PROPHECY GENERAL ICU A V3
1. One of your patients coded but is now stabilized and you are catching up on charting. The step-
down unit calls to get report on your other patient who is to be transfered. The nurses near you
do not appear busy. How should you prioritize your time?
(correct answers)Give report and ask the nurses to prepare the patient for transfer.
2. Your patient was intubated but still has oral medications on their list of medications. How
should you ensure they receive their medications?
(correct answers)Ask the provider to update the route of administration.
3. What laboratory value should you monitor closely if your patient is vomiting coffee ground
emesis? (correct answers)Hemoglobin
4. What ECG finding is indicative of hyperkalema?
(correct answers)peaked T wave
5. 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?
(correct answers)Check on the patient's status and call for assistance.
6. When assessing for fever in your intubated patient, placement of the thermometer in which
area would be most accurate?
(correct answers)Pulmonary artery or bladder
7. Your patient has just completed IV potassium replacement. When should you collect their
repeat potassium level?
(correct answers)30-60 min
8. Your patient is receiving an antiarrhythmic agent. Which of the following assessment
parameters is the MOST important for you to evaluate?
(correct answers)ECG
9. 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?
(correct answers)C. Stop weaning and rest the patient
10. 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?
(correct answers)Within 48-72 hours
11. 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 uring. when can the patient expect the
medication to start working
12. (correct answers)6 minutes
13. 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?
(correct answers)It is best if your family takes your belongings.
, 14. What is a significant complication of imaging studies performed with iv contrast (correct
answers)Acute kidney injury
15. What respiratory support would an alert patient with an acute COPD exacerbatiobn likely
receive FIRST? (correct answers)Bipap
16. Your intubated and unresponsive patient is scheduled for surgery in the morning. Who is the
most appropriate person to make decisions for your patient?
(correct answers)The healthcare POA
17. When administering a titratable infusion what information must you check on the medication IV
bag to confirm the correct dose is being administered?
(correct answers)Concentration
18. 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?
(correct answers)A. Adjust the alarm parameters
19. How is dopamine usually administered in the icu when given intravenously
(correct answers)Titratable continous infusion
20. Which of the following can be given through an enteral feeding tube?
(correct answers)Immediate release pills
21. When donning an N-95 mask, how should you secure the nose?
(correct answers)Fit the nose piece with both hands
22. What type of medication is used in the critical care setting to help manage the symptoms of
alcohol withdrawal?
(correct answers)Benzodiazepines
23. While admitting a patient with a history of IV drug use, what precautions should you take?
(correct answers)Carefully inspect items for presence of sharps.
24. Your patient is intubated and begins to cough up clear mucous inside their ETT. What should you
do NEXT?
(correct answers)A. Instill normal saline to lavage ETT*WRONG*
25. B. Sit the patient up to 30 degrees in bed *wrong*
26. C. Inspect their oral cavity and suction mouth
27. D. Provide 100% oxygenation and prepare to suction
28. What is a complication of long term TPN?
(correct answers)Liver injury
29. Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line
placement?
(correct answers)Allen Test
30. 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?
(correct answers)Stop the infusion
31. Your patient has a right chest tube that was placed after thoracotomy. They report that is very
painful when they cough and request cough medicing. What should you do?
(correct answers)Teach them to splint their right side when coughing and give pain medicine
1. One of your patients coded but is now stabilized and you are catching up on charting. The step-
down unit calls to get report on your other patient who is to be transfered. The nurses near you
do not appear busy. How should you prioritize your time?
(correct answers)Give report and ask the nurses to prepare the patient for transfer.
2. Your patient was intubated but still has oral medications on their list of medications. How
should you ensure they receive their medications?
(correct answers)Ask the provider to update the route of administration.
3. What laboratory value should you monitor closely if your patient is vomiting coffee ground
emesis? (correct answers)Hemoglobin
4. What ECG finding is indicative of hyperkalema?
(correct answers)peaked T wave
5. 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?
(correct answers)Check on the patient's status and call for assistance.
6. When assessing for fever in your intubated patient, placement of the thermometer in which
area would be most accurate?
(correct answers)Pulmonary artery or bladder
7. Your patient has just completed IV potassium replacement. When should you collect their
repeat potassium level?
(correct answers)30-60 min
8. Your patient is receiving an antiarrhythmic agent. Which of the following assessment
parameters is the MOST important for you to evaluate?
(correct answers)ECG
9. 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?
(correct answers)C. Stop weaning and rest the patient
10. 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?
(correct answers)Within 48-72 hours
11. 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 uring. when can the patient expect the
medication to start working
12. (correct answers)6 minutes
13. 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?
(correct answers)It is best if your family takes your belongings.
, 14. What is a significant complication of imaging studies performed with iv contrast (correct
answers)Acute kidney injury
15. What respiratory support would an alert patient with an acute COPD exacerbatiobn likely
receive FIRST? (correct answers)Bipap
16. Your intubated and unresponsive patient is scheduled for surgery in the morning. Who is the
most appropriate person to make decisions for your patient?
(correct answers)The healthcare POA
17. When administering a titratable infusion what information must you check on the medication IV
bag to confirm the correct dose is being administered?
(correct answers)Concentration
18. 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?
(correct answers)A. Adjust the alarm parameters
19. How is dopamine usually administered in the icu when given intravenously
(correct answers)Titratable continous infusion
20. Which of the following can be given through an enteral feeding tube?
(correct answers)Immediate release pills
21. When donning an N-95 mask, how should you secure the nose?
(correct answers)Fit the nose piece with both hands
22. What type of medication is used in the critical care setting to help manage the symptoms of
alcohol withdrawal?
(correct answers)Benzodiazepines
23. While admitting a patient with a history of IV drug use, what precautions should you take?
(correct answers)Carefully inspect items for presence of sharps.
24. Your patient is intubated and begins to cough up clear mucous inside their ETT. What should you
do NEXT?
(correct answers)A. Instill normal saline to lavage ETT*WRONG*
25. B. Sit the patient up to 30 degrees in bed *wrong*
26. C. Inspect their oral cavity and suction mouth
27. D. Provide 100% oxygenation and prepare to suction
28. What is a complication of long term TPN?
(correct answers)Liver injury
29. Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line
placement?
(correct answers)Allen Test
30. 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?
(correct answers)Stop the infusion
31. Your patient has a right chest tube that was placed after thoracotomy. They report that is very
painful when they cough and request cough medicing. What should you do?
(correct answers)Teach them to splint their right side when coughing and give pain medicine
