PROPHECY GENERAL ICU RN A VERSION 1
DETAILED PREPARATION PACK 2026
◉ During the primary assessment of a victim of a motor vehicle
collision, the nurse determines that the patient has an unobstructed
airway. Which action should the nurse take next? Answer: Observe
the patient's respiratory effort.
◉ During the primary survey of a patient with severe leg trauma, the
nurse observes that the patient's left pedal and posterior tibial
pulses are absent, and the entire leg is swollen. Which action will the
nurse take next? Answer: Start normal saline fluid infusion with a
large-bore IV line.
◉ After the return of spontaneous circulation following the
resuscitation of a patient who had a cardiac arrest, therapeutic
hypothermia is prescribed. Which action will the nurse include in
the plan of care? Answer: Initiate cooling per protocol.
◉ A patient who is unconscious after a fall from a ladder is
transported to the emergency department by emergency medical
personnel. What should the nurse do during the primary survey of
the patient? Answer: Check a Glasgow Coma Scale score.
,◉ A 19-yr-old patient is brought to the emergency department (ED)
with multiple lacerations and tissue avulsion of the left hand. When
asked about tetanus immunization, the patient denies having any
previous vaccinations. What should the nurse anticipate giving?
Answer: TIG and tetanus-diphtheria toxoid and pertussis vaccine
(Tdap)
◉ A patient who has experienced blunt abdominal trauma during a
motor vehicle collision reports increasing abdominal pain. What
topic will the nurse plan to teach the patient? Answer: Abdominal
ultrasonography
◉ A patient with hypotension and an elevated temperature after
working outside on a hot day is treated in the emergency
department (ED). Which patient statement indicates to the nurse
that discharge teaching has been effective? Answer: "I need to drink
extra fluids when working outside in hot weather."
◉ A 22-yr-old patient who experienced a drowning accident in a
local pool, but now is awake and breathing spontaneously, is
admitted for observation. Which assessment will be most important
for the nurse to take during the observation period? Answer:
Auscultate breath sounds.
◉ When requested to plan the response to the potential use of
smallpox as a biological weapon, what should the emergency
department (ED) nurse manager expect to obtain? Answer: Vaccine
,◉ Which finding indicates that the nurse should discontinue active
rewarming of a patient admitted with hypothermia? Answer: The
core temperature is 94° F (34.4° C).
◉ When assessing an older patient admitted to the emergency
department (ED) with a broken arm and facial bruises, the nurse
observes several additional bruises in various stages of healing.
Which statement or question by the nurse should be first? Answer:
"Do you feel safe at home?"
◉ A patient arrives in the emergency department (ED) several hours
after taking "25 to 30" acetaminophen (Tylenol) tablets. Which
action will the nurse plan to take? Answer: Give N-acetylcysteine.
N-acetylcysteine is the recommended treatment to prevent liver
damage after acetaminophen overdose.
◉ A triage nurse in a busy emergency department (ED) assesses a
patient who reports 7/10 abdominal pain and states, "I had a
temperature of 103.9° F (39.9° C) at home." What should be the
nurse's first action? Answer: Assess the patient's current vital signs.
, ◉ The emergency department (ED) triage nurse is assessing four
victims involved in a motor vehicle collision. Which patient has the
highest priority for treatment? Answer: A patient with paradoxical
chest motion
Most immediate deaths from trauma occur because of problems
with ventilation, so the patient with paradoxical chest movements
should be treated first. Face and head fractures can obstruct the
airway, but the patient with facial injuries only has lacerations. The
other two patients also need rapid intervention but do not have
airway or breathing problems.
◉ The following interventions are part of the emergency
department (ED) protocol for a patient who has been admitted with
multiple bee stings to the hands. Which action should the nurse take
first? Answer: Attempt to remove the patient's rings.
◉ Gastric lavage and administration of activated charcoal are
prescribed for an unconscious patient who has been admitted to the
emergency department (ED) after ingesting 30 lorazepam (Ativan)
tablets. Which prescribed action should the nurse plan to do first?
Answer: Assist with intubation of the patient.
DETAILED PREPARATION PACK 2026
◉ During the primary assessment of a victim of a motor vehicle
collision, the nurse determines that the patient has an unobstructed
airway. Which action should the nurse take next? Answer: Observe
the patient's respiratory effort.
◉ During the primary survey of a patient with severe leg trauma, the
nurse observes that the patient's left pedal and posterior tibial
pulses are absent, and the entire leg is swollen. Which action will the
nurse take next? Answer: Start normal saline fluid infusion with a
large-bore IV line.
◉ After the return of spontaneous circulation following the
resuscitation of a patient who had a cardiac arrest, therapeutic
hypothermia is prescribed. Which action will the nurse include in
the plan of care? Answer: Initiate cooling per protocol.
◉ A patient who is unconscious after a fall from a ladder is
transported to the emergency department by emergency medical
personnel. What should the nurse do during the primary survey of
the patient? Answer: Check a Glasgow Coma Scale score.
,◉ A 19-yr-old patient is brought to the emergency department (ED)
with multiple lacerations and tissue avulsion of the left hand. When
asked about tetanus immunization, the patient denies having any
previous vaccinations. What should the nurse anticipate giving?
Answer: TIG and tetanus-diphtheria toxoid and pertussis vaccine
(Tdap)
◉ A patient who has experienced blunt abdominal trauma during a
motor vehicle collision reports increasing abdominal pain. What
topic will the nurse plan to teach the patient? Answer: Abdominal
ultrasonography
◉ A patient with hypotension and an elevated temperature after
working outside on a hot day is treated in the emergency
department (ED). Which patient statement indicates to the nurse
that discharge teaching has been effective? Answer: "I need to drink
extra fluids when working outside in hot weather."
◉ A 22-yr-old patient who experienced a drowning accident in a
local pool, but now is awake and breathing spontaneously, is
admitted for observation. Which assessment will be most important
for the nurse to take during the observation period? Answer:
Auscultate breath sounds.
◉ When requested to plan the response to the potential use of
smallpox as a biological weapon, what should the emergency
department (ED) nurse manager expect to obtain? Answer: Vaccine
,◉ Which finding indicates that the nurse should discontinue active
rewarming of a patient admitted with hypothermia? Answer: The
core temperature is 94° F (34.4° C).
◉ When assessing an older patient admitted to the emergency
department (ED) with a broken arm and facial bruises, the nurse
observes several additional bruises in various stages of healing.
Which statement or question by the nurse should be first? Answer:
"Do you feel safe at home?"
◉ A patient arrives in the emergency department (ED) several hours
after taking "25 to 30" acetaminophen (Tylenol) tablets. Which
action will the nurse plan to take? Answer: Give N-acetylcysteine.
N-acetylcysteine is the recommended treatment to prevent liver
damage after acetaminophen overdose.
◉ A triage nurse in a busy emergency department (ED) assesses a
patient who reports 7/10 abdominal pain and states, "I had a
temperature of 103.9° F (39.9° C) at home." What should be the
nurse's first action? Answer: Assess the patient's current vital signs.
, ◉ The emergency department (ED) triage nurse is assessing four
victims involved in a motor vehicle collision. Which patient has the
highest priority for treatment? Answer: A patient with paradoxical
chest motion
Most immediate deaths from trauma occur because of problems
with ventilation, so the patient with paradoxical chest movements
should be treated first. Face and head fractures can obstruct the
airway, but the patient with facial injuries only has lacerations. The
other two patients also need rapid intervention but do not have
airway or breathing problems.
◉ The following interventions are part of the emergency
department (ED) protocol for a patient who has been admitted with
multiple bee stings to the hands. Which action should the nurse take
first? Answer: Attempt to remove the patient's rings.
◉ Gastric lavage and administration of activated charcoal are
prescribed for an unconscious patient who has been admitted to the
emergency department (ED) after ingesting 30 lorazepam (Ativan)
tablets. Which prescribed action should the nurse plan to do first?
Answer: Assist with intubation of the patient.
