Prophecy general ICU A V3.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/Prophecy%20gen
PROPHECY GENERAL ICU A V3
QUESTIONS & ANSWERS
1. 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 transfered.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.
2. 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.
3. What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis?
Answer Hemoglobin
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,Prophecy general ICU A V3.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/Prophecy%20gen
4. What ECG finding is indicative of hyperkalema?
Answer peaked T wave
5. 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.
6. When assessing for fever in your intubated patient, placement of the ther-
mometer in which area would be most accurate?
Answer Pulmonary artery or bladder
7. Your patient has just completed IV potassium replacement. When should
you collect their repeat potassium level?
Answer 30-60 min
8. Your patient is receiving an antiarrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate?
Answer ECG
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,Prophecy general ICU A V3.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/Prophecy%20gen
9. Your patient is undergoing a weaning trial from the ventilator. Fifteen min-
utes 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 C.Stop weaning and rest the patient
10. 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
11. 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 uring.
when can the patient expect the medication to start working
Answer 6 minutes
12. 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
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PROPHECY GENERAL ICU A V3
QUESTIONS & ANSWERS
1. 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 transfered.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.
2. 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.
3. What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis?
Answer Hemoglobin
1/
1 of 16 10/30/2024, 9:59
,Prophecy general ICU A V3.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/Prophecy%20gen
4. What ECG finding is indicative of hyperkalema?
Answer peaked T wave
5. 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.
6. When assessing for fever in your intubated patient, placement of the ther-
mometer in which area would be most accurate?
Answer Pulmonary artery or bladder
7. Your patient has just completed IV potassium replacement. When should
you collect their repeat potassium level?
Answer 30-60 min
8. Your patient is receiving an antiarrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate?
Answer ECG
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2 of 16 10/30/2024, 9:59
,Prophecy general ICU A V3.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/Prophecy%20gen
9. Your patient is undergoing a weaning trial from the ventilator. Fifteen min-
utes 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 C.Stop weaning and rest the patient
10. 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
11. 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 uring.
when can the patient expect the medication to start working
Answer 6 minutes
12. 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
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3 of 16 10/30/2024, 9:59
