RELIAS / PROPHECY Gener al ICU RN A
V3 Actu al Exam 2025-2026 – Com plete &
Updated Stu dy Guide Featu r ing 700
Latest Real Exam Qu estions w ith 100%
Cor r ect Detailed ANSW ERs,
Com pr ehensive Explanations &
Rationales – Ver ifi ed for Accu r acy |
A-Gr ade Gu ar an teed Su ccess for
,Register ed Nu r ses Pr epar ing fo r ICU
Cer tifi cation
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? - 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? -
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? - ANSWER-Hemoglobin
What ECG finding is indicative of hyperkalema? - 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? - 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? - ANSWER-
Pulmonary artery or bladder
,Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level? - 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? - 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? - 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? -
ANSWERWithin 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 - 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? - ANSWER-It is best if
your family takes your belongings.
, What is a significant complication of imaging studies performed with iv
contrast - ANSWER-Acute kidney injury
What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST? - 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? - 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? - 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? - ANSWER-A. Adjust the
alarm parameters
How is dopamine usually administered in the icu when given
intravenously - ANSWER-Titratable continous infusion
Which of the following can be given through an enteral feeding tube? -
ANSWER-Immediate release pills
When donning an N-95 mask, how should you secure the nose? -
ANSWER-Fit the nose piece with both hands
V3 Actu al Exam 2025-2026 – Com plete &
Updated Stu dy Guide Featu r ing 700
Latest Real Exam Qu estions w ith 100%
Cor r ect Detailed ANSW ERs,
Com pr ehensive Explanations &
Rationales – Ver ifi ed for Accu r acy |
A-Gr ade Gu ar an teed Su ccess for
,Register ed Nu r ses Pr epar ing fo r ICU
Cer tifi cation
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? - 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? -
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? - ANSWER-Hemoglobin
What ECG finding is indicative of hyperkalema? - 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? - 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? - ANSWER-
Pulmonary artery or bladder
,Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level? - 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? - 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? - 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? -
ANSWERWithin 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 - 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? - ANSWER-It is best if
your family takes your belongings.
, What is a significant complication of imaging studies performed with iv
contrast - ANSWER-Acute kidney injury
What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST? - 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? - 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? - 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? - ANSWER-A. Adjust the
alarm parameters
How is dopamine usually administered in the icu when given
intravenously - ANSWER-Titratable continous infusion
Which of the following can be given through an enteral feeding tube? -
ANSWER-Immediate release pills
When donning an N-95 mask, how should you secure the nose? -
ANSWER-Fit the nose piece with both hands
