PROPHECY GENERAL ICU A V3 Fundamentals Exam
QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
Q&A 2026|INSTANT DOWNLOAD PDF
1. In the ICU, the first step in airway management is:
A. Administer oxygen
B. Assess airway patency
C. Intubate immediately
D. Place patient in Trendelenburg position
Correct answer: B
Rationale: Airway patency assessment is the priority in critical
care; interventions follow based on findings.
2. Which type of shock is characterized by decreased systemic
vascular resistance and warm, flushed skin?
A. Hypovolemic
B. Cardiogenic
C. Distributive (e.g., septic)
D. Obstructive
Rationale: Distributive shock, particularly septic shock, often
presents with warm extremities and low SVR.
3. The Glasgow Coma Scale (GCS) assesses:
A. Vital signs
B. Level of consciousness
C. Respiratory status
D. Infection markers
,Rationale: GCS evaluates eye, verbal, and motor responses to
determine consciousness.
4. A central venous pressure (CVP) reading of 2 mmHg
suggests:
A. Normal preload
B. Hypervolemia
C. Hypovolemia
D. Cardiac tamponade
Rationale: Low CVP indicates decreased venous return,
commonly due to hypovolemia.
5. The most common cause of cardiogenic shock in the ICU is:
A. Pulmonary embolism
B. Myocardial infarction
C. Sepsis
D. Hemorrhage
Rationale: Myocardial infarction reduces cardiac output,
leading to cardiogenic shock.
6. When initiating mechanical ventilation, the priority
parameter to set is:
A. Tidal volume
B. Respiratory rate
C. FiO₂ (oxygen fraction)
D. PEEP
Rationale: Oxygenation is critical; FiO₂ is initially set to ensure
adequate oxygen delivery.
, 7. Which electrolyte imbalance is most concerning in a patient
with cardiac arrhythmias?
A. Hyponatremia
B. Hypokalemia
C. Hypermagnesemia
D. Both B and C
Rationale: Hypokalemia and hypermagnesemia can precipitate
life-threatening arrhythmias.
8. In sepsis management, the Surviving Sepsis Campaign
recommends:
A. Immediate diuretics
B. Early broad-spectrum antibiotics
C. Delayed fluids
D. Beta-blockers first
Rationale: Early antibiotics reduce mortality; fluids are also part
of initial resuscitation.
9. The correct placement of an endotracheal tube is confirmed
by:
A. Visual inspection of the mouth
B. Listening for lung sounds
C. Capnography and bilateral breath sounds
D. Chest X-ray alone
Rationale: Capnography confirms CO₂ exchange; auscultation
ensures proper lung inflation.
10. Which of the following is a priority in hypovolemic shock?
A. Vasopressors first
QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
Q&A 2026|INSTANT DOWNLOAD PDF
1. In the ICU, the first step in airway management is:
A. Administer oxygen
B. Assess airway patency
C. Intubate immediately
D. Place patient in Trendelenburg position
Correct answer: B
Rationale: Airway patency assessment is the priority in critical
care; interventions follow based on findings.
2. Which type of shock is characterized by decreased systemic
vascular resistance and warm, flushed skin?
A. Hypovolemic
B. Cardiogenic
C. Distributive (e.g., septic)
D. Obstructive
Rationale: Distributive shock, particularly septic shock, often
presents with warm extremities and low SVR.
3. The Glasgow Coma Scale (GCS) assesses:
A. Vital signs
B. Level of consciousness
C. Respiratory status
D. Infection markers
,Rationale: GCS evaluates eye, verbal, and motor responses to
determine consciousness.
4. A central venous pressure (CVP) reading of 2 mmHg
suggests:
A. Normal preload
B. Hypervolemia
C. Hypovolemia
D. Cardiac tamponade
Rationale: Low CVP indicates decreased venous return,
commonly due to hypovolemia.
5. The most common cause of cardiogenic shock in the ICU is:
A. Pulmonary embolism
B. Myocardial infarction
C. Sepsis
D. Hemorrhage
Rationale: Myocardial infarction reduces cardiac output,
leading to cardiogenic shock.
6. When initiating mechanical ventilation, the priority
parameter to set is:
A. Tidal volume
B. Respiratory rate
C. FiO₂ (oxygen fraction)
D. PEEP
Rationale: Oxygenation is critical; FiO₂ is initially set to ensure
adequate oxygen delivery.
, 7. Which electrolyte imbalance is most concerning in a patient
with cardiac arrhythmias?
A. Hyponatremia
B. Hypokalemia
C. Hypermagnesemia
D. Both B and C
Rationale: Hypokalemia and hypermagnesemia can precipitate
life-threatening arrhythmias.
8. In sepsis management, the Surviving Sepsis Campaign
recommends:
A. Immediate diuretics
B. Early broad-spectrum antibiotics
C. Delayed fluids
D. Beta-blockers first
Rationale: Early antibiotics reduce mortality; fluids are also part
of initial resuscitation.
9. The correct placement of an endotracheal tube is confirmed
by:
A. Visual inspection of the mouth
B. Listening for lung sounds
C. Capnography and bilateral breath sounds
D. Chest X-ray alone
Rationale: Capnography confirms CO₂ exchange; auscultation
ensures proper lung inflation.
10. Which of the following is a priority in hypovolemic shock?
A. Vasopressors first
