PROPHECY GENERAL ICU RN A V1 REVIEW
AND SOLUTIONS 2026
◉ 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 exacerbatiobn 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: A.
Adjust the alarm parameters
◉ How is dopamine usually administered in the icu when given
intravenously Answer: Titratable continous 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: A. Instill
normal saline to lavage ETT*WRONG*
AND SOLUTIONS 2026
◉ 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 exacerbatiobn 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: A.
Adjust the alarm parameters
◉ How is dopamine usually administered in the icu when given
intravenously Answer: Titratable continous 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: A. Instill
normal saline to lavage ETT*WRONG*
