PROPHECY GENERAL ICU RN A V1 KEY
CONCEPTS AND CLINICAL FOCUS GUIDE
2026
◉ Which of the following IV sedatives would most likely be ordered
for a non-intubated patient. Answer: Precedex
◉ Your patient is in bed and eating lunch when they begin to cough
and gag. Suddenly they become dyspneic and bradycardic with
excessive salivation. What do you suspect happened. Answer:
Aspiration
◉ Which of the following is a response of the cardiovascular system
to early sepsis?. Answer: Increased cardiac output and reduced
systemic vascular resistance
◉ Which patient would you expect to be extubated?. Answer: Patient
is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
◉ Hypertensive crisis. Answer: Nicardipine
◉ Your patient sustained a crushed pelvis in a MVC. You notice a
pinkish sediment in the urinary catheter tubing and decreased
, urinary output. Which of the following conditions would you
suspect?. Answer: Rhabdomyolysis
◉ Which class of drugs should be avoided in patients with asthma?.
Answer: Beta Blockers
◉ CAM-ICU is a measure for which condition?. Answer: Delirium
◉ Which of the following drugs would you expect to administer in a
patient diagnosed with myasthenia gravis?. Answer: Mestinon
◉ ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L. Answer:
Respiratory Alkalosis
◉ When assessing a chest tube, which of the following indicates a
possible air leak. Answer: Excessive bubbling in the water chamber
◉ Which of the following medications improves contractility,
increases stroke volume, and increases cardiac output?. Answer:
Dobutamine
◉ Muffled heart sounds would indicate what condition?. Answer:
Cardiac tamponade
CONCEPTS AND CLINICAL FOCUS GUIDE
2026
◉ Which of the following IV sedatives would most likely be ordered
for a non-intubated patient. Answer: Precedex
◉ Your patient is in bed and eating lunch when they begin to cough
and gag. Suddenly they become dyspneic and bradycardic with
excessive salivation. What do you suspect happened. Answer:
Aspiration
◉ Which of the following is a response of the cardiovascular system
to early sepsis?. Answer: Increased cardiac output and reduced
systemic vascular resistance
◉ Which patient would you expect to be extubated?. Answer: Patient
is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
◉ Hypertensive crisis. Answer: Nicardipine
◉ Your patient sustained a crushed pelvis in a MVC. You notice a
pinkish sediment in the urinary catheter tubing and decreased
, urinary output. Which of the following conditions would you
suspect?. Answer: Rhabdomyolysis
◉ Which class of drugs should be avoided in patients with asthma?.
Answer: Beta Blockers
◉ CAM-ICU is a measure for which condition?. Answer: Delirium
◉ Which of the following drugs would you expect to administer in a
patient diagnosed with myasthenia gravis?. Answer: Mestinon
◉ ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L. Answer:
Respiratory Alkalosis
◉ When assessing a chest tube, which of the following indicates a
possible air leak. Answer: Excessive bubbling in the water chamber
◉ Which of the following medications improves contractility,
increases stroke volume, and increases cardiac output?. Answer:
Dobutamine
◉ Muffled heart sounds would indicate what condition?. Answer:
Cardiac tamponade
