PROPHECY GENERAL ICU A V3 LATEST 2026 EXAM
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔While admitting a patient with a history of IV drug use, what precautions should you
take? - ✔✔Carefully inspect items for presence of sharps.
✔✔Your patient is intubated and begins to cough up clear mucous inside their ETT.
What should you do NEXT? - ✔✔A. Instill normal saline to lavage ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
✔✔What is a complication of long term TPN? - ✔✔Liver injury
✔✔Which assessment establishes baseline hand perfusion before an ABG puncture or
arterial line placement? - ✔✔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?
- ✔✔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?
- ✔✔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? -
✔✔A. Inspecting the oral cavity
B. Checking blood pressure and the heart rate*WRONG
C. Administering an albuterol nebulizer
D. Performing an ordered STAT ABG *WRONG
✔✔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? - ✔✔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. - ✔✔ScVo2
✔✔Which of the following actions complies with ventilator acquired pneumonia (VAP)
prevention protocols? - ✔✔Keep head of bed 30-45 degrees
, ✔✔What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - ✔✔Follow up imaging test
✔✔Which condition may cause increased effects from a medication that is mostly
metabolized by the liver? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔Pulmonary embolism
✔✔What IV sedative would MOST likely be ordered for a non-intubated patient? -
✔✔Dexmedetkomidine (precedex)
✔✔What is the normal cardiovasculat response to early sepsis? - ✔✔Increased cardiac
output
✔✔You have just received report on Patient A and Patient B. Patient A is intubated,
sedated, and on a vasoactive infusion to keep their BP greater than 110 mmHg systolic
on an arterial line. Patient B was extubated an hour ago and has a scheduled glucose
check due in 1 hour. What is your PRIORITY action? - ✔✔Assess Patient B's
respiratory status
✔✔Which of the following diets would be BEST for a patient with renal failure? - ✔✔Low
sodium, Low potassium and moderate protein
✔✔Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral
crackles on auscultation and has gained weight since admission. What action should
you take? - ✔✔Discuss increasing the furosemide infusion with the provider
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔While admitting a patient with a history of IV drug use, what precautions should you
take? - ✔✔Carefully inspect items for presence of sharps.
✔✔Your patient is intubated and begins to cough up clear mucous inside their ETT.
What should you do NEXT? - ✔✔A. Instill normal saline to lavage ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
✔✔What is a complication of long term TPN? - ✔✔Liver injury
✔✔Which assessment establishes baseline hand perfusion before an ABG puncture or
arterial line placement? - ✔✔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?
- ✔✔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?
- ✔✔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? -
✔✔A. Inspecting the oral cavity
B. Checking blood pressure and the heart rate*WRONG
C. Administering an albuterol nebulizer
D. Performing an ordered STAT ABG *WRONG
✔✔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? - ✔✔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. - ✔✔ScVo2
✔✔Which of the following actions complies with ventilator acquired pneumonia (VAP)
prevention protocols? - ✔✔Keep head of bed 30-45 degrees
, ✔✔What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - ✔✔Follow up imaging test
✔✔Which condition may cause increased effects from a medication that is mostly
metabolized by the liver? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔Pulmonary embolism
✔✔What IV sedative would MOST likely be ordered for a non-intubated patient? -
✔✔Dexmedetkomidine (precedex)
✔✔What is the normal cardiovasculat response to early sepsis? - ✔✔Increased cardiac
output
✔✔You have just received report on Patient A and Patient B. Patient A is intubated,
sedated, and on a vasoactive infusion to keep their BP greater than 110 mmHg systolic
on an arterial line. Patient B was extubated an hour ago and has a scheduled glucose
check due in 1 hour. What is your PRIORITY action? - ✔✔Assess Patient B's
respiratory status
✔✔Which of the following diets would be BEST for a patient with renal failure? - ✔✔Low
sodium, Low potassium and moderate protein
✔✔Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral
crackles on auscultation and has gained weight since admission. What action should
you take? - ✔✔Discuss increasing the furosemide infusion with the provider
