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PROPHECY SURGICAL ICU EXAM A V3 2025/2026 LATEST ACTUAL
EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |A+GRADE
Which of the following signs or symptoms indicates a patient might not be tolerating the
extubation? - ......ANSWER........The patient is coughing and has tachycardia
While admitting a patient with a history of IV drug use, what precautions should you take?
- ......ANSWER........Carefully inspect items for the presence of sharps.
While assessing a patient just admitted to the hospital, he admits 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
While reviewing your patient's EHR prior to receiving your report, you notice that their
documented urine output for the past 24 hours is 600ml. What would be the MOST
important action to take for this patient? - ......ANSWER........confirm with the off-going
nurse if this is a known situation.
You are caring for a confused patient with an edema who has a large swollen wrist. You
find that someone has taped their ID bracelet to the side of the bed. How should you
secure your ID bracelet? - ......ANSWER........Place a new ID bracelet on the patient's wrist
while confirming perfusion to the hand
You are caring for a patient with diabetic ketoacidosis with suspected sepsis. You have the
following tasks to complete: Draw blood cultures, check blood glucose, administer
antibiotics, insert urinary catheter, and check urine for glucose. Which task should you
complete with FIRST? - ......ANSWER........Draw blood culture
You are caring for an underweight, older adult who is intubated, sedated, and septic. You
have implemented turning every 2 hours. While inspecting the patient's back, you notice
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bony prominences with intact but reddened skin. What should you include in the care
plan? - ......ANSWER........Use of specialized air bed
You are to administer 1 mg of morphine IV, but it only comes in a 2 mg vial. How should you
proceed? - ......ANSWER........Waste 1 mg with a second nurse and then give the drug to the
patient
You find the concentration of an IV medication bag that is hanging and infusing into your
patient does not match the concentration in the order. What should you do NEXT?
- ......ANSWER........Stop the infusion
You have administered a pain medication that has a half-life of 120 minutes, an onset of
action 6 min, tmax of 15 minutes, and is mostly excreted in the ruing. when can the patient
expect the medication to start working - ......ANSWER........6 minutes
You have just received a report on Patient A and Patient B. Patient A is intubated, sedated,
and on a vasoactive infusion to keep their BP greater than 110 mmHg of systolic on an
arterial line. Patient B was extubated an hour ago and has a scheduled glucose check due
in 1 hour. What is your PRIORITY action? - ......ANSWER........Assess Patient B's respiratory
status
You witness a patient that is not assigned to you to fall out of bed and begin crying for help,
but you do not see the assigned nurse assist the patient. What should you do first?
- ......ANSWER........Check on the patient's status and call for assistance.
You are admitting a patient who is sedated and intubated directly from the operating room
after major surgery. The anesthesia provider connects the patient to the ventilator in the
ICU room and leaves before entering orders for the patient's ventilatory settings. How
should you proceed? - ......ANSWER........Contact the ICU intensivist or specialist assigned
to the case
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Your intubated and unresponsive patient is scheduled for surgery in the morning. Who is
the most appropriate person to make decisions for your patient? - ......ANSWER........The
healthcare POA
Your patient begins to choke, and a blue code is called. The provider is unsuccessful at
removing the object and is unable to place the ETT. You would expect to prepare for what
type of procedure - ......ANSWER........Surgical airway
Your patient had an unplanned self-extubation. They are now alert and sitting up. Their
pulse oximetry is 98% on 4 liters face mask. What action should you prioritize?
- ......ANSWER........A. Inspecting the oral cavity B. Checking blood pressure and the heart
rate*WRONG C. Administering an albuterol nebulizer D. Performing an ordered STAT ABG
*WRONG
Your patient has a known baseline heart rate of around 45. The ECG monitor keeps
alarming when the heart rate decreases below 50. Their vital signs are stable. What would
you do? - ......ANSWER........A. Adjust the alarm parameters
Your patient has a right chest tube that was placed after thoracotomy. They report that it is
very painful when they cough and request cough medicine. What should you do?
- ......ANSWER........Teach them to splint their right side when coughing and give pain
medicine
Your patient has just completed IV potassium replacement. When should you collect their
repeat potassium levels? - ......ANSWER........30-60 min
Your patient is intubated and begins to cough up clear mucous inside their ETT. What
should you do NEXT? - ......ANSWER........A. Instill normal saline to lavage ETTWRONG B.
Sit the patient up to 30 degrees in bed wrong C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
Your patient is intubated with an ETT and sedated without spontaneous monements when
the ventilator alarms with a high-pressure warning. The ventilator tubing is free and
PROPHECY SURGICAL ICU EXAM A V3 2025/2026 LATEST ACTUAL
EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |A+GRADE
Which of the following signs or symptoms indicates a patient might not be tolerating the
extubation? - ......ANSWER........The patient is coughing and has tachycardia
While admitting a patient with a history of IV drug use, what precautions should you take?
- ......ANSWER........Carefully inspect items for the presence of sharps.
While assessing a patient just admitted to the hospital, he admits 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
While reviewing your patient's EHR prior to receiving your report, you notice that their
documented urine output for the past 24 hours is 600ml. What would be the MOST
important action to take for this patient? - ......ANSWER........confirm with the off-going
nurse if this is a known situation.
You are caring for a confused patient with an edema who has a large swollen wrist. You
find that someone has taped their ID bracelet to the side of the bed. How should you
secure your ID bracelet? - ......ANSWER........Place a new ID bracelet on the patient's wrist
while confirming perfusion to the hand
You are caring for a patient with diabetic ketoacidosis with suspected sepsis. You have the
following tasks to complete: Draw blood cultures, check blood glucose, administer
antibiotics, insert urinary catheter, and check urine for glucose. Which task should you
complete with FIRST? - ......ANSWER........Draw blood culture
You are caring for an underweight, older adult who is intubated, sedated, and septic. You
have implemented turning every 2 hours. While inspecting the patient's back, you notice
,2 of 17
bony prominences with intact but reddened skin. What should you include in the care
plan? - ......ANSWER........Use of specialized air bed
You are to administer 1 mg of morphine IV, but it only comes in a 2 mg vial. How should you
proceed? - ......ANSWER........Waste 1 mg with a second nurse and then give the drug to the
patient
You find the concentration of an IV medication bag that is hanging and infusing into your
patient does not match the concentration in the order. What should you do NEXT?
- ......ANSWER........Stop the infusion
You have administered a pain medication that has a half-life of 120 minutes, an onset of
action 6 min, tmax of 15 minutes, and is mostly excreted in the ruing. when can the patient
expect the medication to start working - ......ANSWER........6 minutes
You have just received a report on Patient A and Patient B. Patient A is intubated, sedated,
and on a vasoactive infusion to keep their BP greater than 110 mmHg of systolic on an
arterial line. Patient B was extubated an hour ago and has a scheduled glucose check due
in 1 hour. What is your PRIORITY action? - ......ANSWER........Assess Patient B's respiratory
status
You witness a patient that is not assigned to you to fall out of bed and begin crying for help,
but you do not see the assigned nurse assist the patient. What should you do first?
- ......ANSWER........Check on the patient's status and call for assistance.
You are admitting a patient who is sedated and intubated directly from the operating room
after major surgery. The anesthesia provider connects the patient to the ventilator in the
ICU room and leaves before entering orders for the patient's ventilatory settings. How
should you proceed? - ......ANSWER........Contact the ICU intensivist or specialist assigned
to the case
, 3 of 17
Your intubated and unresponsive patient is scheduled for surgery in the morning. Who is
the most appropriate person to make decisions for your patient? - ......ANSWER........The
healthcare POA
Your patient begins to choke, and a blue code is called. The provider is unsuccessful at
removing the object and is unable to place the ETT. You would expect to prepare for what
type of procedure - ......ANSWER........Surgical airway
Your patient had an unplanned self-extubation. They are now alert and sitting up. Their
pulse oximetry is 98% on 4 liters face mask. What action should you prioritize?
- ......ANSWER........A. Inspecting the oral cavity B. Checking blood pressure and the heart
rate*WRONG C. Administering an albuterol nebulizer D. Performing an ordered STAT ABG
*WRONG
Your patient has a known baseline heart rate of around 45. The ECG monitor keeps
alarming when the heart rate decreases below 50. Their vital signs are stable. What would
you do? - ......ANSWER........A. Adjust the alarm parameters
Your patient has a right chest tube that was placed after thoracotomy. They report that it is
very painful when they cough and request cough medicine. What should you do?
- ......ANSWER........Teach them to splint their right side when coughing and give pain
medicine
Your patient has just completed IV potassium replacement. When should you collect their
repeat potassium levels? - ......ANSWER........30-60 min
Your patient is intubated and begins to cough up clear mucous inside their ETT. What
should you do NEXT? - ......ANSWER........A. Instill normal saline to lavage ETTWRONG B.
Sit the patient up to 30 degrees in bed wrong C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
Your patient is intubated with an ETT and sedated without spontaneous monements when
the ventilator alarms with a high-pressure warning. The ventilator tubing is free and
