RELIAS PROPHECY GENERAL ICU RN A V3 QUESTIONS
WITH ACCURATE ANSWERS UPDATED 2024 -2025
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,a
ppear,busy.,How,should,you,prioritize,your,time?,,ANS,-
,,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,ens
ure,they,receive,their,medications?,,ANS,-,,Ask,the,provider,to,update,the,route,of,administration.
What,laboratory,value,should,you,monitor,closely,if,your,patient,is,vomiting,coffee,ground,emesis?,,ANS,
-,,Hemoglobin
What,ECG,finding,is,indicative,of,hyperkalemia?,,ANS,-,,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,s
ee,the,assigned,nurse,to,assist,the,patient.,What,should,you,do,first?,,ANS,-
,,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?,,ANS,-,,Pulmonary,artery,or,bladder
Your,patient,has,just,completed,IV,potassium,replacement.,When,should,you,collect,their,repeat,potassi
um,level?,,ANS,-,,30-60,min
Your,patient,is,receiving,an,anti-
arrhythmic,agent.,Which,of,the,following,assessment,parameters,is,the,MOST,important,for,you,to,evalu
ate?,,ANS,-,,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?,,ANS,-,,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,t
he,last,drink,being,right,before,admission.,What,is,the,expected,onset,of,delirium,tremens?,,ANS,-
,,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?,,ANS,-,,6,minutes
A,lethargic,but,oriented,patient,is,being,admitted,for,sepsis,and,their,family,member,is,in,the,waiting,are
a.,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?,,ANS,-,,It,is,best,if,your,family,takes,your,belongings.
What,is,a,significant,complication,of,imaging,studies,performed,with,IV,contrast?,,ANS,-
,,Acute,kidney,injury
What,respiratory,support,would,an,alert,patient,with,an,acute,COPD,exacerbation,likely,receive,FIRST?,,A
NS,-,,BiPAP
Your,intubated,and,unresponsive,patient,is,scheduled,for,surgery,in,the,morning.,Who,is,the,most,appro
priate,person,to,make,decisions,for,your,patient?,,ANS,-,,The,healthcare,POA
When,administering,a,titratable,infusion,what,information,must,you,check,on,the,medication,IV,bag,to,c
onfirm,the,correct,dose,is,being,administered?,,ANS,-,,Concentration
Your,patient,has,a,known,baseline,heart,rate,of,around,45.,The,ECG,monitor,keeps,alarming,when,the,he
art,rate,decreases,below,50.,Their,vital,signs,are,stable.,What,would,you,do?,,ANS,-
,,Adjust,the,alarm,parameters
How,is,dopamine,usually,administered,in,the,ICU,when,given,intravenously?,,ANS,-
,,Titratable,continuous,infusion
Which,of,the,following,can,be,given,through,an,enteral,feeding,tube?,,ANS,-,,Immediate,release,pills