PROPHECY GENERAL ICU RN A V2 EXAM
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ 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
◉ CAM-ICU is a measure for which condition? Answer: Delirium
◉ Which of the following drugs would you expect to administer in a
patient diagnosed with myasthenia gravis? Answer: Mestinon
◉ ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L Answer:
Respiratory Alkalosis
◉ When assessing a chest tube, which of the following indicates a
possible air leak Answer: Excessive bubbling in the water chamber
◉ Which of the following medications improves contractility,
increases stroke volume, and increases cardiac output? Answer:
Dobutamine
◉ Muffled heart sounds would indicate what condition? Answer:
Cardiac tamponade
◉ Pain assessment in an unconscious patient Answer: Requires
astute assessment skills using multiple approaches
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ 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
◉ CAM-ICU is a measure for which condition? Answer: Delirium
◉ Which of the following drugs would you expect to administer in a
patient diagnosed with myasthenia gravis? Answer: Mestinon
◉ ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L Answer:
Respiratory Alkalosis
◉ When assessing a chest tube, which of the following indicates a
possible air leak Answer: Excessive bubbling in the water chamber
◉ Which of the following medications improves contractility,
increases stroke volume, and increases cardiac output? Answer:
Dobutamine
◉ Muffled heart sounds would indicate what condition? Answer:
Cardiac tamponade
◉ Pain assessment in an unconscious patient Answer: Requires
astute assessment skills using multiple approaches
