Prophecy Surgical ICU Exam A v3 Questions
and Answers (Grade A+ 2026)
1. Acid-Base Interpretation
• Question: Please interpret the acid-base abnormality: pH = 7.56, PaCO2 = 24
mm Hg, HCO3 = 23 mEq/L.
• Answer: Respiratory Alkalosis
2. DKA Manifestations
• Question: Manifestations of DKA are the results of severe dehydration and
acidosis. One of these manifestations is Kussmaul's respirations. This
compensatory response does what?
• Answer: Causes increased rate and depth of respirations, with longer expiration.
3. Metabolic Acidosis ABGs
• Question: An adult woman is admitted with metabolic acidosis. Which set of
ABG's would the nurse find?
• Answer:
• pH = 7.30
• PCO2 = 36
• HCO3 = 18
4. Blood Transfusion Observation
• Question: Regarding a patient's blood transfusion, which information about
patient observation is CORRECT?
• Answer: Direct observation and vital signs during initiation and at frequent
intervals during the transfusion.
5. Atropine Dosage
, • Question: The initial dose of atropine for a conscious adult experiencing
symptomatic bradycardia is:
• Answer: 0.5 mg IVP
6. V/Q Scan Results
• Question: Ventilation/perfusion V/Q scan of a client with pulmonary embolism
who has no other pulmonary disease.
• Answer: Normal ventilation, decreased perfusion.
7. Glasgow Coma Scale (GCS)
• Question: The Glasgow Coma Scale (GCS) measures what three areas:
• Answer: Eye opening, verbal response to pain, motor response to pain.
8. Acute Myocardial Infarction (AMI)
• Question: In acute myocardial infarction (AMI), hemodynamic measurements
reveal:
• Answer: Low cardiac output/cardiac index.
9. Heparin Antidote
• Question: Antidote to Heparin
• Answer: Protamine Sulfate
10. Endotracheal Tube Verification
• Question: The MOST appropriate method to initially verify appropriate
endotracheal tube placement includes:
• Answer: CO2 detector, three point auscultation.
11. Vasopressor Infusion Site
• Question: What is the preferred site to infuse vasopressors such as dopamine
and levophed?
• Answer: Central Line
12. CVP Normal Range
• Question: What is the normal range for CVP?
and Answers (Grade A+ 2026)
1. Acid-Base Interpretation
• Question: Please interpret the acid-base abnormality: pH = 7.56, PaCO2 = 24
mm Hg, HCO3 = 23 mEq/L.
• Answer: Respiratory Alkalosis
2. DKA Manifestations
• Question: Manifestations of DKA are the results of severe dehydration and
acidosis. One of these manifestations is Kussmaul's respirations. This
compensatory response does what?
• Answer: Causes increased rate and depth of respirations, with longer expiration.
3. Metabolic Acidosis ABGs
• Question: An adult woman is admitted with metabolic acidosis. Which set of
ABG's would the nurse find?
• Answer:
• pH = 7.30
• PCO2 = 36
• HCO3 = 18
4. Blood Transfusion Observation
• Question: Regarding a patient's blood transfusion, which information about
patient observation is CORRECT?
• Answer: Direct observation and vital signs during initiation and at frequent
intervals during the transfusion.
5. Atropine Dosage
, • Question: The initial dose of atropine for a conscious adult experiencing
symptomatic bradycardia is:
• Answer: 0.5 mg IVP
6. V/Q Scan Results
• Question: Ventilation/perfusion V/Q scan of a client with pulmonary embolism
who has no other pulmonary disease.
• Answer: Normal ventilation, decreased perfusion.
7. Glasgow Coma Scale (GCS)
• Question: The Glasgow Coma Scale (GCS) measures what three areas:
• Answer: Eye opening, verbal response to pain, motor response to pain.
8. Acute Myocardial Infarction (AMI)
• Question: In acute myocardial infarction (AMI), hemodynamic measurements
reveal:
• Answer: Low cardiac output/cardiac index.
9. Heparin Antidote
• Question: Antidote to Heparin
• Answer: Protamine Sulfate
10. Endotracheal Tube Verification
• Question: The MOST appropriate method to initially verify appropriate
endotracheal tube placement includes:
• Answer: CO2 detector, three point auscultation.
11. Vasopressor Infusion Site
• Question: What is the preferred site to infuse vasopressors such as dopamine
and levophed?
• Answer: Central Line
12. CVP Normal Range
• Question: What is the normal range for CVP?
