RELIAS/PROPHECY GENERAL ICU RN A V3 ACTUAL EXAM 2023-2024

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? – ANSWERWithin 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 – 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? – ANSWER- It is best if
your family takes your belongings.
What is a significant complication of imaging studies performed with iv
contrast – ANSWER- Acute kidney injury

What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST? – 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? – 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? – 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? – ANSWER- A. Adjust the
alarm parameters
How is dopamine usually administered in the icu when given
intravenously – ANSWER- Titratable continous infusion
Which of the following can be given through an enteral feeding tube? –
ANSWER- Immediate release pills
When donning an N-95 mask, how should you secure the nose? –
ANSWER- Fit the nose piece with both hands

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