Prophecy general ICU A V3
1. One of your patients coded but is now sta- from the ventilator.
bilized and you are catching up on charting. Fifteen minutes into
The step-down unit calls to get report on the trial the patient's
your other patient who is to be transfered. heart rate increases
The nurses near you do not appear busy. to 140
How should you prioritize your time?
2. Your patient was intubated but still has oral
medications on their list of medications.
How should you ensure they receive their
medica- tions?
3. What laboratory value should you
monitor closely if your patient is vomiting
coffee ground emesis?
4. What ECG finding is indicative of
hyperkale- ma?
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?
6. When assessing for fever in your intubat-
ed patient, placement of the thermometer
in which area would be most accurate?
7. Your patient has just completed IV
potassium replacement. When should you
collect their repeat potassium level?
8. Your patient is receiving an antiarrhythmic
agent. Which of the following assessment
pa- rameters is the MOST important for you
to evaluate?
9. Your patient is undergoing a weaning trial
1/9
, Prophecy general ICU A V3
Give report and ask the nurses to prepare
the pa- tient for transfer.
Ask the provider to update the route of
administration.
Hemoglobin
peaked T wave
Check on the patient's sta- tus and call for
assistance.
Pulmonary artery or bladder
30-60 min
ECG
C. Stop weaning and rest the patient
2/9
, Prophecy general ICU A V3
bpm and they start to grab at their oxygen
and IV tubing. What should you do NEXT?
10.While assessing a patient just admitted to Within 48-72 hours
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?
11.You have administered a pain medication 6 minutes
that has a half-life of 120 minutes, onset of
ac- tion 6 min, tmax of 15 minutes, and is
mostly excreted in the uring. when can the
patient expect the medication to start
working
It is best if your family
12.A lethargic but oriented patient is being ad- takes your belongings.
mitted 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?
Acute kidney
13.What is a significant complication of
imaging studies performed with iv contrast
injury Bipap
14.What respiratory support would an alert pa-
tient with an acute COPD exacerbatiobn
like- ly receive FIRST?
15.Your intubated and unresponsive patient The healthcare POA
is scheduled for surgery in the morning.
Who is the most appropriate person to
make de- cisions for your patient?
16.When administering a titratable infusion Concentration
what information must you check on the
med- ication IV bag to confirm the correct
dose is being administered?
3/9
1. One of your patients coded but is now sta- from the ventilator.
bilized and you are catching up on charting. Fifteen minutes into
The step-down unit calls to get report on the trial the patient's
your other patient who is to be transfered. heart rate increases
The nurses near you do not appear busy. to 140
How should you prioritize your time?
2. Your patient was intubated but still has oral
medications on their list of medications.
How should you ensure they receive their
medica- tions?
3. What laboratory value should you
monitor closely if your patient is vomiting
coffee ground emesis?
4. What ECG finding is indicative of
hyperkale- ma?
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?
6. When assessing for fever in your intubat-
ed patient, placement of the thermometer
in which area would be most accurate?
7. Your patient has just completed IV
potassium replacement. When should you
collect their repeat potassium level?
8. Your patient is receiving an antiarrhythmic
agent. Which of the following assessment
pa- rameters is the MOST important for you
to evaluate?
9. Your patient is undergoing a weaning trial
1/9
, Prophecy general ICU A V3
Give report and ask the nurses to prepare
the pa- tient for transfer.
Ask the provider to update the route of
administration.
Hemoglobin
peaked T wave
Check on the patient's sta- tus and call for
assistance.
Pulmonary artery or bladder
30-60 min
ECG
C. Stop weaning and rest the patient
2/9
, Prophecy general ICU A V3
bpm and they start to grab at their oxygen
and IV tubing. What should you do NEXT?
10.While assessing a patient just admitted to Within 48-72 hours
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?
11.You have administered a pain medication 6 minutes
that has a half-life of 120 minutes, onset of
ac- tion 6 min, tmax of 15 minutes, and is
mostly excreted in the uring. when can the
patient expect the medication to start
working
It is best if your family
12.A lethargic but oriented patient is being ad- takes your belongings.
mitted 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?
Acute kidney
13.What is a significant complication of
imaging studies performed with iv contrast
injury Bipap
14.What respiratory support would an alert pa-
tient with an acute COPD exacerbatiobn
like- ly receive FIRST?
15.Your intubated and unresponsive patient The healthcare POA
is scheduled for surgery in the morning.
Who is the most appropriate person to
make de- cisions for your patient?
16.When administering a titratable infusion Concentration
what information must you check on the
med- ication IV bag to confirm the correct
dose is being administered?
3/9
