PROPHECY GENERAL ICU A V3 FINAL PAPER
2026 STUDY GUIDE DETAILED ANSWERS
READY
◉ 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?
Answer: 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?
Answer: 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?
Answer: It is best if your family takes your belongings.
◉ What is a significant complication of imaging studies performed
with IV contrast?
,Answer: Acute kidney injury
◉ What respiratory support would an alert patient with an acute
COPD exacerbation likely receive FIRST?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: Adjust the alarm parameters
◉ How is dopamine usually administered in the ICU when given
intravenously?
Answer: Titratable continuous infusion
, ◉ Which of the following can be given through an enteral feeding
tube?
Answer: Immediate release pills
◉ When donning an N-95 mask, how should you secure the nose?
Answer: Fit the nose piece with both hands
◉ What type of medication is used in the critical care setting to help
manage the symptoms of alcohol withdrawal?
Answer: Benzodiazepines
◉ While admitting a patient with a history of IV drug use, what
precautions should you take?
Answer: Carefully inspect items for presence of sharps.
◉ Your patient is intubated and begins to cough up clear mucous
inside their ETT. What should you do NEXT?
Answer: Provide 100% oxygenation and prepare to suction
◉ What is a complication of long term TPN?
Answer: Liver injury
2026 STUDY GUIDE DETAILED ANSWERS
READY
◉ 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?
Answer: 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?
Answer: 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?
Answer: It is best if your family takes your belongings.
◉ What is a significant complication of imaging studies performed
with IV contrast?
,Answer: Acute kidney injury
◉ What respiratory support would an alert patient with an acute
COPD exacerbation likely receive FIRST?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: Adjust the alarm parameters
◉ How is dopamine usually administered in the ICU when given
intravenously?
Answer: Titratable continuous infusion
, ◉ Which of the following can be given through an enteral feeding
tube?
Answer: Immediate release pills
◉ When donning an N-95 mask, how should you secure the nose?
Answer: Fit the nose piece with both hands
◉ What type of medication is used in the critical care setting to help
manage the symptoms of alcohol withdrawal?
Answer: Benzodiazepines
◉ While admitting a patient with a history of IV drug use, what
precautions should you take?
Answer: Carefully inspect items for presence of sharps.
◉ Your patient is intubated and begins to cough up clear mucous
inside their ETT. What should you do NEXT?
Answer: Provide 100% oxygenation and prepare to suction
◉ What is a complication of long term TPN?
Answer: Liver injury
