PROPHECY GENERAL ICU RN A V1
COMPREHENSIVE STUDY GUIDE 2026
◉ 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 hyperkalema? Answer: peaked T
wave
◉ 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 antiarrhythmic 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: 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?
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 uring. 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
COMPREHENSIVE STUDY GUIDE 2026
◉ 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 hyperkalema? Answer: peaked T
wave
◉ 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 antiarrhythmic 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: 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?
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 uring. 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
