PROPHECY RN B V3 EXAM EVALUATION QUESTIONS WITH
SOLUTIONS 2025 A+
✔✔Which of the following infusions must be stopped before a patient on a ventilator can
be extubated? - ✔✔Propofol (Diprivan)
✔✔What type of treatments might be continued after life sustaining interventions are
withdrawn? - ✔✔Applying balm to the lips
✔✔Your patient's vital signs have been stable for 2 days and their vasoactive infusions,
arterial line, and CVP monitoring was discontinued yesterday. What step is MOST
important for you to take to help prevent central line associated blood stream infection?
- ✔✔Advocate for the removal of the central line
✔✔Your patient had a chest tube inserted 3 hours ago. they are not experiencing
unexplained respiratory distress. After notifying the provider, what STAT order would
you expect to receive? - ✔✔Chest X ray
✔✔Your patient has a history of diabetes, polycyclic ovary disease, and recent hip
surgery. The patient calls you to the bedside and says, "I just don't feel right." What is
your BEST NEXT action? - ✔✔Check blood glucose
✔✔Which of the following PPE should be removed FIRST? - ✔✔Gloves
✔✔Which of the following requires IMMEDIATE nursing intervention when present in a
patient with increased ICP? - ✔✔Sudden onset of vomiting
✔✔Muffled heart sounds could indicate what condition? - ✔✔Cardiac tamponade
✔✔What fluid order do you expect for the treatment of hyponatremia in a patient who is
normovolemic? - ✔✔Hypertonic saline
✔✔Your patient was recently intubated and the ETT was loosely secured with a piece of
tape. Placement was confirmed with a chest x-ray. How can you confirm that the ETT
has not moved? - ✔✔Check the ETT distance at the lip
✔✔What treatment might be ordered for a patine with advanced liver disease who has a
large distended abdomen and is becoming short of breath? - ✔✔Paracentesis
✔✔Which of the following new patient findings indicates that you should stop a heparin
infusion IMMEDIATELY? - ✔✔Difficult to arouse
, ✔✔What is considered a normal range of Central Venous Pressure (CVP)? - ✔✔2-8
mm Hg
✔✔You are working in the ICU on night shift. For which reason MUST you contact the
ICU provider? - ✔✔Patient reports new onset intense pressure in chest
✔✔You are at the bedside in a sterile gown and gloves wearing a mask, and assisting a
provider with the insertion of a central line. What should you do during a procedure if a
second nurse tries to hand you a clean instrument? - ✔✔Explain to the second nurse
that you cannot accept the item as you will no longer be sterile
✔✔After evaluating a patient's circulation, airway, and breathing, what type of
assessment would you preform on a patient who is newly admitted after surgery? -
✔✔Complete head to toe assessment
✔✔Which provider should you contact for a patient who is postoperative day three with
a decreased urine output? - ✔✔ICU intensivist
✔✔Your patient has just had a paracentesis during which 5 liters of fluid were removed.
Which assessment is the PRIORITY? - ✔✔Blood pressure
✔✔What is a risk factor for upper GI bleeding? - ✔✔Alcohol use
✔✔What metabolic panel abnormality should you monitor for after a large volume RBC
transfusion? - ✔✔Hypocalcemia
✔✔You find your patient with their hands on their ETT, coughing, with large amounts of
secretions coming out of their mouth and around their ETT. You can clearly see the ETT
has been pulled out at least 4cm farther than it was before. After calling for help, what
should you do NEXT? - ✔✔Remove the ETT and suction their mouth
✔✔Your patient is intubated and on a ventilator set to assist control ventilation. They
are sedated with stable vital signs. The team has set a goal today to attempt to extubate
the patient. You have preformed an ABG which shows pH of 7.37, PaCO@ 42, SAO2 of
92% on an FiO2 of 40%. The respiratory therapist is at the bedside. After decreasing
the rate of sedation infusion, what do you anticipate will happen NEXT to progress
towards the goal of extubation? - ✔✔Spontaneous breathing trial
✔✔You are assessing a patient with multiple trauma who is at risk for developing
ARDS. What is an EARLY sign of ARDS? - ✔✔Increased respiratory rate
SOLUTIONS 2025 A+
✔✔Which of the following infusions must be stopped before a patient on a ventilator can
be extubated? - ✔✔Propofol (Diprivan)
✔✔What type of treatments might be continued after life sustaining interventions are
withdrawn? - ✔✔Applying balm to the lips
✔✔Your patient's vital signs have been stable for 2 days and their vasoactive infusions,
arterial line, and CVP monitoring was discontinued yesterday. What step is MOST
important for you to take to help prevent central line associated blood stream infection?
- ✔✔Advocate for the removal of the central line
✔✔Your patient had a chest tube inserted 3 hours ago. they are not experiencing
unexplained respiratory distress. After notifying the provider, what STAT order would
you expect to receive? - ✔✔Chest X ray
✔✔Your patient has a history of diabetes, polycyclic ovary disease, and recent hip
surgery. The patient calls you to the bedside and says, "I just don't feel right." What is
your BEST NEXT action? - ✔✔Check blood glucose
✔✔Which of the following PPE should be removed FIRST? - ✔✔Gloves
✔✔Which of the following requires IMMEDIATE nursing intervention when present in a
patient with increased ICP? - ✔✔Sudden onset of vomiting
✔✔Muffled heart sounds could indicate what condition? - ✔✔Cardiac tamponade
✔✔What fluid order do you expect for the treatment of hyponatremia in a patient who is
normovolemic? - ✔✔Hypertonic saline
✔✔Your patient was recently intubated and the ETT was loosely secured with a piece of
tape. Placement was confirmed with a chest x-ray. How can you confirm that the ETT
has not moved? - ✔✔Check the ETT distance at the lip
✔✔What treatment might be ordered for a patine with advanced liver disease who has a
large distended abdomen and is becoming short of breath? - ✔✔Paracentesis
✔✔Which of the following new patient findings indicates that you should stop a heparin
infusion IMMEDIATELY? - ✔✔Difficult to arouse
, ✔✔What is considered a normal range of Central Venous Pressure (CVP)? - ✔✔2-8
mm Hg
✔✔You are working in the ICU on night shift. For which reason MUST you contact the
ICU provider? - ✔✔Patient reports new onset intense pressure in chest
✔✔You are at the bedside in a sterile gown and gloves wearing a mask, and assisting a
provider with the insertion of a central line. What should you do during a procedure if a
second nurse tries to hand you a clean instrument? - ✔✔Explain to the second nurse
that you cannot accept the item as you will no longer be sterile
✔✔After evaluating a patient's circulation, airway, and breathing, what type of
assessment would you preform on a patient who is newly admitted after surgery? -
✔✔Complete head to toe assessment
✔✔Which provider should you contact for a patient who is postoperative day three with
a decreased urine output? - ✔✔ICU intensivist
✔✔Your patient has just had a paracentesis during which 5 liters of fluid were removed.
Which assessment is the PRIORITY? - ✔✔Blood pressure
✔✔What is a risk factor for upper GI bleeding? - ✔✔Alcohol use
✔✔What metabolic panel abnormality should you monitor for after a large volume RBC
transfusion? - ✔✔Hypocalcemia
✔✔You find your patient with their hands on their ETT, coughing, with large amounts of
secretions coming out of their mouth and around their ETT. You can clearly see the ETT
has been pulled out at least 4cm farther than it was before. After calling for help, what
should you do NEXT? - ✔✔Remove the ETT and suction their mouth
✔✔Your patient is intubated and on a ventilator set to assist control ventilation. They
are sedated with stable vital signs. The team has set a goal today to attempt to extubate
the patient. You have preformed an ABG which shows pH of 7.37, PaCO@ 42, SAO2 of
92% on an FiO2 of 40%. The respiratory therapist is at the bedside. After decreasing
the rate of sedation infusion, what do you anticipate will happen NEXT to progress
towards the goal of extubation? - ✔✔Spontaneous breathing trial
✔✔You are assessing a patient with multiple trauma who is at risk for developing
ARDS. What is an EARLY sign of ARDS? - ✔✔Increased respiratory rate
