PROPHECY GENERAL ICU A V3 FINAL
PAPER COMPLETE QUESTIONS
CORRECT ANSWERS DISTINCTION
⩥ Your patient has a right chest tube that was placed after thoracotomy.
They report that is very painful when they cough and request cough
medicing. What should you do? Answer: Teach them to splint their right
side when coughing and give pain medicine
⩥ Your patient had an unplanned self-extubation. They are now alert and
sitting up. Their pulse oximetry is 98% on 4 liters face mask. What
action should you prioritize? Answer: A. Inspecting the oral cavity
B. Checking blood pressure and the heart rate*WRONG
C. Administering an albuterol nebulizer
D. Performing an ordered STAT ABG *WRONG
⩥ Your are admitting a patient who is sedated and intubated directly
from the operating room after a major surgery. The anesthesia provider
connects the patient to the ventilator in the ICU room and leaves before
entering orders for the patient's ventilatory settings. How should you
proceed? Answer: Contact the ICU intensivist or specialist assigned to
the case
, ⩥ For a patient with septic shock, What would you monitor to
objectively determine the effectiveness and need to titrate a dobutamine
infusion. Answer: ScVo2
⩥ Which of the following actions complies with ventilator acquired
pneumonia (VAP) prevention protocols? Answer: Keep head of bed 30-
45 degrees
⩥ What assessment tool is needed for a patient who has uncomplicated
retrosternal hemorrhage? Answer: Follow up imaging test
⩥ Which condition may cause increased effects from a medication that
is mostly metabolized by the liver? Answer: Hepatitis C
⩥ An intubated patient with a GCS of 3 is admitted to the ICU from the
ER after being found down for an unknown amount of time at home.
The CT scan reveals profuse cerebral edema. When is the BEST time to
notify organ donation services? Answer: Within 24 hours of admission
to the ICU
⩥ What order is included in the pre-procedural checklist for patients at
risk for acute kidney injury who are to receive IV contrast? Answer: Pre-
hydration with IV Fluids
PAPER COMPLETE QUESTIONS
CORRECT ANSWERS DISTINCTION
⩥ Your patient has a right chest tube that was placed after thoracotomy.
They report that is very painful when they cough and request cough
medicing. What should you do? Answer: Teach them to splint their right
side when coughing and give pain medicine
⩥ Your patient had an unplanned self-extubation. They are now alert and
sitting up. Their pulse oximetry is 98% on 4 liters face mask. What
action should you prioritize? Answer: A. Inspecting the oral cavity
B. Checking blood pressure and the heart rate*WRONG
C. Administering an albuterol nebulizer
D. Performing an ordered STAT ABG *WRONG
⩥ Your are admitting a patient who is sedated and intubated directly
from the operating room after a major surgery. The anesthesia provider
connects the patient to the ventilator in the ICU room and leaves before
entering orders for the patient's ventilatory settings. How should you
proceed? Answer: Contact the ICU intensivist or specialist assigned to
the case
, ⩥ For a patient with septic shock, What would you monitor to
objectively determine the effectiveness and need to titrate a dobutamine
infusion. Answer: ScVo2
⩥ Which of the following actions complies with ventilator acquired
pneumonia (VAP) prevention protocols? Answer: Keep head of bed 30-
45 degrees
⩥ What assessment tool is needed for a patient who has uncomplicated
retrosternal hemorrhage? Answer: Follow up imaging test
⩥ Which condition may cause increased effects from a medication that
is mostly metabolized by the liver? Answer: Hepatitis C
⩥ An intubated patient with a GCS of 3 is admitted to the ICU from the
ER after being found down for an unknown amount of time at home.
The CT scan reveals profuse cerebral edema. When is the BEST time to
notify organ donation services? Answer: Within 24 hours of admission
to the ICU
⩥ What order is included in the pre-procedural checklist for patients at
risk for acute kidney injury who are to receive IV contrast? Answer: Pre-
hydration with IV Fluids