PROPHECY GENERAL ICU A V3 FINAL
PAPER 2026 FULL QUESTIONS AND
CORRECT ANSWERS LATEST GRADED A+
⩥ Your patient was intubated but still has oral medications on their list
of medications. How should you ensure they receive their medications?
Answer: Ask the provider to update the route of administration.
⩥ What laboratory value should you monitor closely if your patient is
vomiting coffee ground emesis? Answer: Hemoglobin
⩥ What ECG finding is indicative of hyperkalema? Answer: peaked T
wave
⩥ You witness a patient that is not assigned to you fall out of bed and
begin crying for help but you do not see the assigned nurse to assist the
patient. What should you do first? Answer: Check on the patient's status
and call for assistance.
⩥ When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate? Answer: Pulmonary
artery or bladder
,⩥ Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level? Answer: 30-60 min
⩥ Your patient is receiving an antiarrhythmic agent. Which of the
following assessment parameters is the MOST important for you to
evaluate? Answer: ECG
⩥ Your patient is undergoing a weaning trial from the ventilator. Fifteen
minutes into the trial the patient's heart rate increases to 140 bpm and
they start to grab at their oxygen and IV tubing. What should you do
NEXT? Answer: C. Stop weaning and rest the patient
⩥ While assessing a patient just admitted to the hospital, he admits to
drinking 12 cans of beer a day, with the last drink being right before
admission. What is the expected onset of delirium tremens? Answer:
Within 48-72 hours
⩥ You have administered a pain medication that has a half-life of 120
minutes, onset of action 6 min, tmax of 15 minutes, and is mostly
excreted in the uring. when can the patient expect the medication to start
working Answer: 6 minutes
⩥ A lethargic but oriented patient is being admitted for sepsis and their
family member is in the waiting area. Their belonging include a ring,
cell phone, and wallet. The patient asks if they can keep the ring on and
,phone at bedside. What is your BEST response? Answer: It is best if
your family takes your belongings.
⩥ What is a significant complication of imaging studies performed with
iv contrast Answer: Acute kidney injury
⩥ What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST? Answer: Bipap
⩥ Your intubated and unresponsive patient is scheduled for surgery in
the morning. Who is the most appropriate person to make decisions for
your patient? Answer: The healthcare POA
⩥ When administering a titratable infusion what information must you
check on the medication IV bag to confirm the correct dose is being
administered? Answer: Concentration
⩥ Your patient has a known baseline heart rate of around 45. The ECG
monitor keeps alarming when the heart rate decreases below 50. Their
vital signs are stable. What would you do? Answer: A. Adjust the alarm
parameters
⩥ How is dopamine usually administered in the icu when given
intravenously Answer: Titratable continous infusion
, ⩥ Which of the following can be given through an enteral feeding tube?
Answer: Immediate release pills
⩥ When donning an N-95 mask, how should you secure the nose?
Answer: Fit the nose piece with both hands
⩥ What type of medication is used in the critical care setting to help
manage the symptoms of alcohol withdrawal? Answer: Benzodiazepines
⩥ While admitting a patient with a history of IV drug use, what
precautions should you take? Answer: Carefully inspect items for
presence of sharps.
⩥ Your patient is intubated and begins to cough up clear mucous inside
their ETT. What should you do NEXT? Answer: A. Instill normal saline
to lavage ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
⩥ What is a complication of long term TPN? Answer: Liver injury
⩥ Which assessment establishes baseline hand perfusion before an ABG
puncture or arterial line placement? Answer: Allen Test
PAPER 2026 FULL QUESTIONS AND
CORRECT ANSWERS LATEST GRADED A+
⩥ Your patient was intubated but still has oral medications on their list
of medications. How should you ensure they receive their medications?
Answer: Ask the provider to update the route of administration.
⩥ What laboratory value should you monitor closely if your patient is
vomiting coffee ground emesis? Answer: Hemoglobin
⩥ What ECG finding is indicative of hyperkalema? Answer: peaked T
wave
⩥ You witness a patient that is not assigned to you fall out of bed and
begin crying for help but you do not see the assigned nurse to assist the
patient. What should you do first? Answer: Check on the patient's status
and call for assistance.
⩥ When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate? Answer: Pulmonary
artery or bladder
,⩥ Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level? Answer: 30-60 min
⩥ Your patient is receiving an antiarrhythmic agent. Which of the
following assessment parameters is the MOST important for you to
evaluate? Answer: ECG
⩥ Your patient is undergoing a weaning trial from the ventilator. Fifteen
minutes into the trial the patient's heart rate increases to 140 bpm and
they start to grab at their oxygen and IV tubing. What should you do
NEXT? Answer: C. Stop weaning and rest the patient
⩥ While assessing a patient just admitted to the hospital, he admits to
drinking 12 cans of beer a day, with the last drink being right before
admission. What is the expected onset of delirium tremens? Answer:
Within 48-72 hours
⩥ You have administered a pain medication that has a half-life of 120
minutes, onset of action 6 min, tmax of 15 minutes, and is mostly
excreted in the uring. when can the patient expect the medication to start
working Answer: 6 minutes
⩥ A lethargic but oriented patient is being admitted for sepsis and their
family member is in the waiting area. Their belonging include a ring,
cell phone, and wallet. The patient asks if they can keep the ring on and
,phone at bedside. What is your BEST response? Answer: It is best if
your family takes your belongings.
⩥ What is a significant complication of imaging studies performed with
iv contrast Answer: Acute kidney injury
⩥ What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST? Answer: Bipap
⩥ Your intubated and unresponsive patient is scheduled for surgery in
the morning. Who is the most appropriate person to make decisions for
your patient? Answer: The healthcare POA
⩥ When administering a titratable infusion what information must you
check on the medication IV bag to confirm the correct dose is being
administered? Answer: Concentration
⩥ Your patient has a known baseline heart rate of around 45. The ECG
monitor keeps alarming when the heart rate decreases below 50. Their
vital signs are stable. What would you do? Answer: A. Adjust the alarm
parameters
⩥ How is dopamine usually administered in the icu when given
intravenously Answer: Titratable continous infusion
, ⩥ Which of the following can be given through an enteral feeding tube?
Answer: Immediate release pills
⩥ When donning an N-95 mask, how should you secure the nose?
Answer: Fit the nose piece with both hands
⩥ What type of medication is used in the critical care setting to help
manage the symptoms of alcohol withdrawal? Answer: Benzodiazepines
⩥ While admitting a patient with a history of IV drug use, what
precautions should you take? Answer: Carefully inspect items for
presence of sharps.
⩥ Your patient is intubated and begins to cough up clear mucous inside
their ETT. What should you do NEXT? Answer: A. Instill normal saline
to lavage ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
⩥ What is a complication of long term TPN? Answer: Liver injury
⩥ Which assessment establishes baseline hand perfusion before an ABG
puncture or arterial line placement? Answer: Allen Test
