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General ICU A V3 Exam | 100+ Clinical Q&A | Ventilation, Sedation, ABGs, Sepsis, Code Blue | Prophecy Critical Care | 2025/2026

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This document includes 100+ practice questions and verified answers from the Prophecy General ICU A V3 Exam, updated for the 2025/2026 critical care certification cycle. It is specifically structured for nurses and healthcare professionals working in intensive care units, covering key clinical judgment areas aligned with Prophecy competency assessments. High-yield topics include: – Ventilator management: alarms, settings, extubation complications, FiO₂ adjustments, suctioning protocols – Sedation and pain control: dexmedetomidine, morphine titration, delirium prevention, GCS assessments – Acid-base balance and ABG interpretation: respiratory acidosis, PaCO₂, FiO₂ adjustment, intraventricular monitoring – Shock management: sepsis, dobutamine, MAP monitoring, ScVO₂, vasopressor titration – Emergency protocols: ACLS response, surgical airway prep, medication compatibility, code blue prioritization – Renal and fluid monitoring: fluid balance, urine output documentation, dialysis prep, contrast-induced AKI – Infection control & safety: VAP prevention, PPE protocols, ID verification, sharps precautions – Nutrition and medication administration: TPN complications, enteral vs IV routes, titratable infusion safety – Special scenarios: organ donation timing, diabetic ketoacidosis, hepatic metabolism, delirium assessment tools (CAM-ICU) Each question includes rationales that reflect clinical best practices, critical decision-making, and up-to-date ICU procedures—ideal for preparing for the Prophecy ICU exams or onboarding as an ICU nurse. Best suited for: – ICU nurses preparing for the Prophecy General ICU A V3 Exam – Critical care RNs in onboarding or orientation programs – Nurse educators and preceptors using structured ICU assessment material – Healthcare professionals in high-acuity or ventilator-supported units Keywords: Prophecy ICU, V3 exam, ventilator alarms, sedation, ABG, dopamine infusion, MAP, ScVO2, shock, sepsis, ACLS protocol, delirium, lorazepam, enteral feeding, high-pressure alarm, TPN, CAM-ICU, surgical airway, cyanosis, cardiogenic shock, oxygenation, renal failure, FiO₂, lactic acid, pulmonary embolism, GCS, critical care nurse

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Uploaded on
November 11, 2025
Number of pages
13
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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Prophecy General ICU A V3 2025/2026
Exam Questions and Correct Answers |
New Update



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 transfered. 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.

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.


What laboratory value should you monitor closely if your patient is vomiting

coffee ground emesis? - 🧠ANSWER ✔✔Hemoglobin

, What ECG finding is indicative of hyperkalema? - 🧠ANSWER ✔✔peaked T

wave

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.

When assessing for fever in your intubated patient, placement of the

thermometer in which area would be most accurate? - 🧠ANSWER

✔✔Pulmonary artery or bladder


Your patient has just completed IV potassium replacement. When should

you collect their repeat potassium level? - 🧠ANSWER ✔✔30-60 min


Your patient is receiving an antiarrhythmic agent. Which of the following

assessment parameters is the MOST important for you to evaluate? -

🧠ANSWER ✔✔ECG


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 ✔✔C. Stop weaning and rest the patient
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