RELIAS/PROPHECY GENERAL ICU RN A V3 ACTUAL EXAM 2025-
2026 LATEST 70 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
1. One of your patients coded but is now stabilized and you are catching up
on charting. The step-down unit calls to get report on your other patient
who is to be transferred. The nurses near you do not appear busy. How
should you prioritize your time? VERIFIED SOLUTION- Give report and ask
the nurses to prepare the patient for transfer.
2. Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications?
VERIFIED SOLUTION- Ask the provider to update the route of administration.
3. What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis? VERIFIED SOLUTION- Hemoglobin
4. What ECG finding is indicative of hyperkalemia? VERIFIED SOLUTION
Peaked T waves
5. 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? VERIFIED SOLUTION- Check on the patient's status
and call for assistance.
6. When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate? VERIFIED SOLUTION-
Pulmonary artery or bladder
7. Your patient has just completed IV potassium replacement. When should
you collect their repeat potassium level? VERIFIED SOLUTION- 30-60 min
8. Your patient is receiving an anti-arrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? VERIFIED
SOLUTION- ECG
,This study source was downloaded by 100000895528565 from nursinghero.com on10/4-820-2025 04:49:16 GMT -05:00
https://www.nursinghero.com//study-files/26629617
, 9. 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?
VERIFIED SOLUTION- Stop weaning and rest the patient
10. 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? VERIFIED SOLUTION- With
48-72 hours
11. 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? VERIFIE
SOLUTION- 6 minutes
12. 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? VERIFIED SOLUTION- It is best if your family take
your belongings.
13. What is a significant complication of imaging studies performed with IV
contrast? VERIFIED SOLUTION- Acute kidney injury
14. What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST? VERIFIED SOLUTION- BiPAP
15. Your intubated and unresponsive patient is scheduled for surgery in the
morning. Who is the most appropriate person to make decisions for your
patient? VERIFIED SOLUTION- The healthcare POA
16. When administering a titratable infusion what information must you check
on the medication IV bag to confirm the correct dose is being
administered? VERIFIED SOLUTION- Concentration
2026 LATEST 70 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
1. One of your patients coded but is now stabilized and you are catching up
on charting. The step-down unit calls to get report on your other patient
who is to be transferred. The nurses near you do not appear busy. How
should you prioritize your time? VERIFIED SOLUTION- Give report and ask
the nurses to prepare the patient for transfer.
2. Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications?
VERIFIED SOLUTION- Ask the provider to update the route of administration.
3. What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis? VERIFIED SOLUTION- Hemoglobin
4. What ECG finding is indicative of hyperkalemia? VERIFIED SOLUTION
Peaked T waves
5. 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? VERIFIED SOLUTION- Check on the patient's status
and call for assistance.
6. When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate? VERIFIED SOLUTION-
Pulmonary artery or bladder
7. Your patient has just completed IV potassium replacement. When should
you collect their repeat potassium level? VERIFIED SOLUTION- 30-60 min
8. Your patient is receiving an anti-arrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? VERIFIED
SOLUTION- ECG
,This study source was downloaded by 100000895528565 from nursinghero.com on10/4-820-2025 04:49:16 GMT -05:00
https://www.nursinghero.com//study-files/26629617
, 9. 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?
VERIFIED SOLUTION- Stop weaning and rest the patient
10. 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? VERIFIED SOLUTION- With
48-72 hours
11. 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? VERIFIE
SOLUTION- 6 minutes
12. 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? VERIFIED SOLUTION- It is best if your family take
your belongings.
13. What is a significant complication of imaging studies performed with IV
contrast? VERIFIED SOLUTION- Acute kidney injury
14. What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST? VERIFIED SOLUTION- BiPAP
15. Your intubated and unresponsive patient is scheduled for surgery in the
morning. Who is the most appropriate person to make decisions for your
patient? VERIFIED SOLUTION- The healthcare POA
16. When administering a titratable infusion what information must you check
on the medication IV bag to confirm the correct dose is being
administered? VERIFIED SOLUTION- Concentration
