PROPHECY GENERAL ICU A V3 LATEST 2026 STUDY GUIDE
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔Your patient is intubated with an ETT and sedated without spontaneous monements
when the ventilator alarms with a high-pressure warning. The ventilator tubing is free
and unkinked. What should you do NEXT? - ✔✔Provide 100% oxygen and prepare to
suction the patient
✔✔Your postoperative patient suddenly becomes dyspneic, clutches their chest and
their Sp02 drops to 89% the patient has a swollen left calf. what condition do you
suspect? - ✔✔Pulmonary embolism
✔✔What IV sedative would MOST likely be ordered for a non-intubated patient? -
✔✔Dexmedetkomidine (precedex)
✔✔What is the normal cardiovasculat response to early sepsis? - ✔✔Increased cardiac
output
✔✔You have just received report on Patient A and Patient B. Patient A is intubated,
sedated, and on a vasoactive infusion to keep their BP greater than 110 mmHg systolic
on an arterial line. Patient B was extubated an hour ago and has a scheduled glucose
check due in 1 hour. What is your PRIORITY action? - ✔✔Assess Patient B's
respiratory status
✔✔Which of the following diets would be BEST for a patient with renal failure? - ✔✔Low
sodium, Low potassium and moderate protein
✔✔Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral
crackles on auscultation and has gained weight since admission. What action should
you take? - ✔✔Discuss increasing the furosemide infusion with the provider
✔✔What ventilator adjustment do you expect when your patient's ABG is pH 7.40,
PaCO2 112, BICARB 22? - ✔✔Decrease in FiO2
✔✔What information do you need from the provider to setup a cerebral intraventricular
drainage system? - ✔✔Maximum ICP
✔✔After turning a patient with CVP monitoring what should you do to ensure accuracy
of the CVP reading? - ✔✔Zero the line at phlebostatic axis
✔✔In a patient with septic shock, after fluid administration which of the following
findings is MOST suggestive of the need to start a vasopressor? - ✔✔Mean arterial
pressure 40-50 mmHg
, ✔✔Your patient's family does not want to tell the patient of their life-threatening
diagnosis and pleads with you not to let the patient know. What is the MOST
appropriate response? - ✔✔Acknowledge the family's concerns and recommend a
meeting with the family and interdisciplinary team.
✔✔What is the BEST way to determine a STEMI? - ✔✔12 Lead ECG
✔✔What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect?
- ✔✔Delirium
✔✔You are caring for an underweight, older adult who is intubated, sedated, and septic.
You have implemented turning every 2 hours. While inspectingthe patient's back you
notice bony prominences with intact but reddened skin. What should youinclude in the
plan of care? - ✔✔Use of specialized air bed
✔✔You are to administer 1 mg of morphine IV but it only comes in a 2 mg vial. How
should you proceed? - ✔✔Waste 1 mg with a second nurse and then give the drug to
the patient
✔✔The provider has ordered 2 units of FFP to be transfused. Your patient's religious
beliefs prevent them from accepting blood products. What is your BEST response? -
✔✔Inform the provider and discuss additional options.
✔✔During cardiogenic shock what temporary intervention might be ordered to improve
perfusion until definitive treatment is provided? - ✔✔Inotropic infusion
✔✔While reviewing your patient's EHR prior to receiving report,
you notice that their documented urine output for the past 24 hours is 600ml. What
would be the MOST important action to take for this patient? - ✔✔confirm with the off-
going nurse if this is a known situation.
✔✔You are caring for a confused patient with edema who has large swollen wrist. You
find that someone has taped their ID bracelet to the side of the bed. How should you
secure their ID bracelet? - ✔✔Place a new ID bracelet on the patient's wrist while
confirming perfusion to the hand
✔✔You are caring for a patient with diabetic ketoacidosis with suspected sepsis. You
have the following tasks to complete: Draw blood cultures, checkblood glucose,
administer antibiotic, insert urinary catheter, and check urine for glucose. Which task
should you complete FIRST? - ✔✔Draw blood culture
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔Your patient is intubated with an ETT and sedated without spontaneous monements
when the ventilator alarms with a high-pressure warning. The ventilator tubing is free
and unkinked. What should you do NEXT? - ✔✔Provide 100% oxygen and prepare to
suction the patient
✔✔Your postoperative patient suddenly becomes dyspneic, clutches their chest and
their Sp02 drops to 89% the patient has a swollen left calf. what condition do you
suspect? - ✔✔Pulmonary embolism
✔✔What IV sedative would MOST likely be ordered for a non-intubated patient? -
✔✔Dexmedetkomidine (precedex)
✔✔What is the normal cardiovasculat response to early sepsis? - ✔✔Increased cardiac
output
✔✔You have just received report on Patient A and Patient B. Patient A is intubated,
sedated, and on a vasoactive infusion to keep their BP greater than 110 mmHg systolic
on an arterial line. Patient B was extubated an hour ago and has a scheduled glucose
check due in 1 hour. What is your PRIORITY action? - ✔✔Assess Patient B's
respiratory status
✔✔Which of the following diets would be BEST for a patient with renal failure? - ✔✔Low
sodium, Low potassium and moderate protein
✔✔Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral
crackles on auscultation and has gained weight since admission. What action should
you take? - ✔✔Discuss increasing the furosemide infusion with the provider
✔✔What ventilator adjustment do you expect when your patient's ABG is pH 7.40,
PaCO2 112, BICARB 22? - ✔✔Decrease in FiO2
✔✔What information do you need from the provider to setup a cerebral intraventricular
drainage system? - ✔✔Maximum ICP
✔✔After turning a patient with CVP monitoring what should you do to ensure accuracy
of the CVP reading? - ✔✔Zero the line at phlebostatic axis
✔✔In a patient with septic shock, after fluid administration which of the following
findings is MOST suggestive of the need to start a vasopressor? - ✔✔Mean arterial
pressure 40-50 mmHg
, ✔✔Your patient's family does not want to tell the patient of their life-threatening
diagnosis and pleads with you not to let the patient know. What is the MOST
appropriate response? - ✔✔Acknowledge the family's concerns and recommend a
meeting with the family and interdisciplinary team.
✔✔What is the BEST way to determine a STEMI? - ✔✔12 Lead ECG
✔✔What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect?
- ✔✔Delirium
✔✔You are caring for an underweight, older adult who is intubated, sedated, and septic.
You have implemented turning every 2 hours. While inspectingthe patient's back you
notice bony prominences with intact but reddened skin. What should youinclude in the
plan of care? - ✔✔Use of specialized air bed
✔✔You are to administer 1 mg of morphine IV but it only comes in a 2 mg vial. How
should you proceed? - ✔✔Waste 1 mg with a second nurse and then give the drug to
the patient
✔✔The provider has ordered 2 units of FFP to be transfused. Your patient's religious
beliefs prevent them from accepting blood products. What is your BEST response? -
✔✔Inform the provider and discuss additional options.
✔✔During cardiogenic shock what temporary intervention might be ordered to improve
perfusion until definitive treatment is provided? - ✔✔Inotropic infusion
✔✔While reviewing your patient's EHR prior to receiving report,
you notice that their documented urine output for the past 24 hours is 600ml. What
would be the MOST important action to take for this patient? - ✔✔confirm with the off-
going nurse if this is a known situation.
✔✔You are caring for a confused patient with edema who has large swollen wrist. You
find that someone has taped their ID bracelet to the side of the bed. How should you
secure their ID bracelet? - ✔✔Place a new ID bracelet on the patient's wrist while
confirming perfusion to the hand
✔✔You are caring for a patient with diabetic ketoacidosis with suspected sepsis. You
have the following tasks to complete: Draw blood cultures, checkblood glucose,
administer antibiotic, insert urinary catheter, and check urine for glucose. Which task
should you complete FIRST? - ✔✔Draw blood culture
