Prophecy General ICU RN A v2 (2024/2025) Exam Questions with Correct Detailed Answers || Already Graded A+ <LATEST VERSION>
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Prophecy Relias General ICU
Prophecy General ICU RN A v2 (2024/2025) Exam Questions with Correct Detailed Answers || Already Graded A+ <LATEST VERSION>
Which lab value is used to determine the severity of sepsis - ANSWER lactic acid
An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for wh...
Prophecy General ICU RN A v2
(2024/2025) Exam Questions with
Correct Detailed Answers || Already
Graded A+ <LATEST VERSION>
Which lab value is used to determine the severity of sepsis - ANSWER ✔ lactic
acid
An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for
which diagnosis? - ANSWER ✔ Adrenal crisis
The most common cause for the patient to file a nursing negligence claim is -
ANSWER ✔ Ineffective communication
Which medication is a paralytic - ANSWER ✔ Vecuronium
90% of thrombi develop in which area of the body? - ANSWER ✔ Legs
Which medications is usually the first to be administered during status epilepticus
- ANSWER ✔ Ativan
Pt's BP on admission was 110/40, and Hgb was 10.5. The BP is now 80/50 and pt
is vomiting coffee ground emesisi. You expect Hgb to be: - ANSWER ✔ 8
You note the appearance of a U wave on the ECG tracing of your patient, This
would indicate that the nurse check laboratory values for the presence of -
ANSWER ✔ Hypokalemia
Must be performed prior to A-line insertion - ANSWER ✔ Allen test
Diet best for patient with renal failure? - ANSWER ✔ low sodium, low potassium,
and moderate protein
, You're caring for a 49 yo head trauma pt with an ICP line. What is the formula for
calculating the CPP? - ANSWER ✔ MAP - ICP
Pt presents with fever, chills, cough, SOB and chest pain. Which diagnosis would
you anticipate? - ANSWER ✔ Pneumonia
CVP normal range - ANSWER ✔ 2-8 mmHg
Pt presents with stiff neck, headache and fever for the last 24 hr. What condition
would you suspect? - ANSWER ✔ Bacterial meningitis
Hypotensive crisis, which med would you anticipate giving? - ANSWER ✔
Levophed
Hypotonic solution - ANSWER ✔ 0.45% NS
What pathological condition might you suspect in a patient with a serum sodium
of 165 and serum osmolality of 330? - ANSWER ✔ Diabetes Insipidus
Med commonly used to decrease ICP - ANSWER ✔ Mannitol
You 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
For a patient with septic shock, What would you monitor to objectively determine
the effectiveness and need to titrate a dobutamine infusion. - ANSWER ✔ ScVo2
Which of the following actions complies with ventilator acquired pneumonia
(VAP) prevention protocols? - ANSWER ✔ Keep head of bed 30-45 degrees
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - ANSWER ✔ Follow up imaging test
, Which condition may cause increased effects from a medication that is mostly
metabolized by the liver? - ANSWER ✔ Hepatitis C
Which of the following hormones is secreted by the thyroid gland? - ANSWER ✔
calcitonin
An intubated patient with a GCS of 3 is admitted to the ICU from the ER after
being found down for an unknown amount of time at home. The CT scan reveals
profuse cerebral edema. When is the BEST time to notify organ donation services?
- ANSWER ✔ Within 24 hours of admission to the ICU
What order is included in the pre-procedural checklist for patients at risk for acute
kidney injury who are to receive IV contrast? - ANSWER ✔ Pre-hydration with IV
Fluids
Your patient is intubated with an ETT and sedated without spontaneous
movements when the ventilator alarms with a high-pressure warning. The
ventilator tubing is free and unkinked. What should you do NEXT? - ANSWER ✔
Provide 100% oxygen and prepare to suction the patient
Your postoperative patient suddenly becomes dyspneic, clutches their chest and
their Sp02 drops to 89% the patient has a swollen left calf. what condition do you
suspect? - ANSWER ✔ Pulmonary embolism
What IV sedative would MOST likely be ordered for a non-intubated patient? -
ANSWER ✔ Dexmedetomidine (Precedex)
What is the normal cardiovascular response to early sepsis? - ANSWER ✔
Increased cardiac output
You have just received report on Patient A and Patient B. Patient A is intubated,
sedated, and on a vasoactive infusion to keep their BP greater than 110 mm Hg
systolic on an arterial line. Patient B was extubated an hour ago and has a
scheduled glucose check due in 1 hour. What is your PRIORITY action? -
ANSWER ✔ Assess Patient B's respiratory status
Which of the following diets would be BEST for a patient with renal failure? -
ANSWER ✔ Low sodium, Low potassium and moderate protein
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