PROPHECY GENERAL ICU A V3
QUESTIONS & ANSWERS, LATEST
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? -
ANSWER-Give report and ask the nurses to prepare the patient
for transfer.
2. 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.
3. What laboratory value should you monitor closely if your
patient is vomiting coffee ground emesis? - ANSWER-
Hemoglobin
4. What ECG finding is indicative of hyperkalema? - ANSWER-
peaked T wave
5. 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.
6. When assessing for fever in your intubated patient, placement
of the thermometer in which area would be most accurate? -
ANSWER-Pulmonary artery or bladder
, 7. Your patient has just completed IV potassium replacement.
When should you collect their repeat potassium level? -
ANSWER-30-60 min
8. Your patient is receiving an antiarrhythmic agent. Which of the
following assessment parameters is the MOST important for
you to evaluate? - ANSWER-ECG
9. 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
10. 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
11. 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 uring. when can the patient
expect the medication to start working - ANSWER-6 minutes
12. 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.
13. What is a significant complication of imaging studies
performed with iv contrast - ANSWER-Acute kidney injury
QUESTIONS & ANSWERS, LATEST
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? -
ANSWER-Give report and ask the nurses to prepare the patient
for transfer.
2. 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.
3. What laboratory value should you monitor closely if your
patient is vomiting coffee ground emesis? - ANSWER-
Hemoglobin
4. What ECG finding is indicative of hyperkalema? - ANSWER-
peaked T wave
5. 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.
6. When assessing for fever in your intubated patient, placement
of the thermometer in which area would be most accurate? -
ANSWER-Pulmonary artery or bladder
, 7. Your patient has just completed IV potassium replacement.
When should you collect their repeat potassium level? -
ANSWER-30-60 min
8. Your patient is receiving an antiarrhythmic agent. Which of the
following assessment parameters is the MOST important for
you to evaluate? - ANSWER-ECG
9. 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
10. 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
11. 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 uring. when can the patient
expect the medication to start working - ANSWER-6 minutes
12. 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.
13. What is a significant complication of imaging studies
performed with iv contrast - ANSWER-Acute kidney injury
