Page 1 of 16
RELIAS/ PROPHECY GENERAL ICU RN A V3 EXAM
NEWEST 2025 ACTUAL EXAM| COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
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.
,Page 2 of 16
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
, Page 3 of 16
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
RELIAS/ PROPHECY GENERAL ICU RN A V3 EXAM
NEWEST 2025 ACTUAL EXAM| COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
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.
,Page 2 of 16
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
, Page 3 of 16
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
