{"id":117274,"date":"2023-08-28T12:07:53","date_gmt":"2023-08-28T12:07:53","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117274"},"modified":"2023-08-28T12:07:54","modified_gmt":"2023-08-28T12:07:54","slug":"prophecy-general-icu-rn-a-v1-v2-v3-questions-answers-distinction-level-assignment-has-everything","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/prophecy-general-icu-rn-a-v1-v2-v3-questions-answers-distinction-level-assignment-has-everything\/","title":{"rendered":"Prophecy general ICU RN A V1, V2 &amp; V3 Questions &amp; Answers, Distinction Level Assignment Has everything."},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Prophecy General ICU RN A v2 updated 2022.<br>The patient&#8217;s ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq\/L . What type of<br>acid imbalance does he have.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Metabolic Acidosis<br>Common complications of massive transfusions are<\/li>\n\n\n\n<li>Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis<br>Long term use of TPN may lead to:<\/li>\n\n\n\n<li>Liver Failure<br>Which of the following is a potential complication of high PEEP<\/li>\n\n\n\n<li>Pneumothorax<br>What is a common assessment finding for a patient returning from a small bowel<br>resection?<\/li>\n\n\n\n<li>Hypoactive bowel sounds<br>Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy<br>skin. Which of the following would you suspect.<\/li>\n\n\n\n<li>A)<em>WRONG<\/em> Hypoxemia<br>B) *Wrong * Acute MI<br>C) Panic Attack<br>D) Hypoglycemia<br>The staff nurse asks the nursing assistant to check on a patient. The nursing<br>assistant reports back that the patient is experiencing chest pain and is diaphorectic.<br>Which of the following can the staff nurse delegate to the assistant?<\/li>\n\n\n\n<li>A) <em>WRONG<\/em> Calling the physician<br>B) <em>Wrong<\/em> Gathering vitals and assessing the cause for the change in status<br>C) Informing the charge nurse that a patient needs attention<br>D) Obtaining a medication for the nurse to administer to the patient<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Your patient returned from PACU after surgery and is very drowsy. She attempts<br>to eat a candy bar and begins to choke. The physician is unable to clear the airway.<br>You would expect to prepare for which of the following. emergency procedures?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C) Tracheostomy<br>The initial insulin therapy for a patient with acute DKA is usually administered by<br>which route<\/li>\n\n\n\n<li>Intravenous bolus followed by a continuous infusion<br>Screening tests for DIC include:<\/li>\n\n\n\n<li>D-Dimer and FDPs<br>Which of the following hormones is secreted by the hypothalamus in an effort to<br>regulate water balance?<\/li>\n\n\n\n<li>ADH<br>Which of the following IV sedatives would most likely be ordered for a nonintubated patient?<\/li>\n\n\n\n<li>Precedex<br>Your patient is in bed and eating lunch when they begin to cough and gag.<br>Suddenly they become dyspneic and bradycardic with excessive salivation. What<br>do you suspect happened?<\/li>\n\n\n\n<li>Aspiration<br>Which of the following is a response of the cardiovascular system to early sepsis? &#8211;<br>Increased cardiac output and reduced systemic vascular resistance<br>Which patient would you expect to be extubated?<\/li>\n\n\n\n<li>Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5<br>Your patient is in a Hypertensive crisis. What medication can you expect the<br>doctor to order.<\/li>\n\n\n\n<li>Nicardipine<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Prophecy general ICU A V3 Questions &amp; Answers; Fall 2022.<br>One of your patients coded but is now stabilized and you are catching up on<br>charting. The step-down unit calls to get report on your other patient who is<br>to be transfered. The nurses near you do not appear busy. How should you<br>prioritize your time?<br>Correct Ans- Give report and ask the nurses to prepare the patient for<br>transfer.<br>Your patient was intubated but still has oral medications on their list of<br>medications. How should you ensure they receive their medications?<br>Correct Ans- Ask the provider to update the route of administration.<br>What laboratory value should you monitor closely if your patient is vomiting<br>coffee ground emesis?<br>Correct Ans- Hemoglobin<br>What ECG finding is indicative of hyperkalema?<br>Correct Ans- peaked T wave<br>You witness a patient that is not assigned to you fall out of bed and begin<br>crying for help but you do not see the assigned nurse to assist the patient.<br>What should you do first?<br>Correct Ans- Check on the patient&#8217;s status and call for assistance.<br>When assessing for fever in your intubated patient, placement of the<br>thermometer in which area would be most accurate?<br>Correct Ans- Pulmonary artery or bladder<br>Your patient has just completed IV potassium replacement. When should you<br>collect their repeat potassium level?<br>Correct Ans- 30-60 min<br>Your patient is receiving an antiarrhythmic agent. Which of the following<br>assessment parameters is the MOST important for you to evaluate?<br>Correct Ans- ECG<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Your patient is undergoing a weaning trial from the ventilator. Fifteen minutes<br>into the trial the patient&#8217;s heart rate increases to 140 bpm and they start to<br>grab at their oxygen and IV tubing. What should you do NEXT?<br>Correct Ans- C. Stop weaning and rest the patient<br>While assessing a patient just admitted to the hospital, he admits to drinking<br>12 cans of beer a day, with the last drink being right before admission. What is<br>the expected onset of delirium tremens?<br>Correct Ans- Within 48-72 hours<br>You have administered a pain medication that has a half-life of 120 minutes,<br>onset of action 6 min, tmax of 15 minutes, and is mostly excreted in the uring.<br>when can the patient expect the medication to start working<br>Correct Ans- 6 minutes<br>A lethargic but oriented patient is being admitted for sepsis and their family<br>member is in the waiting area. Their belonging include a ring, cell phone, and<br>wallet. The patient asks if they can keep the ring on and phone at bedside.<br>What is your BEST response?<br>Correct Ans- It is best if your family takes your belongings.<br>What is a significant complication of imaging studies performed with iv<br>contrast<br>Correct Ans- Acute kidney injury<br>What respiratory support would an alert patient with an acute COPD<br>exacerbatiobn likely receive FIRST?<br>Correct Ans- Bipap<br>Your intubated and unresponsive patient is scheduled for surgery in the<br>morning. Who is the most appropriate person to make decisions for your<br>patient?<br>Correct Ans- The healthcare POA<br>When administering a titratable infusion what information must you check on<br>the medication IV bag to confirm the correct dose is being administered?<br>Correct Ans- Concentration<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prophecy ICU RN A v1 Exam.<br>Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in the<br>PACU. Meperidine is available in 50mg\/1ml. How many mililiters should be given?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>0.25 mililiters<br>Upon inspecting a patient&#8217;s epidural insertion site, you notice swelling around the<br>catheter. What should you do?<\/li>\n\n\n\n<li>A) Position the patient on their side<br>B) Place the patient in a prone position<br>C) Check the epidural line for kinks<br>***D) Contact the anesthesia provider<br>What set of findings indicates a patient is likely to be ready for phase 1 discharge?<\/li>\n\n\n\n<li>A) Has received discharge instructions, pain level 9 out 10, shortness of breath<br>B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via face<br>mask<br>***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities<br>D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2 extremities<br>What do you consider to be a safe dose of intravenous fentanyl for an adult who does<br>not have tolerance to opioids?<\/li>\n\n\n\n<li>A) 1.5 miligrams<br>***B) 25 micrograms<br>C) 100 micrograms<br>D 25 miligrams<br>Your patient in the PACU has a blood pressure of 171\/92 mmHg, a heart rate of 120,<br>respiratory rate of 24, is grimacing, restless, and moaning in bed. What medication<br>should you prepare to give FIRST?<\/li>\n\n\n\n<li>A) 10 mg hydralazine IV push<br>***B) 50 mcg fentanyl IV push<br>C) 2 mg lorazepam IV push<br>D) 5 mg metoprolol IV push<br>You are about to discharge a day surgery patient with aphasia and you discover the<br>family members are not available for the discharge instructions and are not responding<br>to your phone calls. Business hours are over and the PACU is about to close. How will<br>you handle the situation?<\/li>\n\n\n\n<li>***A) Wait until the family returns<br>B) Leave the discharge education on voicemail and discharge patient<br>C) Discharge patient with non-emergency transport<br>D) Take patient home yourself<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">You received a patient from OR post hip replacement surgery. The anesthesiologist is<br>planning a nerve block in PACU, but the patient did not sign the consent for the nerve<br>block. How will you proceed?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A) Wake up the patient to sign the consent<br>B) Ask a friend to sign the consent<br>***C) Obtain the consent from medical POA<br>D) Proceed with the procedure<br>What position would help alleviate headaches after spinal anesthesia?<\/li>\n\n\n\n<li>A) Prone<br>B) Trendelenburg<br>C) Semi-fowlers<br>***D) Flat to supine<br>**<em>WRONG<\/em>**<br>What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)?<\/li>\n\n\n\n<li>A) Decreased consciousness<br>B) Decreased pupillary light reflex<br>C) Decreased respiratory effort<br><strong><em>WRONG<\/em><\/strong>D) Decreased sensation of pain<br>The surgeon has ordered ampicillin (Ancef) for a patient. When you check their chart,<br>you see an allergy to penicillin. What is the BEST action?<\/li>\n\n\n\n<li>A) Administer the medication with diphenhydramine<br>B) Ask the patient to describe their reaction to penicillin<br>C) Contact the pharmacist to clarify the order<br>***D) Contact the provider to question the order<br>You are receiving report for a patient who had a percutaneous transluminal angioplasty<br>for right lower extremity peripheral vascular disease and is now recovering in the PACU.<br>What type of surgical dressing do you expect to find for this patient?<\/li>\n\n\n\n<li>A) JP drain sutured in place near the lateral calf<br>B) Several small incisions in calf groin covered with gauze<br>***C) Clear dressing applied to the right groin<br>D) 3 in incision on the right upper thigh with bulky dressing<br>You are receiving a report on a post op patients from the OR nurse and during the<br>report when you asked for clarifications, the OR nurse became angry, belligerent, and<br>rude. She ended up not answering your question. How will you proceed?<\/li>\n\n\n\n<li>***A) Report the incident to your charge nurse<br>B) Refuse to take the patient<br>C) Take the report as she gave it to you<br>D) Figure out the clarifications from computer<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Prophecy General ICU RN A v2 updated 2022.The patient&#8217;s ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq\/L . What type ofacid imbalance does he have. Your patient returned from PACU after surgery and is very drowsy. She attemptsto eat a candy bar and begins to choke. The physician is unable to clear [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117274","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117274"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117274\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}