Prophecy General ICU A V3 Exam 2025
With Correct Answers
One of your patients coded but is now stabilized and you are catching up on charting. The step-down unit calls
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to get report on your other patient who is to be transfered. The nurses near you do not appear busy. How should
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you prioritize your time? - correct answersGive report and ask the nurses to prepare the patient for transfer.
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Your patient was intubated but still has oral medications on their list of medications. How should you ensure
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they receive their medications? - correct answersAsk the provider to update the route of administration.
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What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis? - correct
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answersHemoglobin
What ECG finding is indicative of hyperkalema? - correct answerspeaked T wave
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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
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assigned nurse to assist the patient. What should you do first? - correct answersCheck on the patient's status
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and call for assistance.
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When assessing for fever in your intubated patient, placement of the thermometer in which area would be
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most accurate? - correct answersPulmonary artery or bladder
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, Your patient has just completed IV potassium replacement. When should you collect their repeat potassium
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level? - correct answers30-60 min
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Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is the MOST
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important for you to evaluate? - correct answersECG i i i i i i i
Your patient is undergoing a weaning trial from the ventilator. Fifteen minutes into the trial the patient's heart
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rate increases to 140 bpm and they start to grab at their oxygen and IV tubing. What should you do NEXT? -
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correct answersC. Stop weaning and rest the patient
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While assessing a patient just admitted to the hospital, he admits to drinking 12 cans of beer a day, with the last
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drink being right before admission. What is the expected onset of delirium tremens? - correct answersWithin
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48-72 hours i
You have administered a pain medication that has a half-life of 120 minutes, onset of action 6 min, tmax of 15
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minutes, and is mostly excreted in the uring. when can the patient expect the medication to start working -
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correct answers6 minutes i i
A lethargic but oriented patient is being admitted for sepsis and their family member is in the waiting area.
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Their belonging include a ring, cell phone, and wallet. The patient asks if they can keep the ring on and phone at
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bedside. What is your BEST response? - correct answersIt is best if your family takes your belongings.
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What is a significant complication of imaging studies performed with iv contrast - correct answersAcute kidney
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injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive FIRST? -
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correct answersBipap i
Your intubated and unresponsive patient is scheduled for surgery in the morning. Who is the most appropriate
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person to make decisions for your patient? - correct answersThe healthcare POA
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When administering a titratable infusion what information must you check on the medication IV bag to
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confirm the correct dose is being administered? - correct answersConcentration
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With Correct Answers
One of your patients coded but is now stabilized and you are catching up on charting. The step-down unit calls
i i i i i i i i i i i i i i i i i i i i
to get report on your other patient who is to be transfered. The nurses near you do not appear busy. How should
i i i i i i i i i i i i i i i i i i i i i
you prioritize your time? - correct answersGive report and ask the nurses to prepare the patient for transfer.
i i i i i i i i i i i i i i i i i i
Your patient was intubated but still has oral medications on their list of medications. How should you ensure
i i i i i i i i i i i i i i i i i i
they receive their medications? - correct answersAsk the provider to update the route of administration.
i i i i i i i i i i i i i i
What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis? - correct
i i i i i i i i i i i i i i i i i
answersHemoglobin
What ECG finding is indicative of hyperkalema? - correct answerspeaked T wave
i i i i i i i i i i i
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
i i i i i i i i i i i i i i i i i i i i i i i i i
assigned nurse to assist the patient. What should you do first? - correct answersCheck on the patient's status
i i i i i i i i i i i i i i i i i i
and call for assistance.
i i i
When assessing for fever in your intubated patient, placement of the thermometer in which area would be
i i i i i i i i i i i i i i i i i
most accurate? - correct answersPulmonary artery or bladder
i i i i i i i
, Your patient has just completed IV potassium replacement. When should you collect their repeat potassium
i i i i i i i i i i i i i i i
level? - correct answers30-60 min
i i i i
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is the MOST
i i i i i i i i i i i i i i i i
important for you to evaluate? - correct answersECG i i i i i i i
Your patient is undergoing a weaning trial from the ventilator. Fifteen minutes into the trial the patient's heart
i i i i i i i i i i i i i i i i i i
rate increases to 140 bpm and they start to grab at their oxygen and IV tubing. What should you do NEXT? -
i i i i i i i i i i i i i i i i i i i i i i
correct answersC. Stop weaning and rest the patient
i i i i i i i
While assessing a patient just admitted to the hospital, he admits to drinking 12 cans of beer a day, with the last
i i i i i i i i i i i i i i i i i i i i i i
drink being right before admission. What is the expected onset of delirium tremens? - correct answersWithin
i i i i i i i i i i i i i i i i
48-72 hours i
You have administered a pain medication that has a half-life of 120 minutes, onset of action 6 min, tmax of 15
i i i i i i i i i i i i i i i i i i i i i
minutes, and is mostly excreted in the uring. when can the patient expect the medication to start working -
i i i i i i i i i i i i i i i i i i i
correct answers6 minutes i i
A lethargic but oriented patient is being admitted for sepsis and their family member is in the waiting area.
i i i i i i i i i i i i i i i i i i i
Their belonging include a ring, cell phone, and wallet. The patient asks if they can keep the ring on and phone at
i i i i i i i i i i i i i i i i i i i i i i
bedside. What is your BEST response? - correct answersIt is best if your family takes your belongings.
i i i i i i i i i i i i i i i i
What is a significant complication of imaging studies performed with iv contrast - correct answersAcute kidney
i i i i i i i i i i i i i i i i
injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive FIRST? -
i i i i i i i i i i i i i i i i
correct answersBipap i
Your intubated and unresponsive patient is scheduled for surgery in the morning. Who is the most appropriate
i i i i i i i i i i i i i i i i i
person to make decisions for your patient? - correct answersThe healthcare POA
i i i i i i i i i i i
When administering a titratable infusion what information must you check on the medication IV bag to
i i i i i i i i i i i i i i i i
confirm the correct dose is being administered? - correct answersConcentration
i i i i i i i i i