PROPHECY SURGICAL ICU EXAM A V3 100 QUESTIONS AND

PROPHECY SURGICAL ICU EXAM A V3 100 QUESTIONS AND ( ANSWERS)

PROPHECY SURGICAL ICU EXAM A V3

2026-2027 100 QUESTIONS AND

CORRECT DETAILED ANSWERS WITH

RATIONALES ( ANSWERS)

You are caring for an 80-year-old female status post small bowel

resection. Cardiac history of MI and CHF. Pt is 6hrs post op and VS as

follows:

HR 110

NSR

BP 160/73

R 28

O2 92%

Ventilator FiO2 60%

You have had to suction the patient several times d/t large amts of frothy

sputum. Current intake is 2,000mL and output is 300 mL. What should

you do? - ANSWER- Call MD for diuretic

58-year-old male patient is receiving a blood transfusion, 10 minutes

after initiation, the nurse thinks the pt is having an acute hemolytic

transfusion reaction because he exhibits the following symptoms: -

ANSWER- Chills, back pain, spiked temperature, nausea

Which of the following is INCORRECT regarding TPN administration?

- ANSWER- It can be given through a peripheral IV.

Which complication is most likely to occurr if excessive force or a small

(3mL) syringe is used during a normal saline flush into a PICC line? -

ANSWER- Catheter Rupture

A patient with a spinal cord injury is given a large dose of Solu-Medrol

and should be monitored for what? - ANSWER- Hyperglycemia

The dosage of which drug must be tapered off slowly to prevent an acute

adrenal insufficiency? - ANSWER- Cortisone

What is the general acceptable output of urine per hour in adults? -

ANSWER- 30 mL/hr

Which of the following facts about identification of Ventricular

Fibrillation (VF) is true? - ANSWER- Artifact signals displayed on the

monitor can look like VF

PEEP may: - ANSWER- Decrease venous return and decrease cardiac

output

Which of the following rhythms is an appropriate indication for

transcutaneous cardiac pacing? - ANSWER- Complete heart block with

pulmonary edema

Which medication is administered for treatment of Acute Ischemic

Stroke? - ANSWER- Activase (alteplase TPA)

Manifestation of hypothyroidism or myxedema would include: -

ANSWER- Fluid retention/edema, weight gain, constipation, and

bradycardia

A 32-year-old male sustained a crush injury to his left leg. Management

includes: - ANSWER- Administration of IV fluids & sodium

bicarbonate for documented acidosis

The treatment for IV infiltration would include: - ANSWER-

**WRONG**

Discontinue the IV, apply ice to the site for 2 hours.

You will start an IV on a patient who has a history of right radical

mastectomy 3 years ago. The current IV site infilt in her left hand.

You should: - ANSWER- Choose a more proximal site on the same arm

In respiratory acidosis, which of the following statements is CORRECT?

- ANSWER- The etiology stems from hypoventilation.

Ventricular tachycardia is most often caused by: - ANSWER-

**WRONG**