PROPHECY GENERAL ICU RN A V3 EXAM
SCRIPT 2026 STUDY GUIDE WITH FULL
SOLUTIONS
● ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . Answer:
Metabolic Acidosis
● Long term use of TPN may lead to: . Answer: Liver Failure
● Which of the following is a potential complication of high PEEP .
Answer: Pneumothorax
● What is a common assessment finding for a patient returning from a
small bowel resection? . Answer: Hypoactive bowel sounds
● Your patient suddenly becomes diaphoretic, anxious, tachycardic, and
has clammy skin. Which of the following would you suspect. . Answer:
A)*WRONG* Hypoxemia
B) Acute MI
C) Panic Attack
D) Hypoglycemia
, ● The staff nurse asks the nursing assistant to check on a patient. The
nursing assistant reports back that the patient is experiencing chest pain
and is diaphorectic. Which of the following can the staff nurse delegate
to the assistant? . Answer: A) *WRONG* Calling the physician
B) Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
● Your patient returned from PACU after surgery and is very drowsy.
She attempts to eat a candy bar and begins to choke. The physician is
unable to clear the airway. You would expect to prepare for which of the
following. emergency procedures? . Answer: A) *WRONG*
Endotracheal Intubation
B) Chest tube insertion
C) Tracheostomy
D) Bronchoscopy
● The initial insulin therapy for a patient with acute DKA is usually
administered by which route . Answer: Intravenous bolus followed by a
continuous infusion
● Screening tests for DIC include: . Answer: D-Dimer and FDPs
● Which of the following hormones is secreted by the hypothalamus in
an effort to regulate water balance? . Answer: ADH
SCRIPT 2026 STUDY GUIDE WITH FULL
SOLUTIONS
● ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . Answer:
Metabolic Acidosis
● Long term use of TPN may lead to: . Answer: Liver Failure
● Which of the following is a potential complication of high PEEP .
Answer: Pneumothorax
● What is a common assessment finding for a patient returning from a
small bowel resection? . Answer: Hypoactive bowel sounds
● Your patient suddenly becomes diaphoretic, anxious, tachycardic, and
has clammy skin. Which of the following would you suspect. . Answer:
A)*WRONG* Hypoxemia
B) Acute MI
C) Panic Attack
D) Hypoglycemia
, ● The staff nurse asks the nursing assistant to check on a patient. The
nursing assistant reports back that the patient is experiencing chest pain
and is diaphorectic. Which of the following can the staff nurse delegate
to the assistant? . Answer: A) *WRONG* Calling the physician
B) Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
● Your patient returned from PACU after surgery and is very drowsy.
She attempts to eat a candy bar and begins to choke. The physician is
unable to clear the airway. You would expect to prepare for which of the
following. emergency procedures? . Answer: A) *WRONG*
Endotracheal Intubation
B) Chest tube insertion
C) Tracheostomy
D) Bronchoscopy
● The initial insulin therapy for a patient with acute DKA is usually
administered by which route . Answer: Intravenous bolus followed by a
continuous infusion
● Screening tests for DIC include: . Answer: D-Dimer and FDPs
● Which of the following hormones is secreted by the hypothalamus in
an effort to regulate water balance? . Answer: ADH
