Relias/Prophecy general ICU RN A v3 Test Questions and
Answers Rated A
One of your patients coded but is now stabilized
and you are catching up on charting. The step- Your patient is receiving an anti-arrhythmic
down unit calls to get report on your other patient agent. Which of the following assessment
who is to be transferred. The nurses near you do parameters is the MOST important for you to
not appear busy. How should you prioritize your evaluate? - ANSWERS - ECG
time? - ANSWERS - 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
Your patient was intubated but still has oral patient's heart rate increases to 140 bpm and
medications on their list of medications. How they start to grab at their oxygen and IV tubing.
should you ensure they receive their What should you do NEXT? - ANSWERS -
medications? - ANSWERS - Ask the Stop weaning and rest the patient
provider to update the route of administration.
While assessing a patient just admitted to the
What laboratory value should you monitor closely hospital, he admits to drinking 12 cans of beer a
if your patient is vomiting coffee ground emesis? day, with the last drink being right before
- ANSWERS - Hemoglobin admission. What is the expected onset of
delirium tremens? - ANSWERS - Within 48-
72 hours
What ECG finding is indicative of hyperkalemia?
- ANSWERS - Peaked T waves
You have administered a pain medication that
has a half-life of 120 minutes, onset of action 6
You witness a patient that is not assigned to you min, Tmax of 15 minutes, and is mostly excreted
fall out of bed and begin crying for help but you in the urine. When can the patient expect the
do not see the assigned nurse to assist the medication to start working? - ANSWERS -
patient. What should you do first? - 6 minutes
ANSWERS - 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
When assessing for fever in your intubated waiting area. Their belonging include a ring, cell
patient, placement of the thermometer in which phone, and wallet. The patient asks if they can
area would be most accurate? - keep the ring on and phone at bedside. What is
ANSWERS - Pulmonary artery or bladder your BEST response? - ANSWERS - It is
best if your family takes your belongings.
Your patient has just completed IV potassium
replacement. When should you collect their What is a significant complication of imaging
repeat potassium level? - ANSWERS - 30- studies performed with IV contrast? -
60 min ANSWERS - Acute kidney injury
1/6
, Relias/Prophecy general ICU RN A v3 Test Questions and
Answers Rated A
Benzodiazepines
What respiratory support would an alert patient
with an acute COPD exacerbation likely receive
FIRST? - ANSWERS - BiPAP While admitting a patient with a history of IV drug
use, what precautions should you take? -
ANSWERS - Carefully inspect items for
Your intubated and unresponsive patient is presence of sharps.
scheduled for surgery in the morning. Who is the
most appropriate person to make decisions for
your patient? - ANSWERS - The healthcare Your patient is intubated and begins to cough up
POA clear mucous inside their ETT. What should you
do NEXT? - ANSWERS - Provide 100%
oxygenation and prepare to suction
When administering a titratable infusion what
information must you check on the medication IV
bag to confirm the correct dose is being What is a complication of long term TPN? -
administered? - ANSWERS - Concentration ANSWERS - Liver injury
Your patient has a known baseline heart rate of Which assessment establishes baseline hand
around 45. The ECG monitor keeps alarming perfusion before an ABG puncture or arterial line
when the heart rate decreases below 50. Their placement? - ANSWERS - Allen Test
vital signs are stable. What would you do? -
ANSWERS - Adjust the alarm parameters
You find the concentration of an IV medication
bag that is hanging and infusing into your patient
How is dopamine usually administered in the ICU does not match the concentration in the order.
when given intravenously? - ANSWERS - What should you do NEXT? - ANSWERS -
Titratable continuous infusion Stop the infusion
Which of the following can be given through an Your patient has a right chest tube that was
enteral feeding tube? - ANSWERS - placed after thoracotomy. They report that is very
Immediate release pills painful when they cough and request cough
medicine. What should you do? -
ANSWERS - Teach them to splint their right
When donning an N-95 mask, how should you side when coughing and give pain medicine
secure the nose? - ANSWERS - Fit the
nose piece with both hands
Your patient had an unplanned self-extubation.
They are now alert and sitting up. Their pulse
What type of medication is used in the critical oximetry is 98% on 4 liters face mask. What
care setting to help manage the symptoms of action should you prioritize? - ANSWERS -
alcohol withdrawal? - ANSWERS - Inspecting the oral cavity
2/6
Answers Rated A
One of your patients coded but is now stabilized
and you are catching up on charting. The step- Your patient is receiving an anti-arrhythmic
down unit calls to get report on your other patient agent. Which of the following assessment
who is to be transferred. The nurses near you do parameters is the MOST important for you to
not appear busy. How should you prioritize your evaluate? - ANSWERS - ECG
time? - ANSWERS - 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
Your patient was intubated but still has oral patient's heart rate increases to 140 bpm and
medications on their list of medications. How they start to grab at their oxygen and IV tubing.
should you ensure they receive their What should you do NEXT? - ANSWERS -
medications? - ANSWERS - Ask the Stop weaning and rest the patient
provider to update the route of administration.
While assessing a patient just admitted to the
What laboratory value should you monitor closely hospital, he admits to drinking 12 cans of beer a
if your patient is vomiting coffee ground emesis? day, with the last drink being right before
- ANSWERS - Hemoglobin admission. What is the expected onset of
delirium tremens? - ANSWERS - Within 48-
72 hours
What ECG finding is indicative of hyperkalemia?
- ANSWERS - Peaked T waves
You have administered a pain medication that
has a half-life of 120 minutes, onset of action 6
You witness a patient that is not assigned to you min, Tmax of 15 minutes, and is mostly excreted
fall out of bed and begin crying for help but you in the urine. When can the patient expect the
do not see the assigned nurse to assist the medication to start working? - ANSWERS -
patient. What should you do first? - 6 minutes
ANSWERS - 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
When assessing for fever in your intubated waiting area. Their belonging include a ring, cell
patient, placement of the thermometer in which phone, and wallet. The patient asks if they can
area would be most accurate? - keep the ring on and phone at bedside. What is
ANSWERS - Pulmonary artery or bladder your BEST response? - ANSWERS - It is
best if your family takes your belongings.
Your patient has just completed IV potassium
replacement. When should you collect their What is a significant complication of imaging
repeat potassium level? - ANSWERS - 30- studies performed with IV contrast? -
60 min ANSWERS - Acute kidney injury
1/6
, Relias/Prophecy general ICU RN A v3 Test Questions and
Answers Rated A
Benzodiazepines
What respiratory support would an alert patient
with an acute COPD exacerbation likely receive
FIRST? - ANSWERS - BiPAP While admitting a patient with a history of IV drug
use, what precautions should you take? -
ANSWERS - Carefully inspect items for
Your intubated and unresponsive patient is presence of sharps.
scheduled for surgery in the morning. Who is the
most appropriate person to make decisions for
your patient? - ANSWERS - The healthcare Your patient is intubated and begins to cough up
POA clear mucous inside their ETT. What should you
do NEXT? - ANSWERS - Provide 100%
oxygenation and prepare to suction
When administering a titratable infusion what
information must you check on the medication IV
bag to confirm the correct dose is being What is a complication of long term TPN? -
administered? - ANSWERS - Concentration ANSWERS - Liver injury
Your patient has a known baseline heart rate of Which assessment establishes baseline hand
around 45. The ECG monitor keeps alarming perfusion before an ABG puncture or arterial line
when the heart rate decreases below 50. Their placement? - ANSWERS - Allen Test
vital signs are stable. What would you do? -
ANSWERS - Adjust the alarm parameters
You find the concentration of an IV medication
bag that is hanging and infusing into your patient
How is dopamine usually administered in the ICU does not match the concentration in the order.
when given intravenously? - ANSWERS - What should you do NEXT? - ANSWERS -
Titratable continuous infusion Stop the infusion
Which of the following can be given through an Your patient has a right chest tube that was
enteral feeding tube? - ANSWERS - placed after thoracotomy. They report that is very
Immediate release pills painful when they cough and request cough
medicine. What should you do? -
ANSWERS - Teach them to splint their right
When donning an N-95 mask, how should you side when coughing and give pain medicine
secure the nose? - ANSWERS - Fit the
nose piece with both hands
Your patient had an unplanned self-extubation.
They are now alert and sitting up. Their pulse
What type of medication is used in the critical oximetry is 98% on 4 liters face mask. What
care setting to help manage the symptoms of action should you prioritize? - ANSWERS -
alcohol withdrawal? - ANSWERS - Inspecting the oral cavity
2/6
