RELIAS-PROPHECY GENERAL ICU RN A V3 NEWEST 2026 ACTUAL EXAM
COMPLETE 70 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+,..
Read 11 web pages
RELIAS/PROPHECY General ICU RN A V3 Practice Questions
180 Multiple Choice Questions with Answers and Rationales
Section 1: Prioritization & Delegation (Questions 1-20)
1. 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
transferred. The nurses near you do not appear busy. How should you prioritize
your time?
A) Tell the step-down unit you will call back in 30 minutes
B) Give report and ask the nurses to prepare the patient for transfer
C) Finish charting first, then give report
D) Ask the charge nurse to give report
Answer: B) Give report and ask the nurses to prepare the patient for transfer
Rationale: Effective delegation and time management are essential in ICU nursing.
The nurses nearby are available to assist with preparation, allowing you to give
,report and ensure patient safety while managing competing priorities. Delaying
transfer could impact bed availability and patient flow .
2. 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?
A) Find the patient's assigned nurse immediately
B) Call for help and check on the patient's status
C) Page the physician
D) Document the incident
Answer: B) Call for help and check on the patient's status
Rationale: Patient safety is the priority. You must first assess the patient for
injuries and call for assistance. All nurses have a duty to respond to emergencies
regardless of patient assignment .
3. 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
diaphoretic. Which of the following can the staff nurse delegate to the assistant?
,A) Calling the physician
B) Gathering vital signs 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
Answer: C) Informing the charge nurse that a patient needs attention
Rationale: Delegation must follow scope of practice. Nursing assistants cannot
assess, call physicians, or obtain medications. They can, however, communicate
information to the charge nurse .
4. 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 mm Hg
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?
A) Check Patient A's sedation level
B) Assess Patient B's respiratory status
C) Check Patient B's glucose immediately
, D) Titrate Patient A's vasoactive infusion
Answer: B) Assess Patient B's respiratory status
Rationale: The first hour post-extubation is critical. Patient B needs immediate
respiratory assessment to ensure airway patency and adequate oxygenation.
While both patients are unstable, the post-extubation patient is at highest
immediate risk for respiratory compromise .
5. Your patient's family does not want to tell the patient of their life-threatening
diagnosis and pleads with you not to let the patient know. What is the MOST
appropriate response?
A) Agree to keep the information from the patient
B) Tell the family you must inform the patient
C) Acknowledge the family's concerns and recommend a meeting with the family
and interdisciplinary team
D) Inform the physician and let them handle it
Answer: C) Acknowledge the family's concerns and recommend a meeting with
the family and interdisciplinary team
COMPLETE 70 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+,..
Read 11 web pages
RELIAS/PROPHECY General ICU RN A V3 Practice Questions
180 Multiple Choice Questions with Answers and Rationales
Section 1: Prioritization & Delegation (Questions 1-20)
1. 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
transferred. The nurses near you do not appear busy. How should you prioritize
your time?
A) Tell the step-down unit you will call back in 30 minutes
B) Give report and ask the nurses to prepare the patient for transfer
C) Finish charting first, then give report
D) Ask the charge nurse to give report
Answer: B) Give report and ask the nurses to prepare the patient for transfer
Rationale: Effective delegation and time management are essential in ICU nursing.
The nurses nearby are available to assist with preparation, allowing you to give
,report and ensure patient safety while managing competing priorities. Delaying
transfer could impact bed availability and patient flow .
2. 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?
A) Find the patient's assigned nurse immediately
B) Call for help and check on the patient's status
C) Page the physician
D) Document the incident
Answer: B) Call for help and check on the patient's status
Rationale: Patient safety is the priority. You must first assess the patient for
injuries and call for assistance. All nurses have a duty to respond to emergencies
regardless of patient assignment .
3. 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
diaphoretic. Which of the following can the staff nurse delegate to the assistant?
,A) Calling the physician
B) Gathering vital signs 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
Answer: C) Informing the charge nurse that a patient needs attention
Rationale: Delegation must follow scope of practice. Nursing assistants cannot
assess, call physicians, or obtain medications. They can, however, communicate
information to the charge nurse .
4. 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 mm Hg
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?
A) Check Patient A's sedation level
B) Assess Patient B's respiratory status
C) Check Patient B's glucose immediately
, D) Titrate Patient A's vasoactive infusion
Answer: B) Assess Patient B's respiratory status
Rationale: The first hour post-extubation is critical. Patient B needs immediate
respiratory assessment to ensure airway patency and adequate oxygenation.
While both patients are unstable, the post-extubation patient is at highest
immediate risk for respiratory compromise .
5. Your patient's family does not want to tell the patient of their life-threatening
diagnosis and pleads with you not to let the patient know. What is the MOST
appropriate response?
A) Agree to keep the information from the patient
B) Tell the family you must inform the patient
C) Acknowledge the family's concerns and recommend a meeting with the family
and interdisciplinary team
D) Inform the physician and let them handle it
Answer: C) Acknowledge the family's concerns and recommend a meeting with
the family and interdisciplinary team
