RELIAS/PROPHECY GENERAL ICU RN A
V3 2024-2025 EXAM ACTUAL EXAM DETAILED
QUESTIONS AND CORRECT ANSWER WITH
RATIONALES ALREADY GRADED A+.
Your are
... [Show More] admitting a patient who is sedated and intubated directly from the operating
room after a major surgery. The anesthesia provider connects the patient to the
ventilator in the ICU room and leaves before entering orders for the patient's ventilatory
settings. How should you proceed? - ANSWER- Contact the ICU intensivist or specialist
assigned to the case
For a patient with septic shock, What would you monitor to objectively determine the
effectiveness and need to titrate a dobutamine infusion. - ANSWER- ScVo2
Which of the following actions complies with ventilator acquired pneumonia (VAP)
prevention protocols? - ANSWER- Keep head of bed 30-45 degrees
What assessment tool is needed for a patient who has uncomplicated retrosternal
hemorrhage? - ANSWER- Follow up imaging test
Which condition may cause increased effects from a medication that is mostly
metabolized by the liver? - 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? - ANSWERWithin 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? - ANSWER- Pre-hydration with IV Fluids
Your patient is intubated with an ETT and sedated without spontaneous monements
when the ventilator alarms with a high-pressure warning. The ventilator tubing is free
and unkinked. What should you do NEXT? - ANSWER- Provide 100% oxygen and
prepare to suction the patient
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 transfered. The
nurses near you do not appear busy. How should you prioritize your time? - ANSWERGive report and ask the nurses to prepare the patient for transfer.
Your patient was intubated but still has oral medications on their list of medications.
How should you ensure they receive their medications? - 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? - ANSWER- Hemoglobin [Show Less]