NEUROLOGY ICU PROPHECY EXAM QUESTIONS AND ANSWERS
100% PASS| GRADED A+
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? - answer 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? - answer
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? - answer Hemoglobin
4.What ECG finding is indicative of hyperkalemia? - answer 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? - answer 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? - answer Pulmonary artery
or bladder
,7.Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level? - answer 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? - answer ECG
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? - answer 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? - answer Within 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? - answer 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? - answer It is best if your family takes your belongings.
13.What is a significant complication of imaging studies performed with IV
contrast? - answer Acute kidney injury
, 14.What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST? - answer 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?
- answer 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? -
answer Concentration
17.Your patient has a known baseline heart rate of around 45. The ECG monitor
keeps alarming when the heart rate decreases below 50. Their vital signs are
stable. What would you do? - answer Adjust the alarm parameters
18.How is dopamine usually administered in the ICU when given intravenously? -
answer Titratable continuous infusion
19.Which of the following can be given through an enteral feeding tube? - answer
Immediate release pills
20.When donning an N-95 mask, how should you secure the nose? - answer Fit
the nose piece with both hands
21.What type of medication is used in the critical care setting to help manage the
symptoms of alcohol withdrawal? - answer Benzodiazepines
100% PASS| GRADED A+
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? - answer 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? - answer
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? - answer Hemoglobin
4.What ECG finding is indicative of hyperkalemia? - answer 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? - answer 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? - answer Pulmonary artery
or bladder
,7.Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level? - answer 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? - answer ECG
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? - answer 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? - answer Within 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? - answer 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? - answer It is best if your family takes your belongings.
13.What is a significant complication of imaging studies performed with IV
contrast? - answer Acute kidney injury
, 14.What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST? - answer 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?
- answer 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? -
answer Concentration
17.Your patient has a known baseline heart rate of around 45. The ECG monitor
keeps alarming when the heart rate decreases below 50. Their vital signs are
stable. What would you do? - answer Adjust the alarm parameters
18.How is dopamine usually administered in the ICU when given intravenously? -
answer Titratable continuous infusion
19.Which of the following can be given through an enteral feeding tube? - answer
Immediate release pills
20.When donning an N-95 mask, how should you secure the nose? - answer Fit
the nose piece with both hands
21.What type of medication is used in the critical care setting to help manage the
symptoms of alcohol withdrawal? - answer Benzodiazepines
