PROPHECY GENERAL ICU A V3 ACTUAL EXAM |200+ COMPLETE
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
GET A+
Your patient was intubated but still has oral medications on their list of medications. How should
you ensure they receive their medications? - (answer)Ask the provider to update the route of
administration.
What laboratory value should you monitor closely if your patient is vomiting coffee ground
emesis? - (answer)Hemoglobin
What ECG finding is indicative of hyperkalemia? - (answer)Peaked T waves
You witness a patient that is not assigned to you fall out of bed and begin crying for help but you
do not see the assigned nurse to assist the patient. What should you do first? - (answer)Check on
the patient's status and call for assistance.
When assessing for fever in your intubated patient, placement of the thermometer in which area
would be most accurate? - (answer)Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect their repeat
potassium level? - (answer)30-60 min
Your patient is receiving an anti-arrhythmic agent. Which of the following assessment
parameters is the MOST important for you to evaluate? - (answer)ECG
Your patient is undergoing a weaning trial from the ventilator. Fifteen minutes into the trial the
patient's heart rate increases to 140 bpm and they start to grab at their oxygen and IV tubing.
What should you do NEXT? - (answer)Stop weaning and rest the patient
,While assessing a patient just admitted to the hospital, he admits to drinking 12 cans of beer a
day, with the last drink being right before admission. What is the expected onset of delirium
tremens? - (answer)Within 48-72 hours
You have administered a pain medication that has a half-life of 120 minutes, onset of action 6
min, Tmax of 15 minutes, and is mostly excreted in the urine. When can the patient expect the
medication to start working? - (answer)6 minutes
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 exacerbation 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)Adjust the alarm parameters
How is dopamine usually administered in the ICU when given intravenously? -
(answer)Titratable continuous 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)Provide 100% oxygenation and prepare to suction
What is a complication of long term TPN? - (answer)Liver injury
Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line
placement? - (answer)Allen Test
You find the concentration of an IV medication bag that is hanging and infusing into your patient
does not match the concentration in the order. What should you do NEXT? - (answer)Stop the
infusion
Your patient has a right chest tube that was placed after thoracotomy. They report that is very
painful when they cough and request cough medicine. What should you do? - (answer)Teach
them to splint their right side when coughing and give pain medicine
Your patient had an unplanned self-extubation. They are now alert and sitting up. Their pulse
oximetry is 98% on 4 liters face mask. What action should you prioritize? - (answer)Inspecting
the oral cavity
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
GET A+
Your patient was intubated but still has oral medications on their list of medications. How should
you ensure they receive their medications? - (answer)Ask the provider to update the route of
administration.
What laboratory value should you monitor closely if your patient is vomiting coffee ground
emesis? - (answer)Hemoglobin
What ECG finding is indicative of hyperkalemia? - (answer)Peaked T waves
You witness a patient that is not assigned to you fall out of bed and begin crying for help but you
do not see the assigned nurse to assist the patient. What should you do first? - (answer)Check on
the patient's status and call for assistance.
When assessing for fever in your intubated patient, placement of the thermometer in which area
would be most accurate? - (answer)Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect their repeat
potassium level? - (answer)30-60 min
Your patient is receiving an anti-arrhythmic agent. Which of the following assessment
parameters is the MOST important for you to evaluate? - (answer)ECG
Your patient is undergoing a weaning trial from the ventilator. Fifteen minutes into the trial the
patient's heart rate increases to 140 bpm and they start to grab at their oxygen and IV tubing.
What should you do NEXT? - (answer)Stop weaning and rest the patient
,While assessing a patient just admitted to the hospital, he admits to drinking 12 cans of beer a
day, with the last drink being right before admission. What is the expected onset of delirium
tremens? - (answer)Within 48-72 hours
You have administered a pain medication that has a half-life of 120 minutes, onset of action 6
min, Tmax of 15 minutes, and is mostly excreted in the urine. When can the patient expect the
medication to start working? - (answer)6 minutes
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 exacerbation 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)Adjust the alarm parameters
How is dopamine usually administered in the ICU when given intravenously? -
(answer)Titratable continuous 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)Provide 100% oxygenation and prepare to suction
What is a complication of long term TPN? - (answer)Liver injury
Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line
placement? - (answer)Allen Test
You find the concentration of an IV medication bag that is hanging and infusing into your patient
does not match the concentration in the order. What should you do NEXT? - (answer)Stop the
infusion
Your patient has a right chest tube that was placed after thoracotomy. They report that is very
painful when they cough and request cough medicine. What should you do? - (answer)Teach
them to splint their right side when coughing and give pain medicine
Your patient had an unplanned self-extubation. They are now alert and sitting up. Their pulse
oximetry is 98% on 4 liters face mask. What action should you prioritize? - (answer)Inspecting
the oral cavity
