RELIAS/PROPHECY GENERAL ICU RN A V3
NEWEST 2026 ACTUAL EXAM COMPLETE 140
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |GRADED A+,
RELIAS/PROPHECY GENERAL ICU RN A V3
1. 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.
2. What laboratory value should you monitor closely if your patient is
vomiting coffee ground emesis? - ANSWER-Hemoglobin
3. What ECG finding is indicative of hyperkalemia? - ANSWER-Peaked T
waves
4. 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.
5. When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate? - ANSWER-
Pulmonary artery or bladder
6. Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level? - ANSWER-30-60 min
,7. Your patient is receiving an anti-arrhythmic agent. Which of the
following assessment parameters is the MOST important for you to
evaluate? - ANSWER-ECG
8. 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-Stop weaning and rest the patient
9. While assessing a patient just admitted to the hospital, he admits to
drinking 12 cans of beer a day, with the last drink being right before
admission. What is the expected onset of delirium tremens? - ANSWER-
Within 48-72 hours
10. You have administered a pain medication that has a half-life of
120 minutes, onset of action 6 min, Tmax of 15 minutes, and is mostly
excreted in the urine. When can the patient expect the medication to
start working? - ANSWER-6 minutes
11. A lethargic but oriented patient is being admitted for sepsis and
their family member is in the waiting area. Their belonging include a
ring, cell phone, and wallet. The patient asks if they can keep the ring
on and phone at bedside. What is your BEST response? - ANSWER-It is
best if your family takes your belongings.
12. What is a significant complication of imaging studies performed
with IV contrast? - ANSWER-Acute kidney injury
13. What respiratory support would an alert patient with an acute
COPD exacerbation likely receive FIRST? - ANSWER-BiPAP
, 14. Your intubated and unresponsive patient is scheduled for surgery
in the morning. Who is the most appropriate person to make decisions
for your patient? - ANSWER-The healthcare POA
15. When administering a titratable infusion what information must
you check on the medication IV bag to confirm the correct dose is
being administered? - ANSWER-Concentration
16. Your patient has a known baseline heart rate of around 45. The
ECG monitor keeps alarming when the heart rate decreases below 50.
Their vital signs are stable. What would you do? - ANSWER-Adjust the
alarm parameters
17. How is dopamine usually administered in the ICU when given
intravenously? - ANSWER-Titratable continuous infusion
18. Which of the following can be given through an enteral feeding
tube? - ANSWER-Immediate release pills
19. When donning an N-95 mask, how should you secure the nose? -
ANSWER-Fit the nose piece with both hands
20. What type of medication is used in the critical care setting to
help manage the symptoms of alcohol withdrawal? - ANSWER-
Benzodiazepines
21. While admitting a patient with a history of IV drug use, what
precautions should you take? - ANSWER-Carefully inspect items for
presence of sharps.
NEWEST 2026 ACTUAL EXAM COMPLETE 140
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |GRADED A+,
RELIAS/PROPHECY GENERAL ICU RN A V3
1. 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.
2. What laboratory value should you monitor closely if your patient is
vomiting coffee ground emesis? - ANSWER-Hemoglobin
3. What ECG finding is indicative of hyperkalemia? - ANSWER-Peaked T
waves
4. 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.
5. When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate? - ANSWER-
Pulmonary artery or bladder
6. Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level? - ANSWER-30-60 min
,7. Your patient is receiving an anti-arrhythmic agent. Which of the
following assessment parameters is the MOST important for you to
evaluate? - ANSWER-ECG
8. 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-Stop weaning and rest the patient
9. While assessing a patient just admitted to the hospital, he admits to
drinking 12 cans of beer a day, with the last drink being right before
admission. What is the expected onset of delirium tremens? - ANSWER-
Within 48-72 hours
10. You have administered a pain medication that has a half-life of
120 minutes, onset of action 6 min, Tmax of 15 minutes, and is mostly
excreted in the urine. When can the patient expect the medication to
start working? - ANSWER-6 minutes
11. A lethargic but oriented patient is being admitted for sepsis and
their family member is in the waiting area. Their belonging include a
ring, cell phone, and wallet. The patient asks if they can keep the ring
on and phone at bedside. What is your BEST response? - ANSWER-It is
best if your family takes your belongings.
12. What is a significant complication of imaging studies performed
with IV contrast? - ANSWER-Acute kidney injury
13. What respiratory support would an alert patient with an acute
COPD exacerbation likely receive FIRST? - ANSWER-BiPAP
, 14. Your intubated and unresponsive patient is scheduled for surgery
in the morning. Who is the most appropriate person to make decisions
for your patient? - ANSWER-The healthcare POA
15. When administering a titratable infusion what information must
you check on the medication IV bag to confirm the correct dose is
being administered? - ANSWER-Concentration
16. Your patient has a known baseline heart rate of around 45. The
ECG monitor keeps alarming when the heart rate decreases below 50.
Their vital signs are stable. What would you do? - ANSWER-Adjust the
alarm parameters
17. How is dopamine usually administered in the ICU when given
intravenously? - ANSWER-Titratable continuous infusion
18. Which of the following can be given through an enteral feeding
tube? - ANSWER-Immediate release pills
19. When donning an N-95 mask, how should you secure the nose? -
ANSWER-Fit the nose piece with both hands
20. What type of medication is used in the critical care setting to
help manage the symptoms of alcohol withdrawal? - ANSWER-
Benzodiazepines
21. While admitting a patient with a history of IV drug use, what
precautions should you take? - ANSWER-Carefully inspect items for
presence of sharps.
