Prophecy general ICU A V3 Questions and
Answers Graded A
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 Your patient is receiving an antiarrhythmic agent.
who is to be transfered. The nurses near you do Which of the following assessment parameters is
not appear busy. How should you prioritize your the MOST important for you to evaluate? -
time? - ANSWER -Give report and ask the ANSWER -ECG
nurses to prepare the patient for transfer.
Your patient is undergoing a weaning trial from
Your patient was intubated but still has oral the ventilator. Fifteen minutes into the trial the
medications on their list of medications. How patient's heart rate increases to 140 bpm and
should you ensure they receive their they start to grab at their oxygen and IV tubing.
medications? - ANSWER -Ask the provider What should you do NEXT? - ANSWER -C.
to update the route of administration. Stop weaning and rest the patient
What laboratory value should you monitor closely While assessing a patient just admitted to the
if your patient is vomiting coffee ground emesis? hospital, he admits to drinking 12 cans of beer a
- ANSWER -Hemoglobin day, with the last drink being right before
admission. What is the expected onset of
delirium tremens? - ANSWER -Within 48-72
What ECG finding is indicative of hyperkalema? - hours
ANSWER -peaked T wave
You have administered a pain medication that
You witness a patient that is not assigned to you has a half-life of 120 minutes, onset of action 6
fall out of bed and begin crying for help but you min, tmax of 15 minutes, and is mostly excreted
do not see the assigned nurse to assist the in the uring. when can the patient expect the
patient. What should you do first? - medication to start working - ANSWER -6
ANSWER -Check on the patient's status minutes
and call for assistance.
A lethargic but oriented patient is being admitted
When assessing for fever in your intubated for sepsis and their family member is in the
patient, placement of the thermometer in which waiting area. Their belonging include a ring, cell
area would be most accurate? - ANSWER - phone, and wallet. The patient asks if they can
Pulmonary artery or bladder keep the ring on and phone at bedside. What is
your BEST response? - ANSWER -It is best
if your family takes your belongings.
Your patient has just completed IV potassium
replacement. When should you collect their
repeat potassium level? - ANSWER -30-60 What is a significant complication of imaging
min studies performed with iv contrast -
1/6
, Prophecy general ICU A V3 Questions and
Answers Graded A
ANSWER -Acute kidney injury What type of medication is used in the critical
care setting to help manage the symptoms of
alcohol withdrawal? - ANSWER -
What respiratory support would an alert patient Benzodiazepines
with an acute COPD exacerbatiobn likely receive
FIRST? - ANSWER -Bipap
While admitting a patient with a history of IV drug
use, what precautions should you take? -
Your intubated and unresponsive patient is ANSWER -Carefully inspect items for
scheduled for surgery in the morning. Who is the presence of sharps.
most appropriate person to make decisions for
your patient? - ANSWER -The healthcare
POA Your patient is intubated and begins to cough up
clear mucous inside their ETT. What should you
do NEXT? - ANSWER -A. Instill normal
When administering a titratable infusion what saline to lavage ETT*WRONG*
information must you check on the medication IV B. Sit the patient up to 30 degrees in bed *wrong*
bag to confirm the correct dose is being C. Inspect their oral cavity and suction mouth
administered? - ANSWER -Concentration D. Provide 100% oxygenation and prepare to
suction
Your patient has a known baseline heart rate of
around 45. The ECG monitor keeps alarming What is a complication of long term TPN? -
when the heart rate decreases below 50. Their ANSWER -Liver injury
vital signs are stable. What would you do? -
ANSWER -A. Adjust the alarm parameters
Which assessment establishes baseline hand
perfusion before an ABG puncture or arterial line
How is dopamine usually administered in the icu placement? - ANSWER -Allen Test
when given intravenously - ANSWER -
Titratable continous infusion
You find the concentration of an IV medication
bag that is hanging and infusing into your patient
Which of the following can be given through an does not match the concentration in the order.
enteral feeding tube? - ANSWER - What should you do NEXT? - ANSWER -
Immediate release pills Stop the infusion
When donning an N-95 mask, how should you Your patient has a right chest tube that was
secure the nose? - ANSWER -Fit the nose placed after thoracotomy. They report that is very
piece with both hands painful when they cough and request cough
medicing. What should you do? -
ANSWER -Teach them to splint their right
2/6
Answers Graded A
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 Your patient is receiving an antiarrhythmic agent.
who is to be transfered. The nurses near you do Which of the following assessment parameters is
not appear busy. How should you prioritize your the MOST important for you to evaluate? -
time? - ANSWER -Give report and ask the ANSWER -ECG
nurses to prepare the patient for transfer.
Your patient is undergoing a weaning trial from
Your patient was intubated but still has oral the ventilator. Fifteen minutes into the trial the
medications on their list of medications. How patient's heart rate increases to 140 bpm and
should you ensure they receive their they start to grab at their oxygen and IV tubing.
medications? - ANSWER -Ask the provider What should you do NEXT? - ANSWER -C.
to update the route of administration. Stop weaning and rest the patient
What laboratory value should you monitor closely While assessing a patient just admitted to the
if your patient is vomiting coffee ground emesis? hospital, he admits to drinking 12 cans of beer a
- ANSWER -Hemoglobin day, with the last drink being right before
admission. What is the expected onset of
delirium tremens? - ANSWER -Within 48-72
What ECG finding is indicative of hyperkalema? - hours
ANSWER -peaked T wave
You have administered a pain medication that
You witness a patient that is not assigned to you has a half-life of 120 minutes, onset of action 6
fall out of bed and begin crying for help but you min, tmax of 15 minutes, and is mostly excreted
do not see the assigned nurse to assist the in the uring. when can the patient expect the
patient. What should you do first? - medication to start working - ANSWER -6
ANSWER -Check on the patient's status minutes
and call for assistance.
A lethargic but oriented patient is being admitted
When assessing for fever in your intubated for sepsis and their family member is in the
patient, placement of the thermometer in which waiting area. Their belonging include a ring, cell
area would be most accurate? - ANSWER - phone, and wallet. The patient asks if they can
Pulmonary artery or bladder keep the ring on and phone at bedside. What is
your BEST response? - ANSWER -It is best
if your family takes your belongings.
Your patient has just completed IV potassium
replacement. When should you collect their
repeat potassium level? - ANSWER -30-60 What is a significant complication of imaging
min studies performed with iv contrast -
1/6
, Prophecy general ICU A V3 Questions and
Answers Graded A
ANSWER -Acute kidney injury What type of medication is used in the critical
care setting to help manage the symptoms of
alcohol withdrawal? - ANSWER -
What respiratory support would an alert patient Benzodiazepines
with an acute COPD exacerbatiobn likely receive
FIRST? - ANSWER -Bipap
While admitting a patient with a history of IV drug
use, what precautions should you take? -
Your intubated and unresponsive patient is ANSWER -Carefully inspect items for
scheduled for surgery in the morning. Who is the presence of sharps.
most appropriate person to make decisions for
your patient? - ANSWER -The healthcare
POA Your patient is intubated and begins to cough up
clear mucous inside their ETT. What should you
do NEXT? - ANSWER -A. Instill normal
When administering a titratable infusion what saline to lavage ETT*WRONG*
information must you check on the medication IV B. Sit the patient up to 30 degrees in bed *wrong*
bag to confirm the correct dose is being C. Inspect their oral cavity and suction mouth
administered? - ANSWER -Concentration D. Provide 100% oxygenation and prepare to
suction
Your patient has a known baseline heart rate of
around 45. The ECG monitor keeps alarming What is a complication of long term TPN? -
when the heart rate decreases below 50. Their ANSWER -Liver injury
vital signs are stable. What would you do? -
ANSWER -A. Adjust the alarm parameters
Which assessment establishes baseline hand
perfusion before an ABG puncture or arterial line
How is dopamine usually administered in the icu placement? - ANSWER -Allen Test
when given intravenously - ANSWER -
Titratable continous infusion
You find the concentration of an IV medication
bag that is hanging and infusing into your patient
Which of the following can be given through an does not match the concentration in the order.
enteral feeding tube? - ANSWER - What should you do NEXT? - ANSWER -
Immediate release pills Stop the infusion
When donning an N-95 mask, how should you Your patient has a right chest tube that was
secure the nose? - ANSWER -Fit the nose placed after thoracotomy. They report that is very
piece with both hands painful when they cough and request cough
medicing. What should you do? -
ANSWER -Teach them to splint their right
2/6
