RELIAS PROPHECY GENERAL ICU A V3 EXAM
QUESTIONS WITH 100% CORRECT ANSWERS
CURRENTLY TESTED AND APPROVED!!!
What is a significant complication of imaging studies performed with iv
contrast --CORRECT ANSWER--Acute kidney injury
What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST? --CORRECT 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? --CORRECT 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? --
CORRECT ANSWER--Concentration
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? --CORRECT ANSWER--Give report and ask the nurses to
prepare the patient for transfer.
Page 1 of 116
,Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications? --
CORRECT 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? --CORRECT ANSWER--Hemoglobin
What ECG finding is indicative of hyperkalema? --CORRECT 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? --CORRECT 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? --CORRECT ANSWER--
Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level? --CORRECT 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? --
CORRECT ANSWER--ECG
Page 2 of 116
,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? --CORRECT
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? --CORRECT 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 --CORRECT
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? --CORRECT ANSWER--It is best if your family takes
your belongings.
Page 3 of 116
, Your patient is intubated and begins to cough up clear mucous inside their ETT.
What should you do NEXT? --CORRECT 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? --CORRECT ANSWER--Liver
injury
Which assessment establishes baseline hand perfusion before an ABG puncture
or arterial line placement? --CORRECT 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? --CORRECT 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 medicing. What
should you do? --CORRECT ANSWER--Teach them to splint their right side
when coughing and give pain medicine
Page 4 of 116
QUESTIONS WITH 100% CORRECT ANSWERS
CURRENTLY TESTED AND APPROVED!!!
What is a significant complication of imaging studies performed with iv
contrast --CORRECT ANSWER--Acute kidney injury
What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST? --CORRECT 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? --CORRECT 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? --
CORRECT ANSWER--Concentration
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? --CORRECT ANSWER--Give report and ask the nurses to
prepare the patient for transfer.
Page 1 of 116
,Your patient was intubated but still has oral medications on their list of
medications. How should you ensure they receive their medications? --
CORRECT 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? --CORRECT ANSWER--Hemoglobin
What ECG finding is indicative of hyperkalema? --CORRECT 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? --CORRECT 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? --CORRECT ANSWER--
Pulmonary artery or bladder
Your patient has just completed IV potassium replacement. When should you
collect their repeat potassium level? --CORRECT 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? --
CORRECT ANSWER--ECG
Page 2 of 116
,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? --CORRECT
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? --CORRECT 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 --CORRECT
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? --CORRECT ANSWER--It is best if your family takes
your belongings.
Page 3 of 116
, Your patient is intubated and begins to cough up clear mucous inside their ETT.
What should you do NEXT? --CORRECT 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? --CORRECT ANSWER--Liver
injury
Which assessment establishes baseline hand perfusion before an ABG puncture
or arterial line placement? --CORRECT 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? --CORRECT 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 medicing. What
should you do? --CORRECT ANSWER--Teach them to splint their right side
when coughing and give pain medicine
Page 4 of 116
