Relias-Prophecy general ICU RN A v3 Latest
Update 2024-2025 Actual Exam from Credible
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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
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.
After turning a patient with CVP monitoring what should you do to ensure accuracy of
the CVP reading? - CORRECT ANSWER: Zero the line at phlebostatic axis
An intubated patient with a GCS of 3 is admitted to the ICU from the ER after being
found down for an unknown amount of time at home. The CT scan reveals profuse
cerebral edema. When is the BEST time to notify organ donation services? - CORRECT
ANSWER: Within 24 hours of admission to the ICU
Besides the white blood cells, what laboratory value is used in the diagnosis of sepsis? -
CORRECT ANSWER: Lactic acid
During cardiogenic shock what temporary intervention might be ordered to improve
perfusion until definitive treatment is provided? - CORRECT ANSWER: Inotropic
infusion
During the first hour of tPA infusion, how frequently should you monitor blood pressure?
- CORRECT ANSWER: Every 15 minutes
, For a patient with septic shock, What would you monitor to objectively determine the
effectiveness and need to titrate a dobutamine infusion. - CORRECT ANSWER: ScVo2
How is dopamine usually administered in the ICU when given intravenously? -
CORRECT ANSWER: Titratable continuous infusion
In a patient with septic shock, after fluid administration which of the following findings is
MOST suggestive of the need to start a vasopressor? - CORRECT ANSWER: Mean
arterial pressure 40-50 mmHg
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.
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.
What acid/base imbalance is MOST likely to be found in a patient with COPD -
CORRECT ANSWER: Respiratory acidosis
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - CORRECT ANSWER: Follow up imaging test
What cardiac condition shows cardiomegaly on chest x-ray? - CORRECT ANSWER:
Systolic heart failure
What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect? -
CORRECT ANSWER: Delirium
Update 2024-2025 Actual Exam from Credible
Sources with Questions and Verified Correct
Answers Golden Ticket to Guaranteed A+
Verified by Professor
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
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.
After turning a patient with CVP monitoring what should you do to ensure accuracy of
the CVP reading? - CORRECT ANSWER: Zero the line at phlebostatic axis
An intubated patient with a GCS of 3 is admitted to the ICU from the ER after being
found down for an unknown amount of time at home. The CT scan reveals profuse
cerebral edema. When is the BEST time to notify organ donation services? - CORRECT
ANSWER: Within 24 hours of admission to the ICU
Besides the white blood cells, what laboratory value is used in the diagnosis of sepsis? -
CORRECT ANSWER: Lactic acid
During cardiogenic shock what temporary intervention might be ordered to improve
perfusion until definitive treatment is provided? - CORRECT ANSWER: Inotropic
infusion
During the first hour of tPA infusion, how frequently should you monitor blood pressure?
- CORRECT ANSWER: Every 15 minutes
, For a patient with septic shock, What would you monitor to objectively determine the
effectiveness and need to titrate a dobutamine infusion. - CORRECT ANSWER: ScVo2
How is dopamine usually administered in the ICU when given intravenously? -
CORRECT ANSWER: Titratable continuous infusion
In a patient with septic shock, after fluid administration which of the following findings is
MOST suggestive of the need to start a vasopressor? - CORRECT ANSWER: Mean
arterial pressure 40-50 mmHg
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.
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.
What acid/base imbalance is MOST likely to be found in a patient with COPD -
CORRECT ANSWER: Respiratory acidosis
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - CORRECT ANSWER: Follow up imaging test
What cardiac condition shows cardiomegaly on chest x-ray? - CORRECT ANSWER:
Systolic heart failure
What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect? -
CORRECT ANSWER: Delirium
