Prophecy general ICU A V3 Questions & Answers
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 Ans- 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 Ans- 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 Ans- Hemoglobin
What ECG finding is indicative of hyperkalema?
Correct Ans- 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 Ans- 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
Ans- Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level?
Correct Ans- 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 Ans- 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 Ans- 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 Ans-
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 Ans- 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 Ans- It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with
iv contrast
Correct Ans- Acute kidney injury
What respiratory support would an alert patient with an acute
COPD exacerbatiobn likely receive FIRST? Correct Ans- 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 Ans- 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 Ans- Concentration
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 Ans- 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 Ans- 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 Ans- Hemoglobin
What ECG finding is indicative of hyperkalema?
Correct Ans- 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 Ans- 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
Ans- Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level?
Correct Ans- 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 Ans- 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 Ans- 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 Ans-
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 Ans- 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 Ans- It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with
iv contrast
Correct Ans- Acute kidney injury
What respiratory support would an alert patient with an acute
COPD exacerbatiobn likely receive FIRST? Correct Ans- 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 Ans- 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 Ans- Concentration
