PROPHECY GENERAL ICU RN A V3 ACTUAL
100 FINAL PAPER 2026 COMPLETE QUESTIONS
AND ANSWERS FULL SOLUTION GRADED A+
◉ What assessment tool is needed for a patient who has
uncomplicated retrosternal hemorrhage? Answer: Follow up
imaging test
◉ Which condition may cause increased effects from a medication
that is mostly metabolized by the liver? Answer: Hepatitis C
◉ 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 movements 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: Dexmedetomidine (Precedex)
◉ What is the normal cardiovascular 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 mm Hg 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
◉ What information do you need from the provider to setup a
cerebral intraventricular drainage system? Answer: Maximum ICP
◉ After turning a patient with CVP monitoring what should you do
to ensure accuracy of the CVP reading? Answer: 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? Answer: 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? Answer:
Acknowledge the family's concerns and recommend a meeting with
the family and interdisciplinary team.
100 FINAL PAPER 2026 COMPLETE QUESTIONS
AND ANSWERS FULL SOLUTION GRADED A+
◉ What assessment tool is needed for a patient who has
uncomplicated retrosternal hemorrhage? Answer: Follow up
imaging test
◉ Which condition may cause increased effects from a medication
that is mostly metabolized by the liver? Answer: Hepatitis C
◉ 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 movements 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: Dexmedetomidine (Precedex)
◉ What is the normal cardiovascular 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 mm Hg 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
◉ What information do you need from the provider to setup a
cerebral intraventricular drainage system? Answer: Maximum ICP
◉ After turning a patient with CVP monitoring what should you do
to ensure accuracy of the CVP reading? Answer: 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? Answer: 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? Answer:
Acknowledge the family's concerns and recommend a meeting with
the family and interdisciplinary team.
