RELIAS/PROPHECY GENERAL ICU RN
A V3 QUESTIONS AND ANSWERS
100% PASS
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 bony prominences with intact but reddened skin. What should you include in the
plan of care? - correct 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? - correct answer-Waste 1 mg with a second nurse and then give the drug
to the patient
The provider has ordered 2 units of FFP to be transfused. Your patient's religious beliefs
prevent them from accepting blood products. What is your BEST response? - correct
answer-Inform the provider and discuss additional options.
During cardiogenic shock what temporary intervention might be ordered to improve
perfusion until definitive treatment is provided? - correct answer-Inotropic infusion
While reviewing your patient's EHR prior to receiving 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? - correct answer-Confirm
with the off-going nurse if this is a known situation.
You are caring for a confused patient with edema who has large swollen wrist. You find
that someone has taped their ID bracelet to the side of the bed. How should you secure
their ID bracelet? - correct 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
antibiotic, insert urinary catheter, and check urine for glucose. Which task should you
complete FIRST? - correct answer-Draw blood culture
, A code is initiated and the second nurse is observed not following ACLS protocol. What
is the BEST action to take? - correct answer-Stop the nurse immediately and institute
ACLS protocol
During the first hour of tPA infusion, how frequently should you monitor blood pressure?
- correct answer-Every 15 minutes
Which of the following is a priority for the bedside nurse when a patient gets inpatient
hemodialysis? - correct answer-Maintaining adequate blood pressure
What MUST you confirm before removing a cervical spine collar? - correct answer-
Presence of active order to remove
Which of the following signs or symptoms indicates a patient might not be tolerating the
extubation? - correct answer-The patient is coughing and has tachycardia
Which age group is MORE likely to experience a "Blown" vein - correct answer-Older
adults
What acid/base imbalance is MOST likely to be found in a patient with COPD - correct
answer-Respiratory acidosis
Which of the following should you do if your patient suddenly becomes diaphoretic,
anxious, tachycardic, and has clammy skin? - correct answer-Check their glucose
What information is MOST important for you to confirm in smart IV pump settings? -
correct answer-Weight
Besides the white blood cells, what laboratory value is used in the diagnosis of sepsis? -
correct answer-Lactic acid
Which medication is associated with increased delirium in critical care patients? -
correct answer-Lorazepam (Ativan)
A V3 QUESTIONS AND ANSWERS
100% PASS
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 bony prominences with intact but reddened skin. What should you include in the
plan of care? - correct 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? - correct answer-Waste 1 mg with a second nurse and then give the drug
to the patient
The provider has ordered 2 units of FFP to be transfused. Your patient's religious beliefs
prevent them from accepting blood products. What is your BEST response? - correct
answer-Inform the provider and discuss additional options.
During cardiogenic shock what temporary intervention might be ordered to improve
perfusion until definitive treatment is provided? - correct answer-Inotropic infusion
While reviewing your patient's EHR prior to receiving 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? - correct answer-Confirm
with the off-going nurse if this is a known situation.
You are caring for a confused patient with edema who has large swollen wrist. You find
that someone has taped their ID bracelet to the side of the bed. How should you secure
their ID bracelet? - correct 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
antibiotic, insert urinary catheter, and check urine for glucose. Which task should you
complete FIRST? - correct answer-Draw blood culture
, A code is initiated and the second nurse is observed not following ACLS protocol. What
is the BEST action to take? - correct answer-Stop the nurse immediately and institute
ACLS protocol
During the first hour of tPA infusion, how frequently should you monitor blood pressure?
- correct answer-Every 15 minutes
Which of the following is a priority for the bedside nurse when a patient gets inpatient
hemodialysis? - correct answer-Maintaining adequate blood pressure
What MUST you confirm before removing a cervical spine collar? - correct answer-
Presence of active order to remove
Which of the following signs or symptoms indicates a patient might not be tolerating the
extubation? - correct answer-The patient is coughing and has tachycardia
Which age group is MORE likely to experience a "Blown" vein - correct answer-Older
adults
What acid/base imbalance is MOST likely to be found in a patient with COPD - correct
answer-Respiratory acidosis
Which of the following should you do if your patient suddenly becomes diaphoretic,
anxious, tachycardic, and has clammy skin? - correct answer-Check their glucose
What information is MOST important for you to confirm in smart IV pump settings? -
correct answer-Weight
Besides the white blood cells, what laboratory value is used in the diagnosis of sepsis? -
correct answer-Lactic acid
Which medication is associated with increased delirium in critical care patients? -
correct answer-Lorazepam (Ativan)
