PROPHECY SURGICAL ICU EXAM A V3
ACTUAL EXAM PAPER 2026 FULL
QUESTION BANK AND SOLVED SOLUTIONS
⩥ Who is the primary care provider when the patient enters a closed
ICU? Answer: the ICU staff
⩥ What procedures can occur bedside in the ICU? Answer: most all,
bronch, central lines
⩥ Where can central lines be placed? Answer: subclavian, internal
jugular, and femoral
⩥ Of the these sites, which is more prone to infections and why?
Answer: the femoral site bc the groin is dark moist and grows stuff so
typically don't leave it more than 24 hours
⩥ What are central lines made of and what size and type are mostly
used? Answer: polyurethane, 7 french, triple lumen
⩥ What does PIC stand for and what is it made of? Answer: peripheral
inserted catheter, made of silicone
, ⩥ Why is heparin preferred for anticoagulation? Answer: bc it is short
acting and reversible
⩥ What is the MOA of heparin?? Answer: inhibition of platelets, binds
to antithrombin II which then inactivates thrombin and other proteases
involved in blood clotting, most notably factor Xa.
⩥ What reverses heparin? Answer: Protamine Sulfate
⩥ What is the route and dose typically administered of heparin? Answer:
subQ injections 5000 units every 8 hours for prophylaxis
⩥ What lab would you use to guide treatment with heparin? Answer:
PTT- not the PT/INR!!
⩥ What is not typically given as an anticoagulant to patients that have a
risk for bleeding or renal failure, even though it is easier than heparin?
Answer: Lovenox
⩥ Besides heparin and lovenox, what are other common anticoagulants?
Answer: aspirin, plavix, and warfarin
⩥ What GI risk are patients in the ICU prone to? Answer: stress ulcers,
they are NPO and so the acid is more concentrated, give Pepcid or PPI
by I V, risk decreases once they start eating
ACTUAL EXAM PAPER 2026 FULL
QUESTION BANK AND SOLVED SOLUTIONS
⩥ Who is the primary care provider when the patient enters a closed
ICU? Answer: the ICU staff
⩥ What procedures can occur bedside in the ICU? Answer: most all,
bronch, central lines
⩥ Where can central lines be placed? Answer: subclavian, internal
jugular, and femoral
⩥ Of the these sites, which is more prone to infections and why?
Answer: the femoral site bc the groin is dark moist and grows stuff so
typically don't leave it more than 24 hours
⩥ What are central lines made of and what size and type are mostly
used? Answer: polyurethane, 7 french, triple lumen
⩥ What does PIC stand for and what is it made of? Answer: peripheral
inserted catheter, made of silicone
, ⩥ Why is heparin preferred for anticoagulation? Answer: bc it is short
acting and reversible
⩥ What is the MOA of heparin?? Answer: inhibition of platelets, binds
to antithrombin II which then inactivates thrombin and other proteases
involved in blood clotting, most notably factor Xa.
⩥ What reverses heparin? Answer: Protamine Sulfate
⩥ What is the route and dose typically administered of heparin? Answer:
subQ injections 5000 units every 8 hours for prophylaxis
⩥ What lab would you use to guide treatment with heparin? Answer:
PTT- not the PT/INR!!
⩥ What is not typically given as an anticoagulant to patients that have a
risk for bleeding or renal failure, even though it is easier than heparin?
Answer: Lovenox
⩥ Besides heparin and lovenox, what are other common anticoagulants?
Answer: aspirin, plavix, and warfarin
⩥ What GI risk are patients in the ICU prone to? Answer: stress ulcers,
they are NPO and so the acid is more concentrated, give Pepcid or PPI
by I V, risk decreases once they start eating
