Cardiopulmonary ICU Mobilization Practice Exam

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• The ABCs bundle in ICU delirium management primarily assesses which domain?
• What is the maximum possible MRC-SS total score?
• Which element is most important to monitor during mobilization in patients at risk for pulmonary embolism?
• Which item is NOT typically included in essential mobilization documentation?
• Which item is a barrier to early mobility in the ICU related to the healthcare team?
• How should orthostatic hypotension be managed during progression to standing?
• In Step 4, what is the primary task?
• Which of the following is a characteristic clinical consequence of CIM?
• A patient with a RASS score of -3 to -2 would require which level of physical therapy intervention?
• What is the scoring range of the RASS?
• Can a patient on norepinephrine be safely mobilized, and under what conditions?
• During mobilization of an intubated patient, which action warrants stopping the session and reassessing?
• What is the purpose of the ICU Mobility Scale (IMS)?
• What competencies are essential for staff performing CP-ICU mobilization?
• What happens to affinity with a shift to the right on the Hemoglobin dissociation curve?
• Which ventilator considerations guide mobilization in a patient on mechanical ventilation?
• How is the Perme ICU Mobility Score scored?
• What does the PFI-s assess?
• Which of the following is commonly included in Post-Intensive Care Syndrome?
• What is a typical goal of CP-ICU mobilization with respect to oxygenation and hemodynamics?
• During mobilization planning, how should oxygen delivery be managed?
• Which tool is commonly used to quantify a patient's sedation and agitation level in the ICU?
• What does the Perme ICU Mobility Score take into account?
• In the ABCDEF ICU Safety Bundle, what does the letter F stand for?
• During mobilization, how should arterial lines and central venous catheters be managed?
• Which item represents an interprofessional strategy to decrease barriers to early mobility?
• According to the material, what domain does the RASS assess?
• When using NIV for mobilization, which precautions are essential?
• How does tracheostomy status influence mobilization planning?
• Which of the following is NOT a category on the Perme ICU Mobility Score?
• Which statement correctly describes Step 4?
• For Step 6, which statement is correct?
• What does the acronym RASS stand for?
• Phase One of the Early Mobility and Walking Program includes bed exercises, stretcher chair, unable to bear weight, and PROM activities.
• Which term describes the long-term effects following an ICU stay?
• If a patient’s RASS score is -3 or higher, what is the next step?
• If a patient desaturates during mobilization, what is the typical clinical response?
• Which option best defines a safe stand-to-sit or stand-to-walk transition?
• Which factor increases delirium risk in ICU patients?
• What is the primary purpose of using the RASS in ICU care and PT planning?
• Which lower extremity muscle groups are tested on the MRC-SS?
• What is Proteolysis in CIM?
• What is the maximum score on the FSS-ICU?
• Which assessment includes Transfers and Gait as categories?
• How should mobilization be approached for a patient on high PEEP or high FiO2?
• Which of the following factors contributes to a rightward shift of the Hemoglobin dissociation curve?
• Which step in the progression comes immediately after sitting at the edge of the bed?
• Which of the following is a sign that mobilization should be paused?
• CAM-ICU is used to screen for what condition in critically ill patients?
• Which item is NOT part of Step 5?
• Which class of medications is most strongly associated with delirium risk in the ICU, particularly when used for sedation?
• How many phases are there in the Early Mobility and Walking Program for Patients in Intensive Care Units?
• Phase four ultimately includes which education-related objective?
• Which tasks are included in the Function Status Score for the ICU (FSS-ICU)?
• When is functional electrical stimulation (FES) used during mobilization and what is its goal?
• How many muscle groups are tested in the MRC-SS, and how are the scores combined?
• Which statement reflects the need for culture change in implementing early mobility?
• Which phase includes the activity Transfer and pre-gait, walking in room?
• Phase three is best identified by which progression?
• What is the role of family involvement in CP-ICU mobilization planning?
• In anemia, how is hemoglobin's oxygen dissociation characterized?
• What is a key practice when mobilizing a patient with external pacing wires?
• In the ABCDEF ICU Safety Bundle, what does the letter E stand for?
• The priming factor in CIM is triggered by which of the following?
• Which statement about delirium risk factors is true?
• What does the Chelsea Critical Care Physical Assessment (CPAx) assess?
• Which devices require securement and risk assessment prior to mobilization?
• Why is pain control included in mobilization safety planning?
• Which of the following is a risk factor for developing CIM?
• Phase three of the Early Mobility and Walking Program is best described as:
• Which statement best describes delirium in ICU patients as screened by CAM-ICU?
• The CAM-ICU consists of which two components?
• Which metrics are commonly tracked to evaluate mobilization progress?
• Which of the following describes devices that increase delirium risk?
• Phase two activity focus in the patient’s room is:
• The priming factor leads to what systemic condition?
• Which phase includes Out of ICU, preparing for discharge?
• What does MRC-SS assess?
• Phase two of the Early Mobility and Walking Program for Patients in Intensive Care Units is best described as:
• What is the target RASS when preparing for mobilization?
• Delirium is typically associated with which prognostic implications?
• Which phase includes Begin strength training, using other equipment?
• How are the MRC-SS scores calculated across sides?
• Higher Perme scores indicate greater mobility and less ICU support
• A patient with a RASS score of -1, 0, or +1 would typically warrant which level of physical therapy intervention?
• What is the impact of delirium management on mobilization outcomes?
• Which intervention is a key strategy to decrease delirium risk by promoting movement?
• How should exercise intensity and progression be determined during CP-ICU mobilization?
• Which category includes infection/sepsis and related factors?
• When does a Perme ICU Mobility Score change?
• How should fluid status be considered when planning mobilization?
• What is a short-term psych issue from ICU stay?
• Which assessment includes Endurance as a category?
• What is the purpose of head-of-bed elevation during endotracheal tube mobilization?
• What is a prerequisite for safely progressing from sitting to standing during CP-ICU mobilization?
• In Step 1 of the Acute Mobilization and Exercise decision process, what should be identified?
• Which of the following is NOT a delirium risk factor?
• What is the final objective of the in-bed mobilization progression?
• What does MRC-SS stand for?
• What SpO2 and FiO2 thresholds are commonly used to guide mobilization decisions?
• Which strategy is described to decrease barriers by reducing sedation depth?
• What characterizes Phase One of the Early Mobility and Walking Program?
• How many categories are evaluated in the CM-ICU delirium assessment?
• Which strategy may be considered to optimize oxygenation during ARDS mobilization?
• How does the PaO2/FiO2 ratio influence mobilization decisions in ARDS or hypoxemic patients?
• In CIM pathophysiology, which statement about sepsis is accurate?
• Which of the following is a contraindication to mobilization in CP-ICU patients?
• What is the MRC-SS used to assess?
• In Step 3, what action is taken?
• Which statement best describes the typical duration of reduced function after ICU discharge?
• What does the CAM-ICU assess?
• How should airway clearance strategies be integrated with mobilization?
• Which category includes lack of visible daylight as a risk factor?
• Which phase includes Out of ICU, preparing for discharge?
• What is the role of analgesia in mobilization planning?
• Phase four includes Education for discharge - AD, assistance levels as a component. Which option is the correct placement for this statement?
• Which hemodynamic criterion indicates eligibility to initiate mobilization in a CP-ICU patient?
• Which sequence accurately describes the recommended progression order for in-bed mobilization?
• Which long-term psychiatric issue is commonly seen after ICU stay?
• How should care transitions be executed after a mobilization session?
• What is a typical sedation target (RASS) during mobilization?
• In the acute mobilization decision-making process, how should mobilization sessions be scheduled?
• How should the mobilization dose be progressed to increase challenge?
• Which of the following is a set of clinical factors that increase delirium risk?
• In Step 2, what is determined?
• In the ABCDEF bundle, which practice is described by the 'B' component?
• Which elements belong in a comprehensive mobilization safety checklist?
• In patients with intracranial concerns, what is a key consideration when mobilizing?
• What oxygen modalities should be considered during mobilization and what precautions apply?
• Why is delirium management important for mobilization success?
• How long should an in-bed mobilization session start for a sedated patient?
• Which step focuses on deciding if mobilization is indicated and selecting the appropriate form?
• How should a patient with external pacing wires be mobilized?
• Which components are essential to ensure safety during CP-ICU mobilization?
• Which statement correctly describes passive and active mobilization and when each is appropriate?
• Which of the following is a delirium risk factor?
• What are the key pathophysiologic processes characteristic of critical-illness myopathy (CIM)?
• Predisposing factors in CIM are described as the vulnerability that increases hypersensitivity to stress reactions. Which statement best defines this concept?
• How does CIM differ from basic bedrest related atrophy?
• What does IMS specifically measure and indicate?
• Which of the following is a type of severe weakness that can develop after prolonged ICU stay?
• Which mobility scale is commonly used to track in-ICU mobility progression?
• Which phase involves walking out of the room?
• How should delirium and sedation be addressed before mobilization?
• Which statement best describes phase four of the Early Mobility and Walking Program?
• How long may pts have reduced mm strength post ICU discharge?
• Phase four includes which of the following components?
• In ICU patients, delirium is commonly associated with which of the following outcomes?
• For Step 5, which description best captures the content?
• Which sequence best describes the cascade leading to CIM?
• During PT sessions in the ICU, the RASS is used to determine what?
• Which patient factor may be a barrier to early mobility due to delirium or neurocognitive issues?
• Which statement best describes the use of RASS during mobilization?
• What documentation is essential after a mobilization session?
• Which approach is recommended when a patient has fever but remains hemodynamically stable?
• How should mobilization be approached in patients with pulmonary embolism?
• What are common barriers to initiating mobilization in the CP-ICU?
• How can the risk of pressure injuries be minimized during mobilization?
• What is the effect of daily sedation interruption on mobilization readiness?
• What are common adverse events during CP-ICU mobilization and typical responses?
• A patient with a RASS score of -5 to -4 would require which level of physical therapy intervention?
• What score on the MRC-SS is indicative of ICU-acquired weakness?
• What does the RASS evaluate?
• When should progression of mobilization be continued?
• Which item is NOT part of the CM-ICU delirium assessment categories?
• How is neuromuscular weakness evaluated during CP-ICU mobilization planning?
• What considerations are essential when mobilizing a patient with an endotracheal tube?
• When fever is present with infection risk, what is the recommended mobilization approach?
• Which of the following is a red flag requiring stopping mobilization immediately?
• In the ABCDEF bundle, which letter corresponds to addressing delirium?
• CAW stands for which term?
• Why is multimodal analgesia important for CP-ICU mobilization?
• How do recent radiographs impact mobilization decisions?
• How is noninvasive ventilation (NIV) used in mobilization and what precautions are needed?
• Which interprofessional strategy is used to reduce delirium risk and symptoms?
• What outcomes are associated with early mobilization in the ICU?
• Steroid toxicity in CIM is caused by what?
• Phase three progression is best described by which activity?
• What should be limited during mobilization of patients with ARDS?
• CAM-ICU stands for?
• During mobilization with chest tubes, which practice is essential?
• Which of the following is NOT a listed risk factor for CIM?
• Which environmental factor increases delirium risk?
• Which of the following is NOT a long-term psych issue from ICU stay?
• How long post ICU discharged may pts have reduced function?
• How does mechanical ventilation affect delirium risk?
• Why is multidisciplinary collaboration essential in CP-ICU mobilization?
• How should mobilization be adjusted during ARDS to manage oxygenation?
• Which muscles are included in the upper extremity muscle testing of the MRC-SS?
• How should mobilization be customized for patients with neuromuscular disease?
• Which brain-related symptom is associated with long-term cognitive effects after ICU stay?
• Which hemodynamic sign during mobilization should prompt cessation?