RELIAS/PROPHECY GENERAL ICU RN A V3 (ACTUAL
2025/2026) QUESTIONS AND VERIFIED CORRECT ANSWERS
Your patient on a furosemide infusion has a positive daily fluid
balance, new bilateral crackles on auscultation and has gained
weight since admission. What action should you take? - ----
Answers-----Discuss increasing the furosemide infusion with
the provider
What ventilator adjustment do you expect when your patient's
ABG is pH 7.40, PaCO2 112, BICARB 22? - ----Answers-----
Decrease in FiO2
What information do you need from the provider to setup a
cerebral intraventricular drainage system? - ----Answers----
-Maximum ICP
After turning a patient with CVP monitoring what should you
do to ensure accuracy of the CVP reading? - ----Answers----
-Zero the line at phlebostatic axis
In a patient with septic shock, after fluid administration which
of the following findings is MOST suggestive of the need to
start a vasopressor? - ----Answers-----Mean arterial
pressure 40-50 mmHg
Your patient's family does not want to tell the patient of their
life-threatening diagnosis and pleads with you not to let the
patient know. What is the MOST appropriate response? - ----
, Answers-----Acknowledge the family's concerns and
recommend a meeting with the family and interdisciplinary
team.
What is the BEST way to determine a STEMI? - ----Answers--
---12 Lead ECG
What condition does the Confusion Assessment Method for ICU
(CAM-ICU) detect? - ----Answers-----Delirium
You are caring for an underweight, older adult who is
intubated, sedated, and septic. You have implemented turning
every 2 hours. While inspecting the patient's back you notice
bony prominences with intact but reddened skin. What should
you include in the plan of care? - ----Answers-----Use of
specialized air bed
You are to administer 1 mg of morphine IV but it only comes in
a 2 mg vial. How should you proceed? - ----Answers-----
Waste 1 mg with a second nurse and then give the drug to the
patient
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? - ----Answers-----
Inform the provider and discuss additional options.
2025/2026) QUESTIONS AND VERIFIED CORRECT ANSWERS
Your patient on a furosemide infusion has a positive daily fluid
balance, new bilateral crackles on auscultation and has gained
weight since admission. What action should you take? - ----
Answers-----Discuss increasing the furosemide infusion with
the provider
What ventilator adjustment do you expect when your patient's
ABG is pH 7.40, PaCO2 112, BICARB 22? - ----Answers-----
Decrease in FiO2
What information do you need from the provider to setup a
cerebral intraventricular drainage system? - ----Answers----
-Maximum ICP
After turning a patient with CVP monitoring what should you
do to ensure accuracy of the CVP reading? - ----Answers----
-Zero the line at phlebostatic axis
In a patient with septic shock, after fluid administration which
of the following findings is MOST suggestive of the need to
start a vasopressor? - ----Answers-----Mean arterial
pressure 40-50 mmHg
Your patient's family does not want to tell the patient of their
life-threatening diagnosis and pleads with you not to let the
patient know. What is the MOST appropriate response? - ----
, Answers-----Acknowledge the family's concerns and
recommend a meeting with the family and interdisciplinary
team.
What is the BEST way to determine a STEMI? - ----Answers--
---12 Lead ECG
What condition does the Confusion Assessment Method for ICU
(CAM-ICU) detect? - ----Answers-----Delirium
You are caring for an underweight, older adult who is
intubated, sedated, and septic. You have implemented turning
every 2 hours. While inspecting the patient's back you notice
bony prominences with intact but reddened skin. What should
you include in the plan of care? - ----Answers-----Use of
specialized air bed
You are to administer 1 mg of morphine IV but it only comes in
a 2 mg vial. How should you proceed? - ----Answers-----
Waste 1 mg with a second nurse and then give the drug to the
patient
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? - ----Answers-----
Inform the provider and discuss additional options.
