PROPHECY GENERAL ICU A V3 QUESTIONS AND
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? - Answers -
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? - Answers -Ask the provider to
update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? - Answers -Hemoglobin
What ECG finding is indicative of hyperkalema? - Answers -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? -
Answers -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? - Answers -Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? - Answers -30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following assessment
parameters is the MOST important for you to evaluate? - Answers -ECG
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? -
Answers -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? - Answers -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. - Answers -ScVo2
, Which of the following actions complies with ventilator acquired pneumonia (VAP)
prevention protocols? - Answers -Keep head of bed 30-45 degrees
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - Answers -Follow up imaging test
Which condition may cause increased effects from a medication that is mostly
metabolized by the liver? - Answers -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? - Answers -
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? - Answers -Pre-hydration with IV Fluids
Your patient is intubated with an ETT and sedated without spontaneous monements
when the ventilator alarms with a high-pressure warning. The ventilator tubing is free
and unkinked. What should you do NEXT? - Answers -Provide 100% oxygen and
prepare to suction the patient
Your postoperative patient suddenly becomes dyspneic, clutches their chest and their
Sp02 drops to 89% the patient has a swollen left calf. what condition do you suspect? -
Answers -Pulmonary embolism
What IV sedative would MOST likely be ordered for a non-intubated patient? - Answers
-Dexmedetkomidine (precedex)
What is the normal cardiovasculat response to early sepsis? - Answers -Increased
cardiac output
You have just received report on Patient A and Patient B. Patient A is intubated,
sedated, and on a vasoactive infusion to keep their BP greater than 110 mmHg systolic
on an arterial line. Patient B was extubated an hour ago and has a scheduled glucose
check due in 1 hour. What is your PRIORITY action? - Answers -Assess Patient B's
respiratory status
Which of the following diets would be BEST for a patient with renal failure? - Answers -
Low sodium, Low potassium and moderate protein
Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral
crackles on auscultation and has gained weight since admission. What action should
you take? - Answers -Discuss increasing the furosemide infusion with the provider
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? - Answers -
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? - Answers -Ask the provider to
update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? - Answers -Hemoglobin
What ECG finding is indicative of hyperkalema? - Answers -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? -
Answers -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? - Answers -Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? - Answers -30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following assessment
parameters is the MOST important for you to evaluate? - Answers -ECG
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? -
Answers -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? - Answers -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. - Answers -ScVo2
, Which of the following actions complies with ventilator acquired pneumonia (VAP)
prevention protocols? - Answers -Keep head of bed 30-45 degrees
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - Answers -Follow up imaging test
Which condition may cause increased effects from a medication that is mostly
metabolized by the liver? - Answers -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? - Answers -
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? - Answers -Pre-hydration with IV Fluids
Your patient is intubated with an ETT and sedated without spontaneous monements
when the ventilator alarms with a high-pressure warning. The ventilator tubing is free
and unkinked. What should you do NEXT? - Answers -Provide 100% oxygen and
prepare to suction the patient
Your postoperative patient suddenly becomes dyspneic, clutches their chest and their
Sp02 drops to 89% the patient has a swollen left calf. what condition do you suspect? -
Answers -Pulmonary embolism
What IV sedative would MOST likely be ordered for a non-intubated patient? - Answers
-Dexmedetkomidine (precedex)
What is the normal cardiovasculat response to early sepsis? - Answers -Increased
cardiac output
You have just received report on Patient A and Patient B. Patient A is intubated,
sedated, and on a vasoactive infusion to keep their BP greater than 110 mmHg systolic
on an arterial line. Patient B was extubated an hour ago and has a scheduled glucose
check due in 1 hour. What is your PRIORITY action? - Answers -Assess Patient B's
respiratory status
Which of the following diets would be BEST for a patient with renal failure? - Answers -
Low sodium, Low potassium and moderate protein
Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral
crackles on auscultation and has gained weight since admission. What action should
you take? - Answers -Discuss increasing the furosemide infusion with the provider
