RELIAS/PROPHECY GENERAL ICU RN A
V3 ACTUAL EXAM 2025/2026 LATEST 70
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
A code is initiated and the second nurse is discovered no longer following ACLS protocol. What
is the BEST action to take? - ANS-Stop the nurse immediately and institute ACLS protocol
A torpid however oriented affected person is being admitted for sepsis and their member of the
family is inside the waiting location. Their belonging include a ring, cellular cellphone, and
pockets. The affected person asks if they are able to keep the hoop on and make contact with at
bedside. What is your BEST reaction? - ANS-It is excellent in case your own family takes your
belongings.
After turning a affected person with CVP monitoring what must you do to ensure accuracy of the
CVP studying? - ANS-Zero the road at phlebostatic axis
An intubated patient with a GCS of three is admitted to the ICU from the ER after being found
down for an unknown amount of time at domestic. The CT experiment reveals profuse cerebral
edema. When is the BEST time to notify organ donation offerings? - ANS-Within 24 hours of
admission to the ICU
Besides the white blood cells, what laboratory cost is used in the analysis of sepsis? -
ANS-Lactic acid
During cardiogenic shock what transient intervention might be ordered to improve perfusion until
definitive remedy is supplied? - ANS-Inotropic infusion
During the first hour of tPA infusion, how often ought to you reveal blood pressure? - ANS-Every
15 minutes
For a affected person with septic surprise, What would you screen to objectively determine the
effectiveness and want to titrate a dobutamine infusion. - ANS-ScVo2
How is dopamine commonly administered within the ICU while given intravenously? -
ANS-Titratable continuous infusion
, In a patient with septic surprise, after fluid administration which of the subsequent findings is
MOST suggestive of the want to begin a vasopressor? - ANS-Mean arterial stress forty-50
mmHg
One of your sufferers coded however is now stabilized and you are catching up on charting. The
step-down unit calls to get report to your different affected person who's to be transferred. The
nurses close to you do no longer appear busy. How have to you prioritize a while? - ANS-Give
report and ask the nurses to prepare the patient for switch.
The company has ordered 2 gadgets of FFP to be transfused. Your patient's non secular ideals
prevent them from accepting blood merchandise. What is your BEST reaction? - ANS-Inform the
company and discuss additional options.
What acid/base imbalance is MOST probably to be located in a affected person with COPD -
ANS-Respiratory acidosis
What assessment device is needed for a patient who has uncomplicated retrosternal
hemorrhage? - ANS-Follow up imaging check
What cardiac condition shows cardiomegaly on chest x-ray? - ANS-Systolic coronary heart
failure
What circumstance does the Confusion Assessment Method for ICU (CAM-ICU) stumble on? -
ANS-Delirium
What ECG locating is indicative of hyperkalemia? - ANS-Peaked T waves
What information do you need from the company to setup a cerebral intraventricular drainage
device? - ANS-Maximum ICP
What records is MOST critical so one can verify in clever IV pump settings? - ANS-Weight
What is a problem of long time TPN? - ANS-Liver injury
What is a enormous problem of imaging research finished with IV evaluation? - ANS-Acute
kidney injury
What is an powerful manner to evaluate for cyanosis in a person of coloration? - ANS-Check
internal eyelids
What is the BEST way to decide a STEMI? - ANS-12 Lead ECG
What is the normal cardiovascular reaction to early sepsis? - ANS-Increased cardiac output
V3 ACTUAL EXAM 2025/2026 LATEST 70
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
A code is initiated and the second nurse is discovered no longer following ACLS protocol. What
is the BEST action to take? - ANS-Stop the nurse immediately and institute ACLS protocol
A torpid however oriented affected person is being admitted for sepsis and their member of the
family is inside the waiting location. Their belonging include a ring, cellular cellphone, and
pockets. The affected person asks if they are able to keep the hoop on and make contact with at
bedside. What is your BEST reaction? - ANS-It is excellent in case your own family takes your
belongings.
After turning a affected person with CVP monitoring what must you do to ensure accuracy of the
CVP studying? - ANS-Zero the road at phlebostatic axis
An intubated patient with a GCS of three is admitted to the ICU from the ER after being found
down for an unknown amount of time at domestic. The CT experiment reveals profuse cerebral
edema. When is the BEST time to notify organ donation offerings? - ANS-Within 24 hours of
admission to the ICU
Besides the white blood cells, what laboratory cost is used in the analysis of sepsis? -
ANS-Lactic acid
During cardiogenic shock what transient intervention might be ordered to improve perfusion until
definitive remedy is supplied? - ANS-Inotropic infusion
During the first hour of tPA infusion, how often ought to you reveal blood pressure? - ANS-Every
15 minutes
For a affected person with septic surprise, What would you screen to objectively determine the
effectiveness and want to titrate a dobutamine infusion. - ANS-ScVo2
How is dopamine commonly administered within the ICU while given intravenously? -
ANS-Titratable continuous infusion
, In a patient with septic surprise, after fluid administration which of the subsequent findings is
MOST suggestive of the want to begin a vasopressor? - ANS-Mean arterial stress forty-50
mmHg
One of your sufferers coded however is now stabilized and you are catching up on charting. The
step-down unit calls to get report to your different affected person who's to be transferred. The
nurses close to you do no longer appear busy. How have to you prioritize a while? - ANS-Give
report and ask the nurses to prepare the patient for switch.
The company has ordered 2 gadgets of FFP to be transfused. Your patient's non secular ideals
prevent them from accepting blood merchandise. What is your BEST reaction? - ANS-Inform the
company and discuss additional options.
What acid/base imbalance is MOST probably to be located in a affected person with COPD -
ANS-Respiratory acidosis
What assessment device is needed for a patient who has uncomplicated retrosternal
hemorrhage? - ANS-Follow up imaging check
What cardiac condition shows cardiomegaly on chest x-ray? - ANS-Systolic coronary heart
failure
What circumstance does the Confusion Assessment Method for ICU (CAM-ICU) stumble on? -
ANS-Delirium
What ECG locating is indicative of hyperkalemia? - ANS-Peaked T waves
What information do you need from the company to setup a cerebral intraventricular drainage
device? - ANS-Maximum ICP
What records is MOST critical so one can verify in clever IV pump settings? - ANS-Weight
What is a problem of long time TPN? - ANS-Liver injury
What is a enormous problem of imaging research finished with IV evaluation? - ANS-Acute
kidney injury
What is an powerful manner to evaluate for cyanosis in a person of coloration? - ANS-Check
internal eyelids
What is the BEST way to decide a STEMI? - ANS-12 Lead ECG
What is the normal cardiovascular reaction to early sepsis? - ANS-Increased cardiac output
