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Prophecy general ICU A V3 Questions & Answers, Distinction Level Assignment Has everything.
Question 1: 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?
CORRECT ANSWER : Give report and ask the nurses to
prepare the patient for transfer.
Question 2: 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.
Question 3: What laboratory value should you monitor closely if
your patient is vomiting coffee ground emesis?
CORRECT ANSWER : Hemoglobin
Question 4: What ECG finding is indicative of hyperkalemia?
CORRECT ANSWER : peaked T wave
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Question 5: 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.
Question 6: 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
Question 7: Your patient has just completed IV potassium
replacement. When should you collect their repeat potassium level?
CORRECT ANSWER : 30-60 min
Question 8: Your patient is receiving an antiarrhythmic agent.
Which of the following assessment parameters is the MOST important for you to evaluate?
CORRECT ANSWER : ECG
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Question 9: 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
Question 10: 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
Question 11: 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?
CORRECT ANSWER : 6 minutes
Question 12: A lethargic but oriented patient is being admitted
for sepsis and their family member is in the waiting area. Their belongings include a ring, cell phone, and wallet. The patient
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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.
Question 13: What is a significant complication of imaging
studies performed with IV contrast?
CORRECT ANSWER : Acute kidney injury
Question 14: What respiratory support would an alert patient
with an acute COPD exacerbation likely receive FIRST?
CORRECT ANSWER : Bipap
Question 15: 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
Question 16: When administering a titratable infusion what
information must you check on the medication IV bag to confirm the correct dose is being administered?