PROPHECY SURGICAL ICU EXAM A V3 LATEST ACTUAL EXAM
100 QUESTIONS AND CORRECT DETAILED 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? - 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? - 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? - ANSWER: Hemoglobin
What ECG finding is indicative of hyperkalema? - 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? - 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? - ANSWER: Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? - 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? - 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? - 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? - 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 - 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? - ANSWER: It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast -
ANSWER: Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn
likely receive FIRST? - 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? - 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? - 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? - ANSWER: A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously -
ANSWER: Titratable continous infusion
Which of the following can be given through an enteral feeding tube? - ANSWER:
Immediate release pills
When donning an N-95 mask, how should you secure the nose? - 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? - ANSWER: Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you
take? - 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? - 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? - ANSWER: Liver injury
100 QUESTIONS AND CORRECT DETAILED 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? - 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? - 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? - ANSWER: Hemoglobin
What ECG finding is indicative of hyperkalema? - 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? - 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? - ANSWER: Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you collect
their repeat potassium level? - 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? - 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? - 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? - 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 - 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? - ANSWER: It is best if your family takes your belongings.
What is a significant complication of imaging studies performed with iv contrast -
ANSWER: Acute kidney injury
What respiratory support would an alert patient with an acute COPD exacerbatiobn
likely receive FIRST? - 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? - 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? - 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? - ANSWER: A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously -
ANSWER: Titratable continous infusion
Which of the following can be given through an enteral feeding tube? - ANSWER:
Immediate release pills
When donning an N-95 mask, how should you secure the nose? - 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? - ANSWER: Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you
take? - 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? - 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? - ANSWER: Liver injury
