Page 1 of 22
RN A V3 PROPHECY GENERAL ICU PRACTICE
EXAM QUESTIONS WITH VERIFIED ANSWERS
TESTED AND APPROVED
Your patient is intubated and begins to cough up clear mucous inside
their ETT. What should you do NEXT? -- ANSWER--Provide 100%
oxygenation and prepare to suction
What is a complication of long term TPN? -- ANSWER--Liver injury
Which assessment establishes baseline hand perfusion before an ABG
puncture or arterial line placement? -- ANSWER--Allen Test
You find the concentration of an IV medication bag that is hanging
and infusing into your patient does not match the concentration in the
order. What should you do NEXT? -- ANSWER--Stop the infusion
Your patient has a right chest tube that was placed after thoracotomy.
They report that is very painful when they cough and request cough
, Page 2 of 22
medicine. What should you do? -- ANSWER--Teach them to splint
their right side when coughing and give pain medicine
Your patient had an unplanned self-extubation. They are now alert and
sitting up. Their pulse oximetry is 98% on 4 liters face mask. What
action should you prioritize? -- ANSWER--Inspecting the oral cavity
Your are admitting a patient who is sedated and intubated directly
from the operating room after a major surgery. The anesthesia
provider connects the patient to the ventilator in the ICU room and
leaves before entering orders for the patient's ventilatory settings.
How should you proceed? -- ANSWER--Contact the ICU intensivist
or specialist assigned to the case
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--Adjust the
alarm parameters
How is dopamine usually administered in the ICU when given
intravenously? -- ANSWER--Titratable continuous infusion
, Page 3 of 22
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.
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.
RN A V3 PROPHECY GENERAL ICU PRACTICE
EXAM QUESTIONS WITH VERIFIED ANSWERS
TESTED AND APPROVED
Your patient is intubated and begins to cough up clear mucous inside
their ETT. What should you do NEXT? -- ANSWER--Provide 100%
oxygenation and prepare to suction
What is a complication of long term TPN? -- ANSWER--Liver injury
Which assessment establishes baseline hand perfusion before an ABG
puncture or arterial line placement? -- ANSWER--Allen Test
You find the concentration of an IV medication bag that is hanging
and infusing into your patient does not match the concentration in the
order. What should you do NEXT? -- ANSWER--Stop the infusion
Your patient has a right chest tube that was placed after thoracotomy.
They report that is very painful when they cough and request cough
, Page 2 of 22
medicine. What should you do? -- ANSWER--Teach them to splint
their right side when coughing and give pain medicine
Your patient had an unplanned self-extubation. They are now alert and
sitting up. Their pulse oximetry is 98% on 4 liters face mask. What
action should you prioritize? -- ANSWER--Inspecting the oral cavity
Your are admitting a patient who is sedated and intubated directly
from the operating room after a major surgery. The anesthesia
provider connects the patient to the ventilator in the ICU room and
leaves before entering orders for the patient's ventilatory settings.
How should you proceed? -- ANSWER--Contact the ICU intensivist
or specialist assigned to the case
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--Adjust the
alarm parameters
How is dopamine usually administered in the ICU when given
intravenously? -- ANSWER--Titratable continuous infusion
, Page 3 of 22
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.
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.
