Prophecy general ICU A V3 Questions and Answers Graded A+
One of your patients coded but is now stabilized Your patient is receiving an antiarrhythmic agent.
and you are catching up on charting. The step- Which of the following assessment parameters is
down unit calls to get report on your other patient the MOST important for you to evaluate? -
who is to be transfered. The nurses near you do ANSWER -ECG
not appear busy. How should you prioritize your
time? - ANSWER -Give report and ask the
nurses to prepare the patient for transfer. Your patient is undergoing a weaning trial from
the ventilator. Fifteen minutes into the trial the
patient's heart rate increases to 140 bpm and
Your patient was intubated but still has oral they start to grab at their oxygen and IV tubing.
medications on their list of medications. How What should you do NEXT? - ANSWER -C.
should you ensure they receive their Stop weaning and rest the patient
medications? - ANSWER -Ask the provider
to update the route of administration.
While assessing a patient just admitted to the
hospital, he admits to drinking 12 cans of beer a
What laboratory value should you monitor closely day, with the last drink being right before
if your patient is vomiting coffee ground emesis? admission. What is the expected onset of
- ANSWER -Hemoglobin delirium tremens? - ANSWER -Within 48-72
hours
What ECG finding is indicative of hyperkalema? -
ANSWER -peaked T wave 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
You witness a patient that is not assigned to you in the uring. when can the patient expect the
fall out of bed and begin crying for help but you medication to start working - ANSWER -6
do not see the assigned nurse to assist the minutes
patient. What should you do first? -
ANSWER -Check on the patient's status
and call for assistance. 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
When assessing for fever in your intubated phone, and wallet. The patient asks if they can
patient, placement of the thermometer in which keep the ring on and phone at bedside. What is
area would be most accurate? - ANSWER - your BEST response? - ANSWER -It is best
Pulmonary artery or bladder if your family takes your belongings.
Your patient has just completed IV potassium What is a significant complication of imaging
replacement. When should you collect their studies performed with iv contrast -
repeat potassium level? - ANSWER -30-60 ANSWER -Acute kidney injury
min
What respiratory support would an alert patient
with an acute COPD exacerbatiobn likely receive
1/6
, Prophecy general ICU A V3 Questions and Answers Graded A+
FIRST? - ANSWER -Bipap use, what precautions should you take? -
ANSWER -Carefully inspect items for
presence of sharps.
Your intubated and unresponsive patient is
scheduled for surgery in the morning. Who is the
most appropriate person to make decisions for Your patient is intubated and begins to cough up
your patient? - ANSWER -The healthcare clear mucous inside their ETT. What should you
POA do NEXT? - ANSWER -A. Instill normal
saline to lavage ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
When administering a titratable infusion what C. Inspect their oral cavity and suction mouth
information must you check on the medication IV D. Provide 100% oxygenation and prepare to
bag to confirm the correct dose is being suction
administered? - ANSWER -Concentration
What is a complication of long term TPN? -
Your patient has a known baseline heart rate of ANSWER -Liver injury
around 45. The ECG monitor keeps alarming
when the heart rate decreases below 50. Their
vital signs are stable. What would you do? - Which assessment establishes baseline hand
ANSWER -A. Adjust the alarm parameters perfusion before an ABG puncture or arterial line
placement? - ANSWER -Allen Test
How is dopamine usually administered in the icu
when given intravenously - ANSWER - You find the concentration of an IV medication
Titratable continous infusion bag that is hanging and infusing into your patient
does not match the concentration in the order.
What should you do NEXT? - ANSWER -
Which of the following can be given through an Stop the infusion
enteral feeding tube? - ANSWER -
Immediate release pills
Your patient has a right chest tube that was
placed after thoracotomy. They report that is very
When donning an N-95 mask, how should you painful when they cough and request cough
secure the nose? - ANSWER -Fit the nose medicing. What should you do? -
piece with both hands ANSWER -Teach them to splint their right
side when coughing and give pain medicine
What type of medication is used in the critical
care setting to help manage the symptoms of Your patient had an unplanned self-extubation.
alcohol withdrawal? - ANSWER - They are now alert and sitting up. Their pulse
Benzodiazepines oximetry is 98% on 4 liters face mask. What
action should you prioritize? - ANSWER -A.
Inspecting the oral cavity
While admitting a patient with a history of IV drug B. Checking blood pressure and the heart
2/6
One of your patients coded but is now stabilized Your patient is receiving an antiarrhythmic agent.
and you are catching up on charting. The step- Which of the following assessment parameters is
down unit calls to get report on your other patient the MOST important for you to evaluate? -
who is to be transfered. The nurses near you do ANSWER -ECG
not appear busy. How should you prioritize your
time? - ANSWER -Give report and ask the
nurses to prepare the patient for transfer. Your patient is undergoing a weaning trial from
the ventilator. Fifteen minutes into the trial the
patient's heart rate increases to 140 bpm and
Your patient was intubated but still has oral they start to grab at their oxygen and IV tubing.
medications on their list of medications. How What should you do NEXT? - ANSWER -C.
should you ensure they receive their Stop weaning and rest the patient
medications? - ANSWER -Ask the provider
to update the route of administration.
While assessing a patient just admitted to the
hospital, he admits to drinking 12 cans of beer a
What laboratory value should you monitor closely day, with the last drink being right before
if your patient is vomiting coffee ground emesis? admission. What is the expected onset of
- ANSWER -Hemoglobin delirium tremens? - ANSWER -Within 48-72
hours
What ECG finding is indicative of hyperkalema? -
ANSWER -peaked T wave 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
You witness a patient that is not assigned to you in the uring. when can the patient expect the
fall out of bed and begin crying for help but you medication to start working - ANSWER -6
do not see the assigned nurse to assist the minutes
patient. What should you do first? -
ANSWER -Check on the patient's status
and call for assistance. 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
When assessing for fever in your intubated phone, and wallet. The patient asks if they can
patient, placement of the thermometer in which keep the ring on and phone at bedside. What is
area would be most accurate? - ANSWER - your BEST response? - ANSWER -It is best
Pulmonary artery or bladder if your family takes your belongings.
Your patient has just completed IV potassium What is a significant complication of imaging
replacement. When should you collect their studies performed with iv contrast -
repeat potassium level? - ANSWER -30-60 ANSWER -Acute kidney injury
min
What respiratory support would an alert patient
with an acute COPD exacerbatiobn likely receive
1/6
, Prophecy general ICU A V3 Questions and Answers Graded A+
FIRST? - ANSWER -Bipap use, what precautions should you take? -
ANSWER -Carefully inspect items for
presence of sharps.
Your intubated and unresponsive patient is
scheduled for surgery in the morning. Who is the
most appropriate person to make decisions for Your patient is intubated and begins to cough up
your patient? - ANSWER -The healthcare clear mucous inside their ETT. What should you
POA do NEXT? - ANSWER -A. Instill normal
saline to lavage ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
When administering a titratable infusion what C. Inspect their oral cavity and suction mouth
information must you check on the medication IV D. Provide 100% oxygenation and prepare to
bag to confirm the correct dose is being suction
administered? - ANSWER -Concentration
What is a complication of long term TPN? -
Your patient has a known baseline heart rate of ANSWER -Liver injury
around 45. The ECG monitor keeps alarming
when the heart rate decreases below 50. Their
vital signs are stable. What would you do? - Which assessment establishes baseline hand
ANSWER -A. Adjust the alarm parameters perfusion before an ABG puncture or arterial line
placement? - ANSWER -Allen Test
How is dopamine usually administered in the icu
when given intravenously - ANSWER - You find the concentration of an IV medication
Titratable continous infusion bag that is hanging and infusing into your patient
does not match the concentration in the order.
What should you do NEXT? - ANSWER -
Which of the following can be given through an Stop the infusion
enteral feeding tube? - ANSWER -
Immediate release pills
Your patient has a right chest tube that was
placed after thoracotomy. They report that is very
When donning an N-95 mask, how should you painful when they cough and request cough
secure the nose? - ANSWER -Fit the nose medicing. What should you do? -
piece with both hands ANSWER -Teach them to splint their right
side when coughing and give pain medicine
What type of medication is used in the critical
care setting to help manage the symptoms of Your patient had an unplanned self-extubation.
alcohol withdrawal? - ANSWER - They are now alert and sitting up. Their pulse
Benzodiazepines oximetry is 98% on 4 liters face mask. What
action should you prioritize? - ANSWER -A.
Inspecting the oral cavity
While admitting a patient with a history of IV drug B. Checking blood pressure and the heart
2/6
