Prophecy general ICU A V3. LATEST Summer 2022.
Graded A pdf
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 Answer: Give report and ask
the nurses to prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of medications. How should
you ensure they receive their medications? Correct 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? Correct Answer: Hemoglobin
What ECG finding is indicative of hyperkalema? Correct Answer: peaked T wave
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 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? Correct Answer: Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect their repeat
potassium level? Correct Answer: 30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters
is the MOST important for you to evaluate? Correct 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? Correct Answer: C. 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? Correct 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 uring. when can the patient expect the
medication to start working Correct 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? Correct Answer: It is best
if your family takes your belongings.
, What is a significant complication of imaging studies performed with iv contrast Correct
Answer: Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive
FIRST? Correct 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? Correct 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? Correct 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? Correct
Answer: A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously Correct Answer:
Titratable continous infusion
Which of the following can be given through an enteral feeding tube? Correct Answer:
Immediate release pills
When donning an N-95 mask, how should you secure the nose? Correct 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? Correct Answer: Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you take?
Correct 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? Correct Answer: A. Instill normal saline to lavage ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
What is a complication of long term TPN? Correct Answer: Liver injury
Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line
placement? Correct Answer: Allen Test
Graded A pdf
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 Answer: Give report and ask
the nurses to prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of medications. How should
you ensure they receive their medications? Correct 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? Correct Answer: Hemoglobin
What ECG finding is indicative of hyperkalema? Correct Answer: peaked T wave
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 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? Correct Answer: Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect their repeat
potassium level? Correct Answer: 30-60 min
Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters
is the MOST important for you to evaluate? Correct 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? Correct Answer: C. 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? Correct 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 uring. when can the patient expect the
medication to start working Correct 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? Correct Answer: It is best
if your family takes your belongings.
, What is a significant complication of imaging studies performed with iv contrast Correct
Answer: Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn likely receive
FIRST? Correct 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? Correct 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? Correct 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? Correct
Answer: A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously Correct Answer:
Titratable continous infusion
Which of the following can be given through an enteral feeding tube? Correct Answer:
Immediate release pills
When donning an N-95 mask, how should you secure the nose? Correct 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? Correct Answer: Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you take?
Correct 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? Correct Answer: A. Instill normal saline to lavage ETT*WRONG*
B. Sit the patient up to 30 degrees in bed *wrong*
C. Inspect their oral cavity and suction mouth
D. Provide 100% oxygenation and prepare to suction
What is a complication of long term TPN? Correct Answer: Liver injury
Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line
placement? Correct Answer: Allen Test
