PROPHECY GENERAL ICU A V3
EXAMINATION TEST COMPLETE
QUESTIONS AND SOLUTIONS
●● What laboratory value should you monitor closely if your patient is
vomiting coffee ground emesis?
Answer: Hemoglobin
●● What ECG finding is indicative of hyperkalemia?
Answer: Peaked T waves
●● 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.
●● When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate?
Answer: Pulmonary artery or bladder
●● Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level?
Answer: 30-60 min
,●● Your patient is receiving an anti-arrhythmic agent. Which of the
following assessment parameters is the MOST important for you to
evaluate?
Answer: ECG
●● 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
●● 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
●● 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
●● 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.
●● What is a significant complication of imaging studies performed with
IV contrast?
Answer: Acute kidney injury
●● What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST?
Answer: BiPAP
●● 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
●● 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
EXAMINATION TEST COMPLETE
QUESTIONS AND SOLUTIONS
●● What laboratory value should you monitor closely if your patient is
vomiting coffee ground emesis?
Answer: Hemoglobin
●● What ECG finding is indicative of hyperkalemia?
Answer: Peaked T waves
●● 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.
●● When assessing for fever in your intubated patient, placement of the
thermometer in which area would be most accurate?
Answer: Pulmonary artery or bladder
●● Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level?
Answer: 30-60 min
,●● Your patient is receiving an anti-arrhythmic agent. Which of the
following assessment parameters is the MOST important for you to
evaluate?
Answer: ECG
●● 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
●● 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
●● 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
●● 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.
●● What is a significant complication of imaging studies performed with
IV contrast?
Answer: Acute kidney injury
●● What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST?
Answer: BiPAP
●● 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
●● 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
