GENERAL PROPHECY ICU A V3 NEWEST QUESTIONS AND
ANSWERS UPDATED 2025/2026 ASSURED SUCCESS
Which assessment establishes baseline hand perfusion before
an ABG puncture or arterial line placement? - --ANSWERS----
Allen Test
You find the concentration of an IV medication bag that is hanging
and infusing into your patient does not match the concentration
in the order. What should you do NEXT? - --ANSWERS----Stop
the infusion
Your patient has a right chest tube that was placed after
thoracotomy. They report that is very painful when they cough
and request cough medicing. What should you do? - --
ANSWERS----Teach them to splint their right side when
coughing and give pain medicine
Your patient had an unplanned self-extubation. They are now
alert and sitting up. Their pulse oximetry is 98% on 4 liters face
mask. What action should you prioritize? - --ANSWERS----
Inspecting the oral cavity
Your are admitting a patient who is sedated and intubated
directly from the operating room after a major surgery. The
anesthesia provider connects the patient to the ventilator in the
ICU room and leaves before entering orders for the patient's
ventilatory settings. How should you proceed? - --ANSWERS----
Contact the ICU intensivist or specialist assigned to the case
For a patient with septic shock, What would you monitor to
objectively determine the effectiveness and need to titrate a
dobutamine infusion. - --ANSWERS----scvo2
, Which of the following actions complies with ventilator acquired
pneumonia (VAP) prevention protocols? - --ANSWERS----Keep
head of bed 30-45 degrees
What assessment tool is needed for a patient who has
uncomplicated retrosternal hemorrhage? - --ANSWERS----
Follow up imaging test
Which condition may cause increased effects from a medication
that is mostly metabolized by the liver? - --ANSWERS----
Hepatitis C
An intubated patient with a GCS of 3 is admitted to the ICU from
the ER after being found down for an unknown amount of time at
home. The CT scan reveals profuse cerebral edema. When is the
BEST time to notify organ donation services? - --ANSWERS----
Within 24 hours of admission to the ICU
What order is included in the pre-procedural checklist for
patients at risk for acute kidney injury who are to receive IV
contrast? - --ANSWERS----Pre-hydration with IV Fluids
Your patient is intubated with an ETT and sedated without
spontaneous monements when the ventilator alarms with a
high-pressure warning. The ventilator tubing is free and
unkinked. What should you do NEXT? - --ANSWERS----Provide
100% oxygen and prepare to suction the patient
Your postoperative patient suddenly becomes dyspneic, clutches
their chest and their Sp02 drops to 89% the patient has a swollen
left calf. What condition do you suspect? - --ANSWERS----
Pulmonary embolism
ANSWERS UPDATED 2025/2026 ASSURED SUCCESS
Which assessment establishes baseline hand perfusion before
an ABG puncture or arterial line placement? - --ANSWERS----
Allen Test
You find the concentration of an IV medication bag that is hanging
and infusing into your patient does not match the concentration
in the order. What should you do NEXT? - --ANSWERS----Stop
the infusion
Your patient has a right chest tube that was placed after
thoracotomy. They report that is very painful when they cough
and request cough medicing. What should you do? - --
ANSWERS----Teach them to splint their right side when
coughing and give pain medicine
Your patient had an unplanned self-extubation. They are now
alert and sitting up. Their pulse oximetry is 98% on 4 liters face
mask. What action should you prioritize? - --ANSWERS----
Inspecting the oral cavity
Your are admitting a patient who is sedated and intubated
directly from the operating room after a major surgery. The
anesthesia provider connects the patient to the ventilator in the
ICU room and leaves before entering orders for the patient's
ventilatory settings. How should you proceed? - --ANSWERS----
Contact the ICU intensivist or specialist assigned to the case
For a patient with septic shock, What would you monitor to
objectively determine the effectiveness and need to titrate a
dobutamine infusion. - --ANSWERS----scvo2
, Which of the following actions complies with ventilator acquired
pneumonia (VAP) prevention protocols? - --ANSWERS----Keep
head of bed 30-45 degrees
What assessment tool is needed for a patient who has
uncomplicated retrosternal hemorrhage? - --ANSWERS----
Follow up imaging test
Which condition may cause increased effects from a medication
that is mostly metabolized by the liver? - --ANSWERS----
Hepatitis C
An intubated patient with a GCS of 3 is admitted to the ICU from
the ER after being found down for an unknown amount of time at
home. The CT scan reveals profuse cerebral edema. When is the
BEST time to notify organ donation services? - --ANSWERS----
Within 24 hours of admission to the ICU
What order is included in the pre-procedural checklist for
patients at risk for acute kidney injury who are to receive IV
contrast? - --ANSWERS----Pre-hydration with IV Fluids
Your patient is intubated with an ETT and sedated without
spontaneous monements when the ventilator alarms with a
high-pressure warning. The ventilator tubing is free and
unkinked. What should you do NEXT? - --ANSWERS----Provide
100% oxygen and prepare to suction the patient
Your postoperative patient suddenly becomes dyspneic, clutches
their chest and their Sp02 drops to 89% the patient has a swollen
left calf. What condition do you suspect? - --ANSWERS----
Pulmonary embolism
