PROPHECY SURGICAL ICU EXAM A V3_PROPHECY
GENERAL ICU A V3_ WELL UPDATED
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is the
MOST important for you to evaluate? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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 - CORRECT ANSWERS-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? - CORRECT ANSWERS-It is best if your
family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast - CORRECT
ANSWERS-Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive FIRST?
- CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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
ANSWERS-A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously - CORRECT
ANSWERS-Titratable continous infusion
Which of the following can be given through an enteral feeding tube? - CORRECT ANSWERS-
Immediate release pills
When donning an N-95 mask, how should you secure the nose? - CORRECT ANSWERS-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 ANSWERS-Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you take? -
CORRECT ANSWERS-Carefully inspect items for presence of sharps.
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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-Ask the provider to update the
route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis? -
CORRECT ANSWERS-Hemoglobin
GENERAL ICU A V3_ WELL UPDATED
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is the
MOST important for you to evaluate? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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 - CORRECT ANSWERS-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? - CORRECT ANSWERS-It is best if your
family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast - CORRECT
ANSWERS-Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive FIRST?
- CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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
ANSWERS-A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously - CORRECT
ANSWERS-Titratable continous infusion
Which of the following can be given through an enteral feeding tube? - CORRECT ANSWERS-
Immediate release pills
When donning an N-95 mask, how should you secure the nose? - CORRECT ANSWERS-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 ANSWERS-Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you take? -
CORRECT ANSWERS-Carefully inspect items for presence of sharps.
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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-Ask the provider to update the
route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis? -
CORRECT ANSWERS-Hemoglobin
