due to its titratability and short duration of action?

Accepted Answer

Fentanyl

Answer

Morphine

Answer

Meperidine

Answer

Codeine

Question 4

A patient with ICU delirium becomes agitated and attempts to remove his endotracheal tube. Which intervention should the nurse implement first?

Accepted Answer

Reorient the patient and address reversible causes

Answer

Apply soft wrist restraints immediately

Answer

Administer IV haloperidol

Answer

Increase sedation to RASS -4

Question 5

Which benzodiazepine is associated with the highest risk of ICU delirium and prolonged mechanical ventilation?

Accepted Answer

Lorazepam

Answer

Midazolam

Answer

Diazepam

Answer

Clonazepam

Question 6

The CPOT (Critical-Care Pain Observation Tool) assesses pain using which four behavioral indicators?

Accepted Answer

Facial expression, body movements, muscle tension, and ventilator compliance/vocalization

Answer

Vital signs, pupil response, skin color, and diaphoresis

Answer

Heart rate, blood pressure, respiratory rate, and oxygen saturation

Answer

Eye opening, verbal response, motor response, and reflexes