RELIAS/PROPHECY GENERAL ICU RN A V3 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
ANSWERS
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?
Give report and ask the nurses to prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications?
Ask the provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis?
Hemoglobin
What ECG finding is indicative of hyperkalemia?
peaked T wave
,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?
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?
Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level?
30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate?
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?
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?
, 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
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?
It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast
Acute kidney injury
What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST?
BiPAP
EXAM COMPLETE QUESTIONS AND CORRECT
ANSWERS
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?
Give report and ask the nurses to prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications?
Ask the provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis?
Hemoglobin
What ECG finding is indicative of hyperkalemia?
peaked T wave
,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?
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?
Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level?
30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate?
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?
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?
, 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
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?
It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast
Acute kidney injury
What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST?
BiPAP
