Prophecy general ICU A V3 Questions &
Answers, Latest
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? - Give report and ask the nurses to prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications? - Ask the
provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis? - Hemoglobin
What ECG finding is indicative of hyperkalema? - peaked T wave
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? - Check on the patient's status and call for assistance.
When assessing for fever in your intubated patient, placement of the thermometer
in which area would be most accurate? - Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level? - 30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? - ECG
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 they start to grab at their
oxygen and IV tubing. What should you do NEXT? - C. Stop weaning and rest the
patient
, 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? - Within 48-72 hours
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 - 6 minutes
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? - It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast -
Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn
likely receive FIRST? - Bipap
Your intubated and unresponsive patient is scheduled for surgery in the morning.
Who is the most appropriate person to make decisions for your patient? - The
healthcare POA
When administering a titratable infusion what information must you check on the
medication IV bag to confirm the correct dose is being administered? -
Concentration
Your patient has a known baseline heart rate of around 45. The ECG monitor keeps
alarming when the heart rate decreases below 50. Their vital signs are stable. What
would you do? - A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously -
Titratable continous infusion
Answers, Latest
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? - Give report and ask the nurses to prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications? - Ask the
provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis? - Hemoglobin
What ECG finding is indicative of hyperkalema? - peaked T wave
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? - Check on the patient's status and call for assistance.
When assessing for fever in your intubated patient, placement of the thermometer
in which area would be most accurate? - Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level? - 30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? - ECG
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 they start to grab at their
oxygen and IV tubing. What should you do NEXT? - C. Stop weaning and rest the
patient
, 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? - Within 48-72 hours
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 - 6 minutes
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? - It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast -
Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn
likely receive FIRST? - Bipap
Your intubated and unresponsive patient is scheduled for surgery in the morning.
Who is the most appropriate person to make decisions for your patient? - The
healthcare POA
When administering a titratable infusion what information must you check on the
medication IV bag to confirm the correct dose is being administered? -
Concentration
Your patient has a known baseline heart rate of around 45. The ECG monitor keeps
alarming when the heart rate decreases below 50. Their vital signs are stable. What
would you do? - A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously -
Titratable continous infusion
