RELIAS/PROPHECY GENERAL ICU RN A VERSION 3 EXAM
RELIAS/PROPHECY GENERAL ICU RN A VERSION 3 EXAM 70 QUESTIONS AND
VERIFIED ANSWERS (2025-2026) COMPLETE A+ SCORE
Question 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?
Give report and ask the nurses to prepare the patient for transfer.
Question 2
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.
Question 3
What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis?
Hemoglobin
Question 4
What ECG finding is indicative of hyperkalema?
peaked T wave
Question 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?
, RELIAS/PROPHECY GENERAL ICU RN A VERSION 3 EXAM
Check on the patient's status and call for assistance.
Question 6
When assessing for fever in your intubated patient, placement of the thermometer in which area would
be most accurate?
Pulmonary artery or bladder
Question 7
Your patient has just completed IV potassium replacement. When should you collect their repeat
potassium level?
30-60 min
Question 8
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is the
MOST important for you to evaluate?
ECG
Question 9
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?
Stop weaning and rest the patient
Question 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?
Within 48-72 hours
Question 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
RELIAS/PROPHECY GENERAL ICU RN A VERSION 3 EXAM 70 QUESTIONS AND
VERIFIED ANSWERS (2025-2026) COMPLETE A+ SCORE
Question 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?
Give report and ask the nurses to prepare the patient for transfer.
Question 2
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.
Question 3
What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis?
Hemoglobin
Question 4
What ECG finding is indicative of hyperkalema?
peaked T wave
Question 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?
, RELIAS/PROPHECY GENERAL ICU RN A VERSION 3 EXAM
Check on the patient's status and call for assistance.
Question 6
When assessing for fever in your intubated patient, placement of the thermometer in which area would
be most accurate?
Pulmonary artery or bladder
Question 7
Your patient has just completed IV potassium replacement. When should you collect their repeat
potassium level?
30-60 min
Question 8
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is the
MOST important for you to evaluate?
ECG
Question 9
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?
Stop weaning and rest the patient
Question 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?
Within 48-72 hours
Question 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
