PROPHECY GENERAL ICU RN A V2 LATEST 20232024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
Common complications of massive transfusions are - (answer) Dilutional Coagulopathy, DIC,
hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L - (answer) Metabolic Acidosis
Long term use of TPN may lead to: - (answer) Liver Failure
Which of the following is a potential complication of high PEEP - (answer) Pneumothorax
What is a common assessment finding for a patient returning from a small bowel resection? - (answer)
Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the
following would you suspect. - (answer) A)*WRONG* Hypoxemia
B) Acute MI
C) Panic Attack
D) Hypoglycemia
The staff nurse asks the nursing assistant to check on a patient. The nursing assistant reports back that
the patient is experiencing chest pain and is diaphorectic. Which of the following can the staff nurse
delegate to the assistant? - (answer) A) *WRONG* Calling the physician
B) Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a candy bar and
begins to choke. The physician is unable to clear the airway. You would expect to prepare for which of
the following. emergency procedures? - (answer) A) *WRONG* Endotracheal Intubation
B) Chest tube insertion
C) Tracheostomy
, PROPHECY GENERAL ICU RN A V2 LATEST 20232024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
D) Bronchoscopy
The initial insulin therapy for a patient with acute DKA is usually administered by which route -
(answer) Intravenous bolus followed by a continuous infusion
Screening tests for DIC include: - (answer) D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to regulate water
balance? - (answer) ADH
Which of the following IV sedatives would most likely be ordered for a non-intubated patient? -
(answer) Precedex
Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they become
dyspneic and bradycardic with excessive salivation. What do you suspect happened? - (answer)
Aspiration
Which of the following is a response of the cardiovascular system to early sepsis? - (answer) Increased
cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated? - (answer) Patient is awake, follow commands with
RR of 14, FiO2 40%, and PEEP 5
Hypertensive crisis - (answer) Nicardipine
Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in the urinary catheter
tubing and decreased urinary output. Which of the following conditions would you suspect? - (answer)
Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma? - (answer) Beta Blockers
ANSWERS
Common complications of massive transfusions are - (answer) Dilutional Coagulopathy, DIC,
hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L - (answer) Metabolic Acidosis
Long term use of TPN may lead to: - (answer) Liver Failure
Which of the following is a potential complication of high PEEP - (answer) Pneumothorax
What is a common assessment finding for a patient returning from a small bowel resection? - (answer)
Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the
following would you suspect. - (answer) A)*WRONG* Hypoxemia
B) Acute MI
C) Panic Attack
D) Hypoglycemia
The staff nurse asks the nursing assistant to check on a patient. The nursing assistant reports back that
the patient is experiencing chest pain and is diaphorectic. Which of the following can the staff nurse
delegate to the assistant? - (answer) A) *WRONG* Calling the physician
B) Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a candy bar and
begins to choke. The physician is unable to clear the airway. You would expect to prepare for which of
the following. emergency procedures? - (answer) A) *WRONG* Endotracheal Intubation
B) Chest tube insertion
C) Tracheostomy
, PROPHECY GENERAL ICU RN A V2 LATEST 20232024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
D) Bronchoscopy
The initial insulin therapy for a patient with acute DKA is usually administered by which route -
(answer) Intravenous bolus followed by a continuous infusion
Screening tests for DIC include: - (answer) D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to regulate water
balance? - (answer) ADH
Which of the following IV sedatives would most likely be ordered for a non-intubated patient? -
(answer) Precedex
Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they become
dyspneic and bradycardic with excessive salivation. What do you suspect happened? - (answer)
Aspiration
Which of the following is a response of the cardiovascular system to early sepsis? - (answer) Increased
cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated? - (answer) Patient is awake, follow commands with
RR of 14, FiO2 40%, and PEEP 5
Hypertensive crisis - (answer) Nicardipine
Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in the urinary catheter
tubing and decreased urinary output. Which of the following conditions would you suspect? - (answer)
Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma? - (answer) Beta Blockers
