RELIAS PROPHECY GENERAL ICU A V3 EXAM QUESTIONS COMPLETE
2025/2026QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ BRAND NEW!!
One of your patientscodedbut is now stabilizedand you arecatchingup 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 prioritizeyour time?- ANSWER
>>>>Give reportand 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 ensurethey receivetheir medications?- ANSWER
>>>>Ask the provider to update the route of administration.
What laboratoryvalueshouldyou monitorcloselyif your patientis vomiting coffee
ground emesis?- ANSWER >>>>Hemoglobin
What ECG finding is indicativeof hyperkalema?- ANSWER >>>>peakedT wave
You witness a patient that is not assigned to you fall out of bed and beginfor
crying
help
but youdo not seetheassignednurseto assistthepatient. What should you do first? -
ANSWER >>>>Check on the patient's status and call for assistance.
When assessingfor feverin your intubatedpatient,placementof the thermometer in
which area would be most accurate? - ANSWER
>>>>Pulmonary arteryor bladder
Your patienthas just completedIV potassiumreplacement.When should you collect
their repeat potassium level?
- ANSWER >>>>30-60 min
Your patientis receivingan antiarrhythmicagent.Which of thefollowing 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 thepatient'sheartrateincreasesto 140bpm 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 theexpectedonset
of deliriumtremens?- ANSWER
>>>>Within 48-72 hours
You have administered a pain medication that has a-life
halfof 120 minutes,
onsetof
action6 min, tmaxof 15minutes,and is mostlyexcreted in the uring. when can the
patient expect the medication to start working
- ANSWER >>>>6 minutes
A lethargicbut orientedpatientis beingadmittedfor sepsisand theirfamily 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 significantcomplicationof imagingstudiesperformedwith iv contrast-
ANSWER >>>>Acute kidney injury
What respiratorysupportwouldan alertpatientwith an acuteCOPD exacerbatiobn
likely receive FIRST?- ANSWER >>>>Bipap
Your intubated and unresponsive patient is scheduled for surgery in the morning.
Who
is themostappropriatepersonto makedecisionsfor your patient?- ANSWER >>>>The
healthcare POA
When administeringa titratableinfusionwhatinformationmustyou 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
alarmingwhentheheartratedecreasesbelow50. Their vital signs are stable. What would
you do?- ANSWER >>>>A. Adjust the alarmparameters
,How is dopamineusuallyadministeredin theicu whengiven intravenously
- ANSWER >>>>Titratablecontinousinfusion
Which of thefollowingcan begiven throughan enteralfeedingtube?- ANSWER
>>>>Immediate release pills
When donning an N-95 mask,howshouldyou securethenose?- ANSWER >>>>Fit the
nose piece with both hands
What typeof medicationis usedin thecriticalcaresettingto help manage the symptoms
of alcohol withdrawal?
- ANSWER >>>>Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should
you
take?- ANSWER >>>>Carefully inspectitemsfor presenceof sharps.
Your patientis intubatedand beginsto coughup clearmucousinsidetheir ETT. What
should you do NEXT?- ANSWER >>>>A. Instill normal saline to lavage
ETT*WRONG*
B. Sit thepatientup to 30 degreesin bed*wrong*
C. Inspecttheiroral cavityand suctionmouth
D. Provide100%oxygenationand prepareto suction
What is a complicationof long termTPN? - ANSWER >>>>Liver injury
Which assessmentestablishesbaselinehandperfusionbeforean ABG puncture or
arterial line placement?
- ANSWER >>>>Allen Test
You find the concentration of an IV medication bag that is hanging and infusing
into
your patientdoesnot matchtheconcentrationin theorder. What should you do NEXT?-
ANSWER >>>>Stop the infusion
Your patienthas a right chesttubethatwasplacedafterthoracotomy.They report that is
very painful when they cough and request cough medicing.
What shouldyou do? - ANSWER >>>>Teach themto splint theirright side when
coughing and give pain medicine
Your patient had an unplanned self
-extubation. They are now alert and sitting
up. Their
pulseoximetryis 98% on 4 litersfacemask.What action should you prioritize?-
, ANSWER >>>>A. Inspecting the oral cavity
2025/2026QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ BRAND NEW!!
One of your patientscodedbut is now stabilizedand you arecatchingup 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 prioritizeyour time?- ANSWER
>>>>Give reportand 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 ensurethey receivetheir medications?- ANSWER
>>>>Ask the provider to update the route of administration.
What laboratoryvalueshouldyou monitorcloselyif your patientis vomiting coffee
ground emesis?- ANSWER >>>>Hemoglobin
What ECG finding is indicativeof hyperkalema?- ANSWER >>>>peakedT wave
You witness a patient that is not assigned to you fall out of bed and beginfor
crying
help
but youdo not seetheassignednurseto assistthepatient. What should you do first? -
ANSWER >>>>Check on the patient's status and call for assistance.
When assessingfor feverin your intubatedpatient,placementof the thermometer in
which area would be most accurate? - ANSWER
>>>>Pulmonary arteryor bladder
Your patienthas just completedIV potassiumreplacement.When should you collect
their repeat potassium level?
- ANSWER >>>>30-60 min
Your patientis receivingan antiarrhythmicagent.Which of thefollowing 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 thepatient'sheartrateincreasesto 140bpm 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 theexpectedonset
of deliriumtremens?- ANSWER
>>>>Within 48-72 hours
You have administered a pain medication that has a-life
halfof 120 minutes,
onsetof
action6 min, tmaxof 15minutes,and is mostlyexcreted in the uring. when can the
patient expect the medication to start working
- ANSWER >>>>6 minutes
A lethargicbut orientedpatientis beingadmittedfor sepsisand theirfamily 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 significantcomplicationof imagingstudiesperformedwith iv contrast-
ANSWER >>>>Acute kidney injury
What respiratorysupportwouldan alertpatientwith an acuteCOPD exacerbatiobn
likely receive FIRST?- ANSWER >>>>Bipap
Your intubated and unresponsive patient is scheduled for surgery in the morning.
Who
is themostappropriatepersonto makedecisionsfor your patient?- ANSWER >>>>The
healthcare POA
When administeringa titratableinfusionwhatinformationmustyou 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
alarmingwhentheheartratedecreasesbelow50. Their vital signs are stable. What would
you do?- ANSWER >>>>A. Adjust the alarmparameters
,How is dopamineusuallyadministeredin theicu whengiven intravenously
- ANSWER >>>>Titratablecontinousinfusion
Which of thefollowingcan begiven throughan enteralfeedingtube?- ANSWER
>>>>Immediate release pills
When donning an N-95 mask,howshouldyou securethenose?- ANSWER >>>>Fit the
nose piece with both hands
What typeof medicationis usedin thecriticalcaresettingto help manage the symptoms
of alcohol withdrawal?
- ANSWER >>>>Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should
you
take?- ANSWER >>>>Carefully inspectitemsfor presenceof sharps.
Your patientis intubatedand beginsto coughup clearmucousinsidetheir ETT. What
should you do NEXT?- ANSWER >>>>A. Instill normal saline to lavage
ETT*WRONG*
B. Sit thepatientup to 30 degreesin bed*wrong*
C. Inspecttheiroral cavityand suctionmouth
D. Provide100%oxygenationand prepareto suction
What is a complicationof long termTPN? - ANSWER >>>>Liver injury
Which assessmentestablishesbaselinehandperfusionbeforean ABG puncture or
arterial line placement?
- ANSWER >>>>Allen Test
You find the concentration of an IV medication bag that is hanging and infusing
into
your patientdoesnot matchtheconcentrationin theorder. What should you do NEXT?-
ANSWER >>>>Stop the infusion
Your patienthas a right chesttubethatwasplacedafterthoracotomy.They report that is
very painful when they cough and request cough medicing.
What shouldyou do? - ANSWER >>>>Teach themto splint theirright side when
coughing and give pain medicine
Your patient had an unplanned self
-extubation. They are now alert and sitting
up. Their
pulseoximetryis 98% on 4 litersfacemask.What action should you prioritize?-
, ANSWER >>>>A. Inspecting the oral cavity
