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Relias Prophecy General ICU Exam 2025: Practice Test & Study Guide

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Ace your 2025 Relias Prophecy General ICU assessment. This guide covers critical care nursing, hemodynamic monitoring, ventilator management, and complex patient scenarios. Get practice questions and key concepts for ICU competency certification.

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Page 1 of 16


RELIAS/ PROPHECY GENERAL ICU RN A V3 EXAM

NEWEST 2025 ACTUAL EXAM| COMPLETE REAL EXAM

QUESTIONS AND CORRECT VERIFIED ANSWERS/

ALREADY GRADED A+ (MOST RECENT!!)

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.

,Page 2 of 16


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

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

, Page 3 of 16


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 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

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