RELIAS/PROPHECY GENERAL ICU RN A V3
NEWEST 2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+,
RELIAS/PROPHECY GENERAL ICU RN A V3
Question 1: One of your patients coded but is now stabilized and you are catching up
on charting. The step-down unit calls to get report on your other patient who is to be
transferred. The nurses near you do not appear busy. How should you prioritize your
time?
A) Finish charting first and then give report
B) Give report and ask the nurses to prepare the patient for transfer
C) Ask the nurses to give report for you
D) Transfer the patient without giving report
Answer: B) Give report and ask the nurses to prepare the patient for transfer
Rationale: Prioritizing patient care involves ensuring safe patient transfer while utilizing
available resources. Delegating preparation tasks to available nursing staff while
providing the required report ensures timely patient transfer without compromising care
of the stabilized patient .
Question 2: 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?
A) Check Patient A's sedation level
B) Assess Patient B's respiratory status
C) Draw Patient B's glucose check early
D) Document Patient A's vital signs
Answer: B) Assess Patient B's respiratory status
,Rationale: A patient who was recently extubated is at high risk for respiratory
compromise and potential re-intubation. The first hour post-extubation requires close
monitoring of airway patency, respiratory effort, and oxygenation. Patient A is
hemodynamically stable and currently monitored .
Question 3: 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?
A) Find the patient's assigned nurse immediately
B) Check on the patient's status and call for assistance
C) Document the fall incident
D) Call a code blue
Answer: B) Check on the patient's status and call for assistance
Rationale: Patient safety is the priority in any healthcare setting. When witnessing a fall,
the immediate action is to assess the patient's status to identify any life-threatening
injuries and call for assistance to provide appropriate care .
Question 4: One of your patients coded but is now stabilized and you are catching up
on charting. The step-down unit calls to get report on your other patient who is to be
transferred. The nurses near you do not appear busy. How should you prioritize your
time?
A) Finish charting first
B) Give report and ask the nurses to prepare the patient for transfer
C) Wait until all charting is complete
D) Have the patient transferred without report
Answer: B) Give report and ask the nurses to prepare the patient for transfer
Rationale: Safe patient transfer requires effective handoff communication and
appropriate preparation of the patient for transfer. Delegating tasks to available nursing
staff ensures timely, safe transfer .
,Question 5: Which of the following is a priority for the bedside nurse when a patient
gets inpatient hemodialysis?
A) Administering dialysis medications
B) Maintaining adequate blood pressure
C) Monitoring dialysis machine settings
D) Performing dialysis access assessment
Answer: B) Maintaining adequate blood pressure
Rationale: Hemodialysis can cause significant fluid shifts and hemodynamic changes.
Maintaining adequate blood pressure is critical to prevent complications such as
hypotension, cardiac arrhythmias, and end-organ hypoperfusion .
SECTION 2: MEDICATION ADMINISTRATION AND SAFETY
Question 26: Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications?
A) Crush all oral medications and give through the feeding tube
B) Ask the provider to update the route of administration
C) Administer via rectal route
D) Hold all oral medications until extubation
Answer: B) Ask the provider to update the route of administration
Rationale: Intubated patients cannot take oral medications safely. The provider must be
contacted to order alternate routes of administration (IV, enteral tube, or other
appropriate routes) .
Question 27: When administering a titratable infusion, what information must you
check on the medication IV bag to confirm the correct dose is being administered?
A) Total volume
B) Expiration date
C) Concentration
D) Batch number
, Answer: C) Concentration
Rationale: Titratable infusions are dose-adjusted based on patient response. Confirming
the concentration (mg/mL or mcg/mL) is essential for accurate dose calculation and safe
administration .
Question 28: 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?
A) Increase the alarm volume
B) Adjust the alarm parameters
C) Notify the provider immediately
D) Apply transcutaneous pacing
Answer: B) Adjust the alarm parameters
Rationale: Alarm fatigue is a significant patient safety concern. When a patient has a
known baseline bradycardia with stable vital signs, adjusting alarm parameters to match
the patient's baseline prevents unnecessary alarms while maintaining appropriate
monitoring .
Question 29: You are to administer 1 mg of morphine IV but it only comes in a 2 mg
vial. How should you proceed?
A) Administer the full 2 mg vial
B) Waste 1 mg with a second nurse and then give the drug to the patient
C) Administer 1 mg and discard the remaining
D) Ask the provider to change the order
Answer: B) Waste 1 mg with a second nurse and then give the drug to the patient
Rationale: Controlled substances require witnessed wasting to ensure accountability
and prevent diversion. A second nurse must witness the wasting of the unused portion
before administration .
NEWEST 2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+,
RELIAS/PROPHECY GENERAL ICU RN A V3
Question 1: One of your patients coded but is now stabilized and you are catching up
on charting. The step-down unit calls to get report on your other patient who is to be
transferred. The nurses near you do not appear busy. How should you prioritize your
time?
A) Finish charting first and then give report
B) Give report and ask the nurses to prepare the patient for transfer
C) Ask the nurses to give report for you
D) Transfer the patient without giving report
Answer: B) Give report and ask the nurses to prepare the patient for transfer
Rationale: Prioritizing patient care involves ensuring safe patient transfer while utilizing
available resources. Delegating preparation tasks to available nursing staff while
providing the required report ensures timely patient transfer without compromising care
of the stabilized patient .
Question 2: 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?
A) Check Patient A's sedation level
B) Assess Patient B's respiratory status
C) Draw Patient B's glucose check early
D) Document Patient A's vital signs
Answer: B) Assess Patient B's respiratory status
,Rationale: A patient who was recently extubated is at high risk for respiratory
compromise and potential re-intubation. The first hour post-extubation requires close
monitoring of airway patency, respiratory effort, and oxygenation. Patient A is
hemodynamically stable and currently monitored .
Question 3: 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?
A) Find the patient's assigned nurse immediately
B) Check on the patient's status and call for assistance
C) Document the fall incident
D) Call a code blue
Answer: B) Check on the patient's status and call for assistance
Rationale: Patient safety is the priority in any healthcare setting. When witnessing a fall,
the immediate action is to assess the patient's status to identify any life-threatening
injuries and call for assistance to provide appropriate care .
Question 4: One of your patients coded but is now stabilized and you are catching up
on charting. The step-down unit calls to get report on your other patient who is to be
transferred. The nurses near you do not appear busy. How should you prioritize your
time?
A) Finish charting first
B) Give report and ask the nurses to prepare the patient for transfer
C) Wait until all charting is complete
D) Have the patient transferred without report
Answer: B) Give report and ask the nurses to prepare the patient for transfer
Rationale: Safe patient transfer requires effective handoff communication and
appropriate preparation of the patient for transfer. Delegating tasks to available nursing
staff ensures timely, safe transfer .
,Question 5: Which of the following is a priority for the bedside nurse when a patient
gets inpatient hemodialysis?
A) Administering dialysis medications
B) Maintaining adequate blood pressure
C) Monitoring dialysis machine settings
D) Performing dialysis access assessment
Answer: B) Maintaining adequate blood pressure
Rationale: Hemodialysis can cause significant fluid shifts and hemodynamic changes.
Maintaining adequate blood pressure is critical to prevent complications such as
hypotension, cardiac arrhythmias, and end-organ hypoperfusion .
SECTION 2: MEDICATION ADMINISTRATION AND SAFETY
Question 26: Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications?
A) Crush all oral medications and give through the feeding tube
B) Ask the provider to update the route of administration
C) Administer via rectal route
D) Hold all oral medications until extubation
Answer: B) Ask the provider to update the route of administration
Rationale: Intubated patients cannot take oral medications safely. The provider must be
contacted to order alternate routes of administration (IV, enteral tube, or other
appropriate routes) .
Question 27: When administering a titratable infusion, what information must you
check on the medication IV bag to confirm the correct dose is being administered?
A) Total volume
B) Expiration date
C) Concentration
D) Batch number
, Answer: C) Concentration
Rationale: Titratable infusions are dose-adjusted based on patient response. Confirming
the concentration (mg/mL or mcg/mL) is essential for accurate dose calculation and safe
administration .
Question 28: 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?
A) Increase the alarm volume
B) Adjust the alarm parameters
C) Notify the provider immediately
D) Apply transcutaneous pacing
Answer: B) Adjust the alarm parameters
Rationale: Alarm fatigue is a significant patient safety concern. When a patient has a
known baseline bradycardia with stable vital signs, adjusting alarm parameters to match
the patient's baseline prevents unnecessary alarms while maintaining appropriate
monitoring .
Question 29: You are to administer 1 mg of morphine IV but it only comes in a 2 mg
vial. How should you proceed?
A) Administer the full 2 mg vial
B) Waste 1 mg with a second nurse and then give the drug to the patient
C) Administer 1 mg and discard the remaining
D) Ask the provider to change the order
Answer: B) Waste 1 mg with a second nurse and then give the drug to the patient
Rationale: Controlled substances require witnessed wasting to ensure accountability
and prevent diversion. A second nurse must witness the wasting of the unused portion
before administration .
