Prophecy General ICU RN (ProphecyGeneralICURN)
University Of Maryland - College Park
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Prophecy PACU RN A v1
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Prophecy PACU RN A v1 
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the PACU. Meperidine is available in 50mg/1ml. How many milliliters should be given? - ANS 0.25 milliliters 
 
Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter. What should you do? - ANS A) Position the patient on their side 
B) Place the patient in a prone position 
C) Check the epidural line for kinks 
***D) Contact the anesthesia ...
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Neurology ICU prophecy
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Neurology ICU prophecy
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Prophecy RN Pharmacology A
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Prophecy RN Pharmacology A 
Which of the following medications is known to cause orange-colored urine? - ANS phenazopyridine (Pyridium) 
 
You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you do next? - ANS Hold digoxin and call the provider 
 
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: - ANS Normal S...
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Prophecy OR
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Prophecy OR 
What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side-lying position - ANS Axillary Roll 
 
You are the circulating nurse confirming consent with a patient scheduled for an exploratory laparotomy with colostomy. The patient states they do not want a colostomy. What should you do? - ANS Do not take the patient to the operating room and consult the surgeon immediately 
 
What equipment is most important for ...
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Prophecy RN B v3
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Prophecy RN B v3 
When setting up a room for a new patient, what emergency equipment MUST be accessible and working at the bedside? - ANS Bag Valve mask 
 
You are on shift and overhear another nurse discussing confidential patient information on their cell phone during their break. What would be the BEST action to take? - ANS Speak with the nurse in private afterwards to remind her of HIPAA regulations 
 
What should you monitor for a patient at risk for respiratory depression...
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Pharmacology ICU prophecy
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Pharmacology ICU prophecy 
Benzo overdose - ANS Romazicon 
 
Opiate overdose - ANS Narcan 
 
Beta blocker contraindication - ANS Asthmatics 
 
Heparin overdose - ANS Protamine sulfate 
 
Coumadin overdose - ANS Vitamin K 
 
Renal diet - ANS Low phos, low K+, mod protein 
 
Coumadin diet - ANS Low vitamin k 
 
Antipsychotic effects on EKG and CNS - ANS Clozapine: anticholinergic effects (constipation, urinary retention, dry m...
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ICU Prophecy - CV
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ICU Prophecy - CV 
Asymptomatic bradycardia treatments - ANS 
 
What is cardiac tamponade? - ANS Fluid in the pericardial sac causing decreasing preload. This decreases SV and ultimately CO. 
 
Effects of Hyper/Hypokalemia and calcemia on EKG - ANS Hypokalemia causes U waves 
Hyperkalemia causes peaked T waves 
 
Normal BP? - ANS 90-120/60-80 
 
Normal HR? - ANS 60-100 bpm 
 
Normal CO? - ANS 4-8 L/min 
 
Normal SVR? - ANS 80...
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Prophecy general ICU A V3
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Prophecy general ICU A V3 
One of your patients coded but is now stabilized and you are catching up on charting. The step-down unit calls to get a report on your other patient who is to be transfered. The nurses near you do not appear busy. How should you prioritize your time? - ANS Give a 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 medica...
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Prophecy General ICU RN A v2
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Prophecy General ICU RN A v2 
Common complications of massive transfusions are - ANS Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis 
 
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L - ANS Metabolic Acidosis 
 
Long term use of TPN may lead to: - ANS Liver Failure 
 
Which of the following is a potential complication of high PEEP - ANS Pneumothorax 
 
What is a common assessment finding for a patient returning from a small bowel resection? - ANS ...
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Prophecy General ICU RN A v2&v3 updated Summer 2023.
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Exam (elaborations)
Prophecy general icu a v3 questions and answers 2023
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Exam (elaborations)
Prophecy General ICU RN A v2 updated Summer 2023.