Prophecy General ICU A V3 exam with
verified solutions
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 ✔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
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