RELIAS/PROPHECY GENERAL ICU RN A
& B V3 LATEST VERSION 2024-2025
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) | A+ GRADE
When administering a titratable infusion what information
must you check on the medication IV bag to confirm the
correct dose is being administered? Correct Answer
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? Correct Answer Adjust the alarm
parameters
How is dopamine usually administered in the ICU when
given intravenously? Correct Answer Titratable continuous
infusion
Which of the following can be given through an enteral
feeding tube? Correct Answer Immediate release pills
When donning an N-95 mask, how should you secure the
nose? Correct Answer Fit the nose piece with both hands
What type of medication is used in the critical care setting
to help manage the symptoms of alcohol withdrawal?
Correct Answer Benzodiazepines
,While admitting a patient with a history of IV drug use,
what precautions should you take? Correct Answer
Carefully inspect items for presence of sharps.
Your patient is intubated and begins to cough up clear
mucous inside their ETT. What should you do NEXT?
Correct Answer Provide 100% oxygenation and prepare to
suction
What is a complication of long term TPN? Correct Answer
Liver injury
Which assessment establishes baseline hand perfusion
before an ABG puncture or arterial line placement?
Correct Answer Allen Test
You find the concentration of an IV medication bag that is
hanging and infusing into your patient does not match the
concentration in the order. What should you do NEXT?
Correct Answer Stop the infusion
Your patient has a right chest tube that was placed after
thoracotomy. They report that is very painful when they
cough and request cough medicine. What should you do?
Correct Answer Teach them to splint their right side when
coughing and give pain medicine
Your patient had an unplanned self-extubation. They are
now alert and sitting up. Their pulse oximetry is 98% on 4
, liters face mask. What action should you prioritize?
Correct Answer Inspecting the oral cavity
Your are admitting a patient who is sedated and intubated
directly from the operating room after a major surgery. The
anesthesia provider connects the patient to the ventilator
in the ICU room and leaves before entering orders for the
patient's ventilatory settings. How should you proceed?
Correct Answer Contact the ICU intensivist or specialist
assigned to the case
For a patient with septic shock, What would you monitor to
objectively determine the effectiveness and need to titrate
a dobutamine infusion. Correct Answer ScVo2
Which of the following actions complies with ventilator
acquired pneumonia (VAP) prevention protocols? Correct
Answer Keep head of bed 30-45 degrees
What assessment tool is needed for a patient who has
uncomplicated retrosternal hemorrhage? Correct Answer
Follow up imaging test
Which condition may cause increased effects from a
medication that is mostly metabolized by the liver? Correct
Answer Hepatitis C
An intubated patient with a GCS of 3 is admitted to the
ICU from the ER after being found down for an unknown
amount of time at home. The CT scan reveals profuse
cerebral edema. When is the BEST time to notify organ
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