PROPHECY GENERAL ICU RN A VERSION 1
MASTER REVIEW SET 2026
◉ A client presents to the emergency department after prolonged
exposure to the cold. The client is difficult to arouse and speech is
incoherent. What action would the nurse take first? Answer:
Administer warmed intravenous fluids to the client.
◉ An emergency department nurse cares for a middle-age mountain
climber who is confused, ataxic, and exhibits impaired judgement.
After administering oxygen, which intervention would the nurse
implement next? Answer: Administer dexamethasone.
◉ An emergency department nurse assesses a client admitted after
a lightning strike. The client is awake but somewhat confused.
Which assessment would the nurse complete first? Answer:
Electrocardiogram (ECG)
◉ A nurse teaches a community health class about water safety.
Which statement by a participant indicates that additional teaching
is needed? Answer: "I can go swimming all by myself because I am a
certified lifeguard."
◉ A primary health care provider prescribes a rewarming bath for a
client who presents with Grade 3 frostbite. What action would the
,nurse take prior to starting this treatment? Answer: Administer
intravenous morphine.
◉ A nurse assesses a client recently bitten by a coral snake. Which
assessment would the nurse complete first? Answer: ·
Cardiopulmonary status
◉ A nurse plans care for a client admitted with a snakebite to the
right leg. With whom would the nurse collaborate? Answer: · The
poison control center
◉ While on a camping trip, a nurse cares for an adult client who had
a drowning incident in a lake and is experiencing agonal breathing
with a palpable pulse. What action would the nurse take first?
Answer: · Deliver rescue breaths.
◉ A nurse assesses a client admitted with a brown recluse spider
bite. Which assessment does the nurse perform to identify
complications of this bite? Answer: · Monitor the client's
temperature every 4 hours.
◉ A primary health care provider prescribes diazepam to a client
who was bitten by a black widow spider. The client asks, "What is
this medication for?" How does the nurse respond? Answer: · "It will
relieve your muscle rigidity and spasms."
,◉ A provider prescribes Crotalidae Polyvalent Immune Fab (CroFab)
for a client who is admitted after being bitten by a pit viper snake.
Which assessment should the nurse complete prior to administering
this medication? Answer: · Ask about allergies to pineapple or
papaya.
◉ After teaching a client how to prevent altitude-related illnesses, a
nurse assesses the client's understanding. Which statement
indicates that the client needs additional teaching? Answer: · "My
partner and I will plan to sleep at a higher elevation to acclimate
more
quickly."
◉ A client admitted to the emergency department following a
lightning strike. What is the priority assessment the nurse focuses
on? Answer: · Cardiopulmonary
◉ A middle-age mountain hiker is admitted to the emergency
department exhibiting a cough with pink, frothy sputum and
cyanosis of lips and nail beds. What priority action would the nurse
implement? Answer: · Administer oxygen via a nonrebreather mask.
◉ A nurse is teaching a wilderness survival class. Which statements
would the nurse include about the prevention of hypothermia and
, frostbite? (Select all that apply.) Answer: · "Wear synthetic clothing
instead of cotton to keep your skin dry."
· Wear sunglasses to protect skin and eyes from harmful rays."
· "Know your physical limits. Come in out of the cold when limits are
reached."
· "Change your gloves and socks if they become wet."
◉ A nurse teaches a client who has severe allergies ways to prevent
insect bites. Which statements does the nurse include in this client's
teaching? (Select all that apply.) Answer: · "Consult an exterminator
to control bugs in and around your home."
· "Do not swat at insects or wasps."
· "Use screens in your windows and doors to prevent flying insects
from entering."
· "Identify and remove potential nesting sites in your yard."
◉ A nurse is providing health education at a community center.
Which instructions does the nurse include in teaching about
prevention of lightning injuries during a storm? (Select all that
apply.) Answer: · Seek shelter inside a building or vehicle.
·Do not take a bath or shower.
·Turn off the television.
·Put down golf clubs or gardening tools.
MASTER REVIEW SET 2026
◉ A client presents to the emergency department after prolonged
exposure to the cold. The client is difficult to arouse and speech is
incoherent. What action would the nurse take first? Answer:
Administer warmed intravenous fluids to the client.
◉ An emergency department nurse cares for a middle-age mountain
climber who is confused, ataxic, and exhibits impaired judgement.
After administering oxygen, which intervention would the nurse
implement next? Answer: Administer dexamethasone.
◉ An emergency department nurse assesses a client admitted after
a lightning strike. The client is awake but somewhat confused.
Which assessment would the nurse complete first? Answer:
Electrocardiogram (ECG)
◉ A nurse teaches a community health class about water safety.
Which statement by a participant indicates that additional teaching
is needed? Answer: "I can go swimming all by myself because I am a
certified lifeguard."
◉ A primary health care provider prescribes a rewarming bath for a
client who presents with Grade 3 frostbite. What action would the
,nurse take prior to starting this treatment? Answer: Administer
intravenous morphine.
◉ A nurse assesses a client recently bitten by a coral snake. Which
assessment would the nurse complete first? Answer: ·
Cardiopulmonary status
◉ A nurse plans care for a client admitted with a snakebite to the
right leg. With whom would the nurse collaborate? Answer: · The
poison control center
◉ While on a camping trip, a nurse cares for an adult client who had
a drowning incident in a lake and is experiencing agonal breathing
with a palpable pulse. What action would the nurse take first?
Answer: · Deliver rescue breaths.
◉ A nurse assesses a client admitted with a brown recluse spider
bite. Which assessment does the nurse perform to identify
complications of this bite? Answer: · Monitor the client's
temperature every 4 hours.
◉ A primary health care provider prescribes diazepam to a client
who was bitten by a black widow spider. The client asks, "What is
this medication for?" How does the nurse respond? Answer: · "It will
relieve your muscle rigidity and spasms."
,◉ A provider prescribes Crotalidae Polyvalent Immune Fab (CroFab)
for a client who is admitted after being bitten by a pit viper snake.
Which assessment should the nurse complete prior to administering
this medication? Answer: · Ask about allergies to pineapple or
papaya.
◉ After teaching a client how to prevent altitude-related illnesses, a
nurse assesses the client's understanding. Which statement
indicates that the client needs additional teaching? Answer: · "My
partner and I will plan to sleep at a higher elevation to acclimate
more
quickly."
◉ A client admitted to the emergency department following a
lightning strike. What is the priority assessment the nurse focuses
on? Answer: · Cardiopulmonary
◉ A middle-age mountain hiker is admitted to the emergency
department exhibiting a cough with pink, frothy sputum and
cyanosis of lips and nail beds. What priority action would the nurse
implement? Answer: · Administer oxygen via a nonrebreather mask.
◉ A nurse is teaching a wilderness survival class. Which statements
would the nurse include about the prevention of hypothermia and
, frostbite? (Select all that apply.) Answer: · "Wear synthetic clothing
instead of cotton to keep your skin dry."
· Wear sunglasses to protect skin and eyes from harmful rays."
· "Know your physical limits. Come in out of the cold when limits are
reached."
· "Change your gloves and socks if they become wet."
◉ A nurse teaches a client who has severe allergies ways to prevent
insect bites. Which statements does the nurse include in this client's
teaching? (Select all that apply.) Answer: · "Consult an exterminator
to control bugs in and around your home."
· "Do not swat at insects or wasps."
· "Use screens in your windows and doors to prevent flying insects
from entering."
· "Identify and remove potential nesting sites in your yard."
◉ A nurse is providing health education at a community center.
Which instructions does the nurse include in teaching about
prevention of lightning injuries during a storm? (Select all that
apply.) Answer: · Seek shelter inside a building or vehicle.
·Do not take a bath or shower.
·Turn off the television.
·Put down golf clubs or gardening tools.
