Prophecy general ICU A V3 Questions & Answers
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 transfered. The nurses near you do
not appear busy. How should you prioritize your time? - -Give report and ask the nurses to
prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of medications. How should
you ensure they receive their medications? - -Ask the provider to update the route of
administration.
What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis?
- -Hemoglobin
What ECG finding is indicative of hyperkalema? - -peaked T wave
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? - -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? - -Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect their repeat
potassium level? - -30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is
the MOST important for you to evaluate? - -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? - -C. 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? -
-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 uring. when can the patient expect the
medication to start working - -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? - -It is best if your family takes
your belongings.
What is a significant complication of imaging studies performed with iv contrast - -Acute
kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive
FIRST? - -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? - -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? - -Concentration
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? - -A.
Adjust the alarm parameters
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 transfered. The nurses near you do
not appear busy. How should you prioritize your time? - -Give report and ask the nurses to
prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of medications. How should
you ensure they receive their medications? - -Ask the provider to update the route of
administration.
What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis?
- -Hemoglobin
What ECG finding is indicative of hyperkalema? - -peaked T wave
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? - -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? - -Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect their repeat
potassium level? - -30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is
the MOST important for you to evaluate? - -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? - -C. 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? -
-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 uring. when can the patient expect the
medication to start working - -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? - -It is best if your family takes
your belongings.
What is a significant complication of imaging studies performed with iv contrast - -Acute
kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive
FIRST? - -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? - -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? - -Concentration
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? - -A.
Adjust the alarm parameters
