Prepare for your exams
Get points
Guidelines and tips

Prepare for your exams

Study with the several resources on Docsity

Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips

Sell on Docsity

Log in Sign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents

20 Points

For each uploaded document

Answer questions

5 Points

For each given answer (max 1 per day)

All the ways to get free points

Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study

Go to the blog

RELIAS/PROPHECY General ICU RN A V3 Exam: Practice Questions and Answers, Exams of Nursing

California Career College Nursing

A series of practice questions and answers for the relias/prophecy general icu rn a v3 exam. It covers a wide range of topics relevant to critical care nursing, including patient assessment, medication administration, ventilator management, and sepsis care. The questions are designed to test the knowledge and skills of nurses working in intensive care units.

Typology: Exams

2024/2025

Available from 01/07/2025

essay-writers 🇺🇸

3.8

(91)

1.9K documents

1 / 12

This page cannot be seen from the preview

Don't miss anything!

RELIAS/PROPHECY GENERAL ICU RN A V3 EXAM

2025 | COMPLETE EXAM QUESTIONS AND CORRECT

ANSWERS (VERIFIED ANSWERS) | GRADED A+ |

LATEST EXAM

While reviewing your patient's EHR prior to receiving report,

you notice that their documented urine output for the past 24 hours is

600ml. What would be the MOST important action to take for this patient? -

--------CORRECT ANSWER-----------------Confirm with the off-going nurse if

this is a known situation.

You are caring for a confused patient with edema who has large swollen

wrist. You find that someone has taped their ID bracelet to the side of the

bed. How should you secure their ID bracelet? ---------CORRECT

ANSWER-----------------Place a new ID bracelet on the patient's wrist while

confirming perfusion to the hand

You are caring for a patient with diabetic ketoacidosis with suspected

sepsis. You have the following tasks to complete: Draw blood cultures,

check blood glucose, administer antibiotic, insert urinary catheter, and

check urine for glucose. Which task should you complete FIRST? ---------

CORRECT ANSWER-----------------Draw blood culture

A code is initiated and the second nurse is observed not following ACLS

protocol. What is the BEST action to take? ---------CORRECT ANSWER-----

------------Stop the nurse immediately and institute ACLS protocol

During the first hour of tPA infusion, how frequently should you monitor

blood pressure? ---------CORRECT ANSWER-----------------Every 15

minutes

Often downloaded together

PROPHECY SURGICAL ICU EXAM A V3 LATEST ACTUAL EXAM 2024-2025 ALL 150 QUESTIONS AND CORRE

Partial preview of the text

Download RELIAS/PROPHECY General ICU RN A V3 Exam: Practice Questions and Answers and more Exams Nursing in PDF only on Docsity!

RELIAS/PROPHECY GENERAL ICU RN A V3 EXAM

2025 | COMPLETE EXAM QUESTIONS AND CORRECT

ANSWERS (VERIFIED ANSWERS) | GRADED A+ |

LATEST EXAM

While reviewing your patient's EHR prior to receiving report, you notice that their documented urine output for the past 24 hours is 600ml. What would be the MOST important action to take for this patient? - --------CORRECT ANSWER-----------------Confirm with the off-going nurse if this is a known situation. You are caring for a confused patient with edema who has large swollen wrist. You find that someone has taped their ID bracelet to the side of the bed. How should you secure their ID bracelet? ---------CORRECT ANSWER-----------------Place a new ID bracelet on the patient's wrist while confirming perfusion to the hand You are caring for a patient with diabetic ketoacidosis with suspected sepsis. You have the following tasks to complete: Draw blood cultures, check blood glucose, administer antibiotic, insert urinary catheter, and check urine for glucose. Which task should you complete FIRST? --------- CORRECT ANSWER-----------------Draw blood culture A code is initiated and the second nurse is observed not following ACLS protocol. What is the BEST action to take? ---------CORRECT ANSWER----- ------------Stop the nurse immediately and institute ACLS protocol During the first hour of tPA infusion, how frequently should you monitor blood pressure? ---------CORRECT ANSWER-----------------Every 15 minutes

Which of the following is a priority for the bedside nurse when a patient gets inpatient hemodialysis? ---------CORRECT ANSWER----------------- Maintaining adequate blood pressure What MUST you confirm before removing a cervical spine collar? --------- CORRECT ANSWER-----------------Presence of active order to remove Which of the following signs or symptoms indicates a patient might not be tolerating the extubation? ---------CORRECT ANSWER-----------------The patient is coughing and has tachycardia Which age group is MORE likely to experience a "Blown" vein --------- CORRECT ANSWER-----------------Older adults What acid/base imbalance is MOST likely to be found in a patient with COPD ---------CORRECT ANSWER-----------------Respiratory acidosis Which of the following should you do if your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin? ---------CORRECT ANSWER-----------------Check their glucose What information is MOST important for you to confirm in smart IV pump settings? ---------CORRECT ANSWER-----------------Weight

What assessment tool is needed for a patient who has uncomplicated retrosternal hemorrhage? ---------CORRECT ANSWER-----------------Follow up imaging test Which condition may cause increased effects from a medication that is mostly metabolized by the liver? ---------CORRECT ANSWER----------------- Hepatitis C An intubated patient with a GCS of 3 is admitted to the ICU from the ER after being found down for an unknown amount of time at home. The CT scan reveals profuse cerebral edema. When is the BEST time to notify organ donation services? ---------CORRECT ANSWER-----------------Within 24 hours of admission to the ICU What order is included in the pre-procedural checklist for patients at risk for acute kidney injury who are to receive IV contrast? ---------CORRECT ANSWER-----------------Pre-hydration with IV Fluids Your patient is intubated with an ETT and sedated without spontaneous movements when the ventilator alarms with a high-pressure warning. The ventilator tubing is free and unkinked. What should you do NEXT? --------- CORRECT ANSWER-----------------Provide 100% oxygen and prepare to suction the patient Your postoperative patient suddenly becomes dyspneic, clutches their chest and their Sp02 drops to 89% the patient has a swollen left calf. what condition do you suspect? ---------CORRECT ANSWER----------------- Pulmonary embolism

What IV sedative would MOST likely be ordered for a non-intubated patient? ---------CORRECT ANSWER-----------------Dexmedetomidine (Precedex) What is the normal cardiovascular response to early sepsis? --------- CORRECT ANSWER-----------------Increased cardiac output You have just received report on Patient A and Patient B. Patient A is intubated, sedated, and on a vasoactive infusion to keep their BP greater than 110 mm Hg systolic on an arterial line. Patient B was extubated an hour ago and has a scheduled glucose check due in 1 hour. What is your PRIORITY action? ---------CORRECT ANSWER-----------------Assess Patient B's respiratory status Which of the following diets would be BEST for a patient with renal failure? ---------CORRECT ANSWER-----------------Low sodium, Low potassium and moderate protein Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral crackles on auscultation and has gained weight since admission. What action should you take? ---------CORRECT ANSWER------- ----------Discuss increasing the furosemide infusion with the provider What ventilator adjustment do you expect when your patient's ABG is pH 7.40, PaCO2 112, BICARB 22? ---------CORRECT ANSWER----------------- Decrease in FiO

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 hyperkalemia? ---------CORRECT ANSWER-----------------Peaked T waves 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 anti-arrhythmic 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 urine. 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 What respiratory support would an alert patient with an acute COPD exacerbation likely receive FIRST? ---------CORRECT ANSWER--------------- --BiPAP

While admitting a patient with a history of IV drug use, what precautions should you take? ---------CORRECT ANSWER-----------------Carefully inspect items for presence of sharps. Your patient is intubated and begins to cough up clear mucous inside their ETT. What should you do NEXT? ---------CORRECT ANSWER----------------- Provide 100% oxygenation and prepare to suction What is a complication of long term TPN? ---------CORRECT ANSWER------ -----------Liver injury Which assessment establishes baseline hand perfusion before an ABG puncture or arterial line placement? ---------CORRECT ANSWER-------------- ---Allen Test What is the BEST way to determine a STEMI? ---------CORRECT ANSWER-----------------12 Lead ECG What condition does the Confusion Assessment Method for ICU (CAM- ICU) detect? ---------CORRECT ANSWER-----------------Delirium You are caring for an underweight, older adult who is intubated, sedated, and septic. You have implemented turning every 2 hours. While inspecting the patient's back you notice bony prominences with intact but reddened skin. What should you include in the plan of care? ---------CORRECT ANSWER-----------------Use of specialized air bed

You are to administer 1 mg of morphine IV but it only comes in a 2 mg vial. How should you proceed? ---------CORRECT ANSWER-----------------Waste 1 mg with a second nurse and then give the drug to the patient The provider has ordered 2 units of FFP to be transfused. Your patient's religious beliefs prevent them from accepting blood products. What is your BEST response? ---------CORRECT ANSWER-----------------Inform the provider and discuss additional options. During cardiogenic shock what temporary intervention might be ordered to improve perfusion until definitive treatment is provided? ---------CORRECT ANSWER-----------------Inotropic infusion Besides the white blood cells, what laboratory value is used in the diagnosis of sepsis? ---------CORRECT ANSWER-----------------Lactic acid Which medication is associated with increased delirium in critical care patients? ---------CORRECT ANSWER-----------------Lorazepam (Ativan) What is an effective way to evaluate for cyanosis in a person of color? ------ ---CORRECT ANSWER-----------------Check inner eyelids What cardiac condition shows cardiomegaly on chest x-ray? --------- CORRECT ANSWER-----------------Systolic heart failure