Relias/Prophecy general ICU RN A v3
Exam Actual Questions and Answers
2026
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? -
correct 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? -
correct 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? -
correct answer ✅Hemoglobin
What ECG finding is indicative of hyperkalemia? -
correct 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
,Relias/Prophecy general ICU RN A v3
Exam Actual Questions and Answers
2026
the patient. What should you do first? -
correct 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? -
correct answer ✅Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level? -
correct 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? -
correct 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? -
correct answer ✅Stop weaning and rest the patient
, Relias/Prophecy general ICU RN A v3
Exam Actual Questions and Answers
2026
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? -
correct 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? -
correct 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? -
correct answer ✅It is best if your family takes your belongings.
What is a significant complication of imaging studies performed
with IV contrast? -
correct answer ✅Acute kidney injury
Exam Actual Questions and Answers
2026
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? -
correct 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? -
correct 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? -
correct answer ✅Hemoglobin
What ECG finding is indicative of hyperkalemia? -
correct 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
,Relias/Prophecy general ICU RN A v3
Exam Actual Questions and Answers
2026
the patient. What should you do first? -
correct 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? -
correct answer ✅Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When
should you collect their repeat potassium level? -
correct 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? -
correct 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? -
correct answer ✅Stop weaning and rest the patient
, Relias/Prophecy general ICU RN A v3
Exam Actual Questions and Answers
2026
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? -
correct 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? -
correct 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? -
correct answer ✅It is best if your family takes your belongings.
What is a significant complication of imaging studies performed
with IV contrast? -
correct answer ✅Acute kidney injury
