PROPHECY GENERAL ICU A V3 PRACTICE
EVALUATION 2026 QUESTION BANK FULL
SOLUTION SET
◉ What laboratory value should you monitor closely if your patient
is vomiting coffee ground emesis?
Answer: Hemoglobin
◉ What ECG finding is indicative of hyperkalemia?
Answer: 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?
Answer: 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?
Answer: Pulmonary artery or bladder
◉ Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level?
,Answer: 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?
Answer: 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?
Answer: 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?
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
EVALUATION 2026 QUESTION BANK FULL
SOLUTION SET
◉ What laboratory value should you monitor closely if your patient
is vomiting coffee ground emesis?
Answer: Hemoglobin
◉ What ECG finding is indicative of hyperkalemia?
Answer: 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?
Answer: 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?
Answer: Pulmonary artery or bladder
◉ Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level?
,Answer: 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?
Answer: 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?
Answer: 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?
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
