PROPHECY PCU RN A V1
COMPREHENSIVE REVIEW PAPER 2026
QUESTIONS AND PRECISE SOLUTIONS
GRADED A+
⩥ A patient was involved in a motor vehicle accident and CAT scan
results reveal a right sided SDH. What would be an expected
neurological assessment finding in this patient? Answer: Dilated right
pupil
⩥ What is the most common symptom of SIADH? Answer: Fluid
retention
⩥ Upon arrival to the unit, you receive report on four PCU patients.
Which patient should you attend to FIRST? Answer: A patient
complaining of shortness of breathe on continuous BiPAP with a BP of
189/109
⩥ Of the following patients, which one would you see FIRST? Answer:
A 30 year suicidal female that took an unknown number of alprazolam
with an O2 saturation of 85%
, ⩥ You are caring for a patient with new onset atrial fibrillation with a
blood pressure of 80/60. Which of the following treatment options is
MOST appropriate? Answer: Electrical cardioversion
⩥ Which of the following supplemental medications is frequently
ordered in conjunction with furosemide? Answer: Potassium
⩥ Which of the following positions is the BEST way to assess for JVD?
Answer: Position the patient on his/her back with the head of bed 30-45
degrees
⩥ Your patient is on the midday schedule for hemodialysis. He has 100
mg of metoprolol XL ordered for this morning and his blood pressure if
150/98. Which of the following would be an appropriate action?
Answer: Hold the metoprolol because of the upcoming dialysis
⩥ You walk into your patient's room and notice that the chest tube
collection chamber has been knocked over on the floor. There appears to
be drainage dispersed throughout the chambers. What should you do
NEXT? Answer: Replace the chamber with a new one
⩥ Your patient is complaining of nausea, vomiting, and diarrhea. His
blood pressure is 89/55, heart rate is 122 bpm, and the temperature is
100.8 F. What condition is this patient most likely experiencing?
Answer: Hypovolemic shock
COMPREHENSIVE REVIEW PAPER 2026
QUESTIONS AND PRECISE SOLUTIONS
GRADED A+
⩥ A patient was involved in a motor vehicle accident and CAT scan
results reveal a right sided SDH. What would be an expected
neurological assessment finding in this patient? Answer: Dilated right
pupil
⩥ What is the most common symptom of SIADH? Answer: Fluid
retention
⩥ Upon arrival to the unit, you receive report on four PCU patients.
Which patient should you attend to FIRST? Answer: A patient
complaining of shortness of breathe on continuous BiPAP with a BP of
189/109
⩥ Of the following patients, which one would you see FIRST? Answer:
A 30 year suicidal female that took an unknown number of alprazolam
with an O2 saturation of 85%
, ⩥ You are caring for a patient with new onset atrial fibrillation with a
blood pressure of 80/60. Which of the following treatment options is
MOST appropriate? Answer: Electrical cardioversion
⩥ Which of the following supplemental medications is frequently
ordered in conjunction with furosemide? Answer: Potassium
⩥ Which of the following positions is the BEST way to assess for JVD?
Answer: Position the patient on his/her back with the head of bed 30-45
degrees
⩥ Your patient is on the midday schedule for hemodialysis. He has 100
mg of metoprolol XL ordered for this morning and his blood pressure if
150/98. Which of the following would be an appropriate action?
Answer: Hold the metoprolol because of the upcoming dialysis
⩥ You walk into your patient's room and notice that the chest tube
collection chamber has been knocked over on the floor. There appears to
be drainage dispersed throughout the chambers. What should you do
NEXT? Answer: Replace the chamber with a new one
⩥ Your patient is complaining of nausea, vomiting, and diarrhea. His
blood pressure is 89/55, heart rate is 122 bpm, and the temperature is
100.8 F. What condition is this patient most likely experiencing?
Answer: Hypovolemic shock
