Prophecy General ICU RN A V3 (2024/2025) Exam Questions with Correct Detailed Answers || 100% Guaranteed Pass <UPDATED VERSION>
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Prophecy General ICU RN A V3 (2024/2025) Exam Questions with Correct Detailed Answers || 100% Guaranteed Pass <UPDATED VERSION>
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...
Prophecy General ICU RN A
V3 (2024/2025) Exam Questions with
Correct Detailed Answers || 100%
Guaranteed Pass <UPDATED
VERSION>
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? - ANSWER ✔ A. Inspecting the oral cavity
B. Checking blood pressure and the heart rate*WRONG
C. Administering an albuterol nebulizer
D. Performing an ordered STAT ABG *WRONG
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? - 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. - ANSWER ✔ ScVo2
What information is MOST important for you to confirm in smart IV pump
settings? - ANSWER ✔ Weight
Besides the white blood cells, what laboratory value is used in the diagnosis of
sepsis? - ANSWER ✔ Lactic acid
,Which medication is associated with increased delirium in critical care patients? -
ANSWER ✔ Lorazepam (Ativan)
What is an effective way to evaluate for cyanosis in a person of color? -
ANSWER ✔ Check inner eyelids
What cardiac condition shows cardiomegaly on chest x-ray? - ANSWER ✔
Systolic heart failure
Your patient begins to choke and a code blue is called. The provider is
unsuccessful at removing the object and is unable to place the ETT. You would
expect to prepare for what type of procedure? - ANSWER ✔ Surgical airway
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
transferred. The nurses near you do not appear busy. How should you prioritize
your time? - ANSWER ✔ 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? - ANSWER
✔ Ask the provider to update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting
coffee ground emesis? - ANSWER ✔ Hemoglobin
What ECG finding is indicative of hyperkalemia? - ANSWER ✔ Peaked T waves
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? - ANSWER ✔ 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? - ANSWER ✔ Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level? - ANSWER ✔ 30-60 min
, Your patient is receiving an anti-arrhythmic agent. Which of the following
assessment parameters is the MOST important for you to evaluate? - ANSWER ✔
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? - ANSWER ✔ 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? - ANSWER ✔ 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 urine. When
can the patient expect the medication to start working? - ANSWER ✔ 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? - ANSWER ✔ It is best if your family takes your
belongings.
What is a significant complication of imaging studies performed with IV contrast?
- ANSWER ✔ Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbation
likely receive FIRST? - ANSWER ✔ 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? -
ANSWER ✔ 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? - 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? - ANSWER ✔ Adjust the alarm parameters
How is dopamine usually administered in the ICU when given intravenously? -
ANSWER ✔ Titratable continuous infusion
Which of the following can be given through an enteral feeding tube? - ANSWER
✔ Immediate release pills
When donning an N-95 mask, how should you secure the nose? - 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? - ANSWER ✔ Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should
you take? - 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? - ANSWER ✔ Provide 100% oxygenation and
prepare to suction
What is a complication of long term TPN? - ANSWER ✔ Liver injury
Which assessment establishes baseline hand perfusion before an ABG puncture or
arterial line placement? - ANSWER ✔ Allen Test
Which of the following actions complies with ventilator acquired pneumonia
(VAP) prevention protocols? - ANSWER ✔ Keep head of bed 30-45 degrees
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - ANSWER ✔ Follow up imaging test
Which condition may cause increased effects from a medication that is mostly
metabolized by the liver? - ANSWER ✔ Hepatitis C
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