PROPHECY GENERAL ICU A V3 FINAL PAPER
2026 FULL STUDY GUIDE
◉ An intubated patient with a GCS of 3 is admitted to the ICU from
the ER after being found down for an unknown amount of time at
home. The CT scan reveals profuse cerebral edema. When is the
BEST time to notify organ donation services? Answer: Within 24
hours of admission to the ICU
◉ What order is included in the pre-procedural checklist for
patients at risk for acute kidney injury who are to receive IV
contrast? Answer: Pre-hydration with IV Fluids
◉ 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? Answer: 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? Answer: Pulmonary
embolism
, ◉ What IV sedative would MOST likely be ordered for a non-
intubated patient? Answer: Dexmedetkomidine (precedex)
◉ What is the normal cardiovasculat response to early sepsis?
Answer: 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? Answer: Assess Patient B's
respiratory status
◉ Which of the following diets would be BEST for a patient with
renal failure? Answer: 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? Answer:
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? Answer: Decrease in FiO2
2026 FULL STUDY GUIDE
◉ An intubated patient with a GCS of 3 is admitted to the ICU from
the ER after being found down for an unknown amount of time at
home. The CT scan reveals profuse cerebral edema. When is the
BEST time to notify organ donation services? Answer: Within 24
hours of admission to the ICU
◉ What order is included in the pre-procedural checklist for
patients at risk for acute kidney injury who are to receive IV
contrast? Answer: Pre-hydration with IV Fluids
◉ 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? Answer: 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? Answer: Pulmonary
embolism
, ◉ What IV sedative would MOST likely be ordered for a non-
intubated patient? Answer: Dexmedetkomidine (precedex)
◉ What is the normal cardiovasculat response to early sepsis?
Answer: 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? Answer: Assess Patient B's
respiratory status
◉ Which of the following diets would be BEST for a patient with
renal failure? Answer: 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? Answer:
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? Answer: Decrease in FiO2
