Prophecy general ICU A V3 UPDATED
ACTUAL Exam Questions and CORRECT
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? - 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 hyperkalema? - CORRECT ANSWER - 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? - 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 antiarrhythmic 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 - 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? - CORRECT ANSWER - 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 - 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 exacerbatiobn 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
ACTUAL Exam Questions and CORRECT
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? - 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 hyperkalema? - CORRECT ANSWER - 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? - 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 antiarrhythmic 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 - 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? - CORRECT ANSWER - 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 - 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 exacerbatiobn 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
