Prophecy general ICU A V3
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? -
answersGive 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? - answersAsk the provider to
update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? - answersHemoglobin
What ECG finding is indicative of hyperkalema? - answerspeaked 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? -
answersCheck 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? - answersPulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? - answers30-60 min
, Your patient is receiving an antiarrhythmic agent. Which of the following assessment
parameters is the MOST important for you to evaluate? - answersECG
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? - answersC. 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? - answersWithin 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 - answers6 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? -
answersIt is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast -
answersAcute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn
likely receive FIRST? - answersBipap
Your intubated and unresponsive patient is scheduled for surgery in the morning. Who
is the most appropriate person to make decisions for your patient? - answersThe
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? -
answersConcentration
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? - answersA. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously -
answersTitratable continous infusion
Which of the following can be given through an enteral feeding tube? -
answersImmediate release pills
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? -
answersGive 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? - answersAsk the provider to
update the route of administration.
What laboratory value should you monitor closely if your patient is vomiting coffee
ground emesis? - answersHemoglobin
What ECG finding is indicative of hyperkalema? - answerspeaked 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? -
answersCheck 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? - answersPulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? - answers30-60 min
, Your patient is receiving an antiarrhythmic agent. Which of the following assessment
parameters is the MOST important for you to evaluate? - answersECG
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? - answersC. 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? - answersWithin 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 - answers6 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? -
answersIt is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast -
answersAcute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn
likely receive FIRST? - answersBipap
Your intubated and unresponsive patient is scheduled for surgery in the morning. Who
is the most appropriate person to make decisions for your patient? - answersThe
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? -
answersConcentration
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? - answersA. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously -
answersTitratable continous infusion
Which of the following can be given through an enteral feeding tube? -
answersImmediate release pills
