Relias/Prophecy general ICU RN A v3
Relias/Prophecy general ICU RN A v3
Exam Study Guide Questions and
Answers 2025
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 transferred. The
nurses near you do not appear busy. How should you prioritize your time? -Correct
Answer ✔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? -Correct Answer ✔Ask the
provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? -Correct Answer ✔Hemoglobin
What ECG finding is indicative of hyperkalemia? -Correct 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? -
Correct 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? -Correct Answer ✔Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? -Correct 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? -Correct 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? -Correct 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? -Correct Answer ✔Within 48-72 hours
Relias/Prophecy general ICU RN A v3
, Relias/Prophecy general ICU RN A v3
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? -Correct 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? -
Correct Answer ✔It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with IV contrast? -
Correct Answer ✔Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbation likely
receive FIRST? -Correct 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? -Correct 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? -Correct Answer
✔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? -Correct Answer ✔Adjust the alarm parameters
How is dopamine usually administered in the ICU when given intravenously? -Correct
Answer ✔Titratable continuous infusion
Which of the following can be given through an enteral feeding tube? -Correct Answer
✔Immediate release pills
When donning an N-95 mask, how should you secure the nose? -Correct Answer ✔Fit
the nose piece with both hands
What type of medication is used in the critical care setting to help manage the
symptoms of alcohol withdrawal? -Correct Answer ✔Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you
take? -Correct Answer ✔Carefully inspect items for presence of sharps.
Relias/Prophecy general ICU RN A v3
Relias/Prophecy general ICU RN A v3
Exam Study Guide Questions and
Answers 2025
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 transferred. The
nurses near you do not appear busy. How should you prioritize your time? -Correct
Answer ✔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? -Correct Answer ✔Ask the
provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? -Correct Answer ✔Hemoglobin
What ECG finding is indicative of hyperkalemia? -Correct 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? -
Correct 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? -Correct Answer ✔Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? -Correct 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? -Correct 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? -Correct 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? -Correct Answer ✔Within 48-72 hours
Relias/Prophecy general ICU RN A v3
, Relias/Prophecy general ICU RN A v3
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? -Correct 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? -
Correct Answer ✔It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with IV contrast? -
Correct Answer ✔Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbation likely
receive FIRST? -Correct 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? -Correct 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? -Correct Answer
✔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? -Correct Answer ✔Adjust the alarm parameters
How is dopamine usually administered in the ICU when given intravenously? -Correct
Answer ✔Titratable continuous infusion
Which of the following can be given through an enteral feeding tube? -Correct Answer
✔Immediate release pills
When donning an N-95 mask, how should you secure the nose? -Correct Answer ✔Fit
the nose piece with both hands
What type of medication is used in the critical care setting to help manage the
symptoms of alcohol withdrawal? -Correct Answer ✔Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you
take? -Correct Answer ✔Carefully inspect items for presence of sharps.
Relias/Prophecy general ICU RN A v3
