RELIAS/PROPHECY GENERAL ICU RN A V3 NEWEST 2026
ACTUAL EXAM COMPLETE 70 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+, RELIAS/PROPHECY GENERAL ICU RN A V3
What is a complication of long term TPN? - ANS ... Liver injury
Which assessment establishes baseline hand perfusion before an ABG puncture or
arterial line placement? - ANS ... Allen Test
You find the concentration of an IV medication bag that is hanging and infusing into
your patient does not match the concentration in the order. What should you do
NEXT? - ANS ... Stop the infusion
Your patient has a right chest tube that was placed after thoracotomy. They report
that is very painful when they cough and request cough medicine. What should you
do? - ANS ... Teach them to splint their right side when coughing and give pain
medicine
Your patient had an unplanned self-extubation. They are now alert and sitting up.
Their pulse oximetry is 98% on 4 liters face mask. What action should you
prioritize? - ANS ... Inspecting the oral cavity
Your are admitting a patient who is sedated and intubated directly from the
operating room after a major surgery. The anesthesia provider connects the patient
to the ventilator in the ICU room and leaves before entering orders for the patient's
ventilatory settings. How should you proceed? - ANS ... Contact the ICU intensivist or
specialist assigned to the case
,Your patient was intubated but still has oral medications on their list of medications.
How should you ensure they receive their medications? - ANS ... Ask the provider to
update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? - ANS ... Hemoglobin
What ECG finding is indicative of hyperkalemia? - ANS ... Peaked T waves
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? - ANS ... 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? - ANS ... Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? - ANS ... 30-60 min
Your patient is receiving an anti-arrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? - ANS ... 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? - ANS ... 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? - ANS ... 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 urine. When can
the patient expect the medication to start working? - ANS ... 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? - ANS ... It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with IV contrast? -
ANS ... Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbation
likely receive FIRST? - ANS ... 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? - ANS ...
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? - ANS ...
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? - ANS ... Adjust the alarm parameters
ACTUAL EXAM COMPLETE 70 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+, RELIAS/PROPHECY GENERAL ICU RN A V3
What is a complication of long term TPN? - ANS ... Liver injury
Which assessment establishes baseline hand perfusion before an ABG puncture or
arterial line placement? - ANS ... Allen Test
You find the concentration of an IV medication bag that is hanging and infusing into
your patient does not match the concentration in the order. What should you do
NEXT? - ANS ... Stop the infusion
Your patient has a right chest tube that was placed after thoracotomy. They report
that is very painful when they cough and request cough medicine. What should you
do? - ANS ... Teach them to splint their right side when coughing and give pain
medicine
Your patient had an unplanned self-extubation. They are now alert and sitting up.
Their pulse oximetry is 98% on 4 liters face mask. What action should you
prioritize? - ANS ... Inspecting the oral cavity
Your are admitting a patient who is sedated and intubated directly from the
operating room after a major surgery. The anesthesia provider connects the patient
to the ventilator in the ICU room and leaves before entering orders for the patient's
ventilatory settings. How should you proceed? - ANS ... Contact the ICU intensivist or
specialist assigned to the case
,Your patient was intubated but still has oral medications on their list of medications.
How should you ensure they receive their medications? - ANS ... Ask the provider to
update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? - ANS ... Hemoglobin
What ECG finding is indicative of hyperkalemia? - ANS ... Peaked T waves
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? - ANS ... 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? - ANS ... Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? - ANS ... 30-60 min
Your patient is receiving an anti-arrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? - ANS ... 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? - ANS ... 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? - ANS ... 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 urine. When can
the patient expect the medication to start working? - ANS ... 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? - ANS ... It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with IV contrast? -
ANS ... Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbation
likely receive FIRST? - ANS ... 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? - ANS ...
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? - ANS ...
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? - ANS ... Adjust the alarm parameters
