PROPHECY GENERAL ICU A V1, V2 AND V3 REAL
EXAM 2024 NEWEST VERSION QUESTIONS AND
ANSWERS |A GRADED
VERSION 1
You were hired to work the medical unit and when you arrive at
work the charge nurse has assigned you to the post-surgical unit
since they are understaffed. Which is the MOST appropriate action?
Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole
(Protonix) used for? Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a
severely contracted patient who is unable to bear weight when
transferring from the bed to the chair?
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient
with severe dementia? PAINAD scale
Your patient is admitted from the ED with failure to thrive and
advanced dementia. You note he is extremely underweight, appears
unbathed for some time, and has a stage 4 pressure injury to his coccyx.
You were told in report that he lives at home with family members.
What should you do?
Notify the charge nurse and social worker of your concerns.
Your 85-year-old patient with atrial fibrillation fell at home 3 days ago.
You notice she has been having several episodes of acute confusion
since being admitted to your unit. What is the MOST important order
you should anticipate from the provider?
Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of
urine from the indwelling urinary catheter in the last 2 hours. What is
your patient MOST likely experiencing.
Sepsis
,PROPHECY GENERAL ICU A V1, V2 AND V3 REAL
EXAM 2024 NEWEST VERSION QUESTIONS AND
ANSWERS |A GRADED
What type of personal protective equipment (PPE) is applied prior
to entering a room for a patient with C. diff?
Gown and gloves
Your patient continues to pull at their IV site located in their left forearm
despite verbal reminders and increased observation. The nursing
assistant recommends using soft mitt restraints on the patient. What is
your recommendation?
Request an order for soft mitts as they are the least restrictive
Your patient was admitted for a hypertensive crisis and has a
history of HTN, Parkinson's disease, depression, and alcohol use.
On his second hospitalized day, you notice he is more anxious and
restless than his baseline. What would be your FIRST nursing
intervention?
Ask the patient when his last drink of alcohol was.
1.2 milligrams is equal to how many
micrograms? 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do
you ensure effective drain function?
Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the
balloon during insertion of an indwelling urinary catheter. What
would be the MOST appropriate action?
Deflate the balloon, advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood
transfusion for religious reason. What is an appropriate response?
Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you
expect to be ordered for the patient?
broth, jello, soft fruit no skin,
,PROPHECY GENERAL ICU A V1, V2 AND V3 REAL
EXAM 2024 NEWEST VERSION QUESTIONS AND
ANSWERS |A GRADED
What is the BEST indication of an acute
neurological problem? Change in level of
consciousness
While in a supine position your patient states, "I'm tired and cannot
catch my breath." Physical assessment reveals jugular vein distention
and a third heart sound (S3). These symptoms are indicative of what
condition?
Heart failure
, PROPHECY GENERAL ICU A V1, V2 AND V3 REAL
EXAM 2024 NEWEST VERSION QUESTIONS AND
ANSWERS |A GRADED
Your new admission presents with a cough, unintentional weight loss,
frequent night sweats, and bloody sputum. What type of isolation
precautions should you initiate, if any?
Airborne precautions
Patients with diabetes are at high risk for complications from
damage to what body areas? Nerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms
of diaphoresis, cool skin, lethargy, and shakiness. What is your first
action?
Check the patient's blood glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be
brought back.? You notice on her chart and wrist band that she is a full
code. What would be the MOST appropriate action?
Discuss code status with the patient and follow up with provider to
ensure the medical record reflects her wishes.
Your coworker posted photos on social media from a birthday party
they had for her in the unit breakroom. What should be your NEXT
course of action?
No action is necessary because no PHI was displayed.
Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment?
Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You
walk into the room and find the patient lethargic and diaphoretic. What
is your first action?
Obtain capillary blood glucose level.
Your patient is 4 hours post open appendectomy and has not voided
yet. You note his lower abdomen is distended. What should you do
NEXT?
EXAM 2024 NEWEST VERSION QUESTIONS AND
ANSWERS |A GRADED
VERSION 1
You were hired to work the medical unit and when you arrive at
work the charge nurse has assigned you to the post-surgical unit
since they are understaffed. Which is the MOST appropriate action?
Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole
(Protonix) used for? Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a
severely contracted patient who is unable to bear weight when
transferring from the bed to the chair?
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient
with severe dementia? PAINAD scale
Your patient is admitted from the ED with failure to thrive and
advanced dementia. You note he is extremely underweight, appears
unbathed for some time, and has a stage 4 pressure injury to his coccyx.
You were told in report that he lives at home with family members.
What should you do?
Notify the charge nurse and social worker of your concerns.
Your 85-year-old patient with atrial fibrillation fell at home 3 days ago.
You notice she has been having several episodes of acute confusion
since being admitted to your unit. What is the MOST important order
you should anticipate from the provider?
Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of
urine from the indwelling urinary catheter in the last 2 hours. What is
your patient MOST likely experiencing.
Sepsis
,PROPHECY GENERAL ICU A V1, V2 AND V3 REAL
EXAM 2024 NEWEST VERSION QUESTIONS AND
ANSWERS |A GRADED
What type of personal protective equipment (PPE) is applied prior
to entering a room for a patient with C. diff?
Gown and gloves
Your patient continues to pull at their IV site located in their left forearm
despite verbal reminders and increased observation. The nursing
assistant recommends using soft mitt restraints on the patient. What is
your recommendation?
Request an order for soft mitts as they are the least restrictive
Your patient was admitted for a hypertensive crisis and has a
history of HTN, Parkinson's disease, depression, and alcohol use.
On his second hospitalized day, you notice he is more anxious and
restless than his baseline. What would be your FIRST nursing
intervention?
Ask the patient when his last drink of alcohol was.
1.2 milligrams is equal to how many
micrograms? 1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do
you ensure effective drain function?
Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the
balloon during insertion of an indwelling urinary catheter. What
would be the MOST appropriate action?
Deflate the balloon, advance the catheter further, then reinflate the balloon
Your patient has symptomatic anemia but is refusing a blood
transfusion for religious reason. What is an appropriate response?
Respect his wishes and notify the provider
Your patient is admitted with diverticulitis. What type of diet do you
expect to be ordered for the patient?
broth, jello, soft fruit no skin,
,PROPHECY GENERAL ICU A V1, V2 AND V3 REAL
EXAM 2024 NEWEST VERSION QUESTIONS AND
ANSWERS |A GRADED
What is the BEST indication of an acute
neurological problem? Change in level of
consciousness
While in a supine position your patient states, "I'm tired and cannot
catch my breath." Physical assessment reveals jugular vein distention
and a third heart sound (S3). These symptoms are indicative of what
condition?
Heart failure
, PROPHECY GENERAL ICU A V1, V2 AND V3 REAL
EXAM 2024 NEWEST VERSION QUESTIONS AND
ANSWERS |A GRADED
Your new admission presents with a cough, unintentional weight loss,
frequent night sweats, and bloody sputum. What type of isolation
precautions should you initiate, if any?
Airborne precautions
Patients with diabetes are at high risk for complications from
damage to what body areas? Nerve and kidney damage
If your patient with a known history of diabetes is displaying symptoms
of diaphoresis, cool skin, lethargy, and shakiness. What is your first
action?
Check the patient's blood glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be
brought back.? You notice on her chart and wrist band that she is a full
code. What would be the MOST appropriate action?
Discuss code status with the patient and follow up with provider to
ensure the medical record reflects her wishes.
Your coworker posted photos on social media from a birthday party
they had for her in the unit breakroom. What should be your NEXT
course of action?
No action is necessary because no PHI was displayed.
Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment?
Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You
walk into the room and find the patient lethargic and diaphoretic. What
is your first action?
Obtain capillary blood glucose level.
Your patient is 4 hours post open appendectomy and has not voided
yet. You note his lower abdomen is distended. What should you do
NEXT?
