RELIAS ICU RN A V3 Exam 2026 (70 Questions) – Ventilator Management, Sepsis, ECG & Critical Care Nursing – ICU

This document contains approximately 70 exam-style questions with correct answers and detailed rationales for the RELIAS/Prophecy General ICU RN A V3 Exam 2026, focusing on critical care nursing and ICU decision-making. It covers essential topics such as ventilator management (weaning trials, suctioning, VAP prevention), ECG interpretation (peaked T waves in hyperkalemia), sepsis management (ScvO2 monitoring, lactate levels), and emergency prioritization in high-acuity settings. It also includes medication administration, titratable infusions, sedation management, and patient safety protocols. The material further explores advanced ICU concepts such as hemodynamic monitoring (CVP leveling, MAP targets), respiratory support (BiPAP, mechanical ventilation), ethical decision-making (POA, patient autonomy), and complication management (AKI from contrast, pulmonary embolism, delirium). Clinical scenarios emphasize prioritization, delegation, and rapid intervention skills required in intensive care environments. The content aligns with widely used textbooks such as AACN Essentials of Critical Care Nursing and Marino’s The ICU Book, making it a comprehensive and clinically relevant study resource. This resource is ideal for ICU nurses, nursing students, and healthcare professionals preparing for Relias/Prophecy exams, NCLEX-style assessments, or critical care certifications such as CCRN. It is especially beneficial for those enrolled in Critical Care Nursing, Acute Care, and Intensive Care Unit training programs, as well as professionals seeking to enhance clinical judgment, patient safety, and evidence-based practice in high-risk environments. Keywords: ICU nursing exam prep, ventilator management, sepsis management, ECG interpretation, hyperkalemia peaked T waves, titratable infusions, VAP prevention, hemodynamic monitoring, CVP measurement, MAP targets, critical care pharmacology, BiPAP ventilation, AKI contrast, pulmonary embolism signs, delirium ICU, sedation management, patient safety ICU, nursing prioritization, CCRN prep, acute care nursing