Relias Prophecy general ICU A V3( 700 questions with- correct answers)
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.
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
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.
What is a significant complication of imaging studies performed with iv contrast -- correct
answer Acute kidney injury
,Relias Prophecy general ICU A V3( 700 questions with- correct answers)
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
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? --
correct answer A. Adjust the alarm parameters
How is dopamine usually administered in the icu when given intravenously -- correct answer
Titratable continous infusion
Which of the following can be given through an enteral feeding tube? -- correct answer
Immediate release pills
When donning an N-95 mask, how should you secure the nose? -- correct 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? -- correct answer Benzodiazepines
While admitting a patient with a history of IV drug use, what precautions should you take? --
correct answer Carefully inspect items for presence of sharps.
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
,Relias Prophecy general ICU A V3( 700 questions with- correct answers)
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
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? -- correct answer A.
Inspecting the oral cavity
B. Checking blood pressure and the heart rate*WRONG
C. Administering an albuterol nebulizer
D. Performing an ordered STAT ABG *WRONG
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? -- correct 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. -- correct answer ScVo2
Which of the following actions complies with ventilator acquired pneumonia (VAP) prevention
protocols? -- correct answer Keep head of bed 30-45 degrees
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? -- correct answer Follow up imaging test
Which condition may cause increased effects from a medication that is mostly metabolized by
the liver? -- correct answer Hepatitis C
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? -- correct 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? -- correct answer Pre-hydration with IV Fluids
Your patient is intubated with an ETT and sedated without spontaneous monements when the
ventilator alarms with a high-pressure warning. The ventilator tubing is free and unkinked.
What should you do NEXT? -- correct 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? -- correct
answer Pulmonary embolism
, Relias Prophecy general ICU A V3( 700 questions with- correct answers)
What IV sedative would MOST likely be ordered for a non-intubated patient? -- correct answer
Dexmedetkomidine (precedex)
What is the normal cardiovasculat response to early sepsis? -- correct 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 mmHg 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? -- correct answer Assess Patient B's respiratory status
Which of the following diets would be BEST for a patient with renal failure? -- correct answer
Low sodium, Low potassium and moderate protein
Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral crackles
on auscultation and has gained weight since admission. What action should you take? -- correct
answer Discuss increasing the furosemide infusion with the provider
What ventilator adjustment do you expect when your patient's ABG is pH 7.40, PaCO2 112,
BICARB 22? -- correct answer Decrease in FiO2
What information do you need from the provider to setup a cerebral intraventricular drainage
system? -- correct answer Maximum ICP
After turning a patient with CVP monitoring what should you do to ensure accuracy of the CVP
reading? -- correct answer Zero the line at phlebostatic axis
In a patient with septic shock, after fluid administration which of the following findings is MOST
suggestive of the need to start a vasopressor? -- correct answer Mean arterial pressure 40-50
mmHg
Your patient's family does not want to tell the patient of their life-threatening diagnosis and
pleads with you not to let the patient know. What is the MOST appropriate response? -- correct
answer Acknowledge the family's concerns and recommend a meeting with the family and
interdisciplinary team.
What is the BEST way to determine a STEMI? -- correct answer 12 Lead ECG
What condition does the Confusion Assessment Method for ICU (CAM-ICU) detect? -- correct
answer Delirium
You are caring for an underweight, older adult who is intubated, sedated, and septic. You have
implemented turning every 2 hours. While inspectingthe patient's back you notice bony
prominences with intact but reddened skin. What should youinclude in the plan of care? --
correct answer Use of specialized air bed
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