RELIAS/PROPHECY GENERAL ICU RN A V3 EXAM
QUESTIONS AND ANSWERS 100% CORRECT!!
, 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? - 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 hyperkalemia? - 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? -
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 anti-arrhythmic 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 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? - 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 urine. When can the
patient expect the medication to start working? - ANSWER 6 minutes
QUESTIONS AND ANSWERS 100% CORRECT!!
, 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? - 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 hyperkalemia? - 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? -
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 anti-arrhythmic 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 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? - 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 urine. When can the
patient expect the medication to start working? - ANSWER 6 minutes
