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PROPHECY GENERAL ICU A V3 EXAM LATEST
2024/2025 WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS/ALREADY
GRADED A+
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.
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 hyperkalemia? -
.....ANSWER ...✔✔ Peaked T waves
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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 anti-arrhythmic 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
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NEXT? - .....ANSWER ...✔✔ 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 urine. 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
PROPHECY GENERAL ICU A V3 EXAM LATEST
2024/2025 WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS/ALREADY
GRADED A+
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.
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 hyperkalemia? -
.....ANSWER ...✔✔ Peaked T waves
,2|Page
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 anti-arrhythmic 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
, 3|Page
NEXT? - .....ANSWER ...✔✔ 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 urine. 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
