PROPHECY GENERAL ICU A V3 EXAM
ALL QUESTIONS AND CORRECT
ANSWERS 2025
You are catching up on charting after one of your patients coded but is now
stabilized. To acquire a report on your other patient who needs to be transferred,
the step-down unit calls. The nurses in your area don't seem overly busy. How
should your time be prioritized? ANSWER Report the patient and request that
the staff get them ready for transfer.
Despite being intubated, your patient is still taking oral meds. How can you
make sure they get their prescription drugs? ANSWER Request an updated
administration route from the provider.
If your patient has coffee-ground emesis, which laboratory value should you
keep a careful eye on? ANSWER Hemoglobin
Which ECG result indicates hyperkalema? T-wave peak ANSWER
You watch as a patient who is not assigned to you passes out and starts to yell
for assistance, but you do not see the designated nurse come to the patient's aid.
First, what should you do? ANSWER Call for help and inquire about the
patient's condition.
Which spot would be the most accurate to place the thermometer while
checking for fever in an intubated patient? ANSWER Bladder or pulmonary
artery
Your patient just finished receiving potassium replacement therapy via IV.
When is the best time to take their potassium level again? ANSWER: 30 to 60
minutes
, An antiarrhythmic medication is being given to your patient. Which of the
following evaluation criteria is the most crucial for you to consider? ANSWER
ECG
The ventilator is being removed from your patient during a weaning study. The
patient begins to grasp at their oxygen and IV tubing fifteen minutes into the
trial, when their pulse rate reaches 140 bpm. What are you going to do next?
ANSWER Put the patient to rest and cease weaning.
When evaluating a newly admitted patient, he confesses to consuming 12 cans
of beer daily, with the final drink occurring just prior to admission. When might
delirium tremens be predicted to start? ANSWER 48–72 hours
The painkiller you gave has a half-life of 120 minutes, a 6-minute beginning of
action, a 15-minute tmax, and is primarily eliminated in the urine. When may
the patient anticipate that the drug will begin to work? ANSWER: Six minutes
A family member is in the waiting room while a sluggish but focused patient
gets admitted for sepsis. Among their possessions are a wallet, cell phone, and
ring. The patient requests permission to leave the phone ringing and at their
bedside. What is the best answer you can think of? ANSWER Your family
taking your possessions is the best course of action.
What is a serious side effect of imaging tests using intravenous contrast?
ANSWER acute damage to the kidneys
What kind of respiratory assistance is most likely to be given first to an alert
patient experiencing an acute exacerbation of COPD? ANSWER Bipap
Surgery is planned for the morning for your intubated and unresponsive patient.
Who should be in charge of making decisions for your patient? ANSWER The
POA for healthcare
What details on the drug IV bag do you need to look for while giving a titratable
infusion to make sure the right dosage is being given? The focus on answering
ALL QUESTIONS AND CORRECT
ANSWERS 2025
You are catching up on charting after one of your patients coded but is now
stabilized. To acquire a report on your other patient who needs to be transferred,
the step-down unit calls. The nurses in your area don't seem overly busy. How
should your time be prioritized? ANSWER Report the patient and request that
the staff get them ready for transfer.
Despite being intubated, your patient is still taking oral meds. How can you
make sure they get their prescription drugs? ANSWER Request an updated
administration route from the provider.
If your patient has coffee-ground emesis, which laboratory value should you
keep a careful eye on? ANSWER Hemoglobin
Which ECG result indicates hyperkalema? T-wave peak ANSWER
You watch as a patient who is not assigned to you passes out and starts to yell
for assistance, but you do not see the designated nurse come to the patient's aid.
First, what should you do? ANSWER Call for help and inquire about the
patient's condition.
Which spot would be the most accurate to place the thermometer while
checking for fever in an intubated patient? ANSWER Bladder or pulmonary
artery
Your patient just finished receiving potassium replacement therapy via IV.
When is the best time to take their potassium level again? ANSWER: 30 to 60
minutes
, An antiarrhythmic medication is being given to your patient. Which of the
following evaluation criteria is the most crucial for you to consider? ANSWER
ECG
The ventilator is being removed from your patient during a weaning study. The
patient begins to grasp at their oxygen and IV tubing fifteen minutes into the
trial, when their pulse rate reaches 140 bpm. What are you going to do next?
ANSWER Put the patient to rest and cease weaning.
When evaluating a newly admitted patient, he confesses to consuming 12 cans
of beer daily, with the final drink occurring just prior to admission. When might
delirium tremens be predicted to start? ANSWER 48–72 hours
The painkiller you gave has a half-life of 120 minutes, a 6-minute beginning of
action, a 15-minute tmax, and is primarily eliminated in the urine. When may
the patient anticipate that the drug will begin to work? ANSWER: Six minutes
A family member is in the waiting room while a sluggish but focused patient
gets admitted for sepsis. Among their possessions are a wallet, cell phone, and
ring. The patient requests permission to leave the phone ringing and at their
bedside. What is the best answer you can think of? ANSWER Your family
taking your possessions is the best course of action.
What is a serious side effect of imaging tests using intravenous contrast?
ANSWER acute damage to the kidneys
What kind of respiratory assistance is most likely to be given first to an alert
patient experiencing an acute exacerbation of COPD? ANSWER Bipap
Surgery is planned for the morning for your intubated and unresponsive patient.
Who should be in charge of making decisions for your patient? ANSWER The
POA for healthcare
What details on the drug IV bag do you need to look for while giving a titratable
infusion to make sure the right dosage is being given? The focus on answering
