RELIAS/PROPHECY GENERAL ICU RN A V3
NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
.A code is initiated and the second nurse is observed not following ACLS protocol. What is the BEST action to
take? - Answer-Stop the nurse immediately and institute ACLS protocol
.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.
.After turning a patient with CVP monitoring what should you do to ensure accuracy of the CVP reading? -
Answer-Zero the line at phlebostatic axis
.An intubated patient with a GCS of 3 is admitted to the ICU from the ER after being found down for an
unknown amount of time at home. The CT scan reveals profuse cerebral edema. When is the BEST time to
notify organ donation services? - Answer-Within 24 hours of admission to the ICU
.Besides the white blood cells, what laboratory value is used in the diagnosis of sepsis? - Answer-Lactic acid
.During cardiogenic shock what temporary intervention might be ordered to improve perfusion until
definitive treatment is provided? - Answer-Inotropic infusion
.During the first hour of tPA infusion, how frequently should you monitor blood pressure? - Answer-Every 15
minutes
, .For a patient with septic shock, What would you monitor to objectively determine the effectiveness and
need to titrate a dobutamine infusion. - Answer-ScVo2
.How is dopamine usually administered in the ICU when given intravenously? - Answer-Titratable continuous
infusion
.In a patient with septic shock, after fluid administration which of the following findings is MOST suggestive
of the need to start a vasopressor? - Answer-Mean arterial pressure 40-50 mmHg
.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 transferred. 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.
.The provider has ordered 2 units of FFP to be transfused. Your patient's religious beliefs prevent them from
accepting blood products. What is your BEST response? - Answer-Inform the provider and discuss additional
options.
.What acid/base imbalance is MOST likely to be found in a patient with COPD - Answer-Respiratory acidosis
.What assessment tool is needed for a patient who has uncomplicated retrosternal hemorrhage? - Answer-
Follow up imaging test
.What cardiac condition shows cardiomegaly on chest x-ray? - Answer-Systolic heart failure
.What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect? - Answer-Delirium
.What ECG finding is indicative of hyperkalemia? - Answer-Peaked T waves
NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
.A code is initiated and the second nurse is observed not following ACLS protocol. What is the BEST action to
take? - Answer-Stop the nurse immediately and institute ACLS protocol
.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.
.After turning a patient with CVP monitoring what should you do to ensure accuracy of the CVP reading? -
Answer-Zero the line at phlebostatic axis
.An intubated patient with a GCS of 3 is admitted to the ICU from the ER after being found down for an
unknown amount of time at home. The CT scan reveals profuse cerebral edema. When is the BEST time to
notify organ donation services? - Answer-Within 24 hours of admission to the ICU
.Besides the white blood cells, what laboratory value is used in the diagnosis of sepsis? - Answer-Lactic acid
.During cardiogenic shock what temporary intervention might be ordered to improve perfusion until
definitive treatment is provided? - Answer-Inotropic infusion
.During the first hour of tPA infusion, how frequently should you monitor blood pressure? - Answer-Every 15
minutes
, .For a patient with septic shock, What would you monitor to objectively determine the effectiveness and
need to titrate a dobutamine infusion. - Answer-ScVo2
.How is dopamine usually administered in the ICU when given intravenously? - Answer-Titratable continuous
infusion
.In a patient with septic shock, after fluid administration which of the following findings is MOST suggestive
of the need to start a vasopressor? - Answer-Mean arterial pressure 40-50 mmHg
.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 transferred. 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.
.The provider has ordered 2 units of FFP to be transfused. Your patient's religious beliefs prevent them from
accepting blood products. What is your BEST response? - Answer-Inform the provider and discuss additional
options.
.What acid/base imbalance is MOST likely to be found in a patient with COPD - Answer-Respiratory acidosis
.What assessment tool is needed for a patient who has uncomplicated retrosternal hemorrhage? - Answer-
Follow up imaging test
.What cardiac condition shows cardiomegaly on chest x-ray? - Answer-Systolic heart failure
.What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect? - Answer-Delirium
.What ECG finding is indicative of hyperkalemia? - Answer-Peaked T waves
