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PROPHECY GENERAL ICU RN A V2 UPDATED 2025/A+GRADE, Exams of Nursing

PROPHECY GENERAL ICU RN A V2 UPDATED 2025/A+GRADE

Typology: Exams

2024/2025

Available from 01/30/2025

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PROPHECY GENERAL ICU RN A V2 UPDATED
2025/A+GRADE
Prophecy General ICU RN A v2 updated 2025.
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has
clammy skin. Which of the following would you suspect?
- Panic Attack
- Hypoglycemia
The staff nurse asks the nursing assistant to check on a patient. The
nursing assistant reports back that the patient is experiencing chest pain
and is diaphorectic. Which of the following can the staff nurse delegate to
the assistant?
-Informing the charge nurse that a patient needs attention
- Obtaining a medication for the nurse to administer to the patient
The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What
type of acid imbalance does he have.
- Metabolic Acidosis
Common complications of massive transfusions are
- Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
Long term use of TPN may lead to:
- Liver Failure
Which of the following is a potential complication of high PEEP
- Pneumothorax
What is a common assessment finding for a patient returning from a
small bowel resection?
- Hypoactive bowel sound
Your patient returned from PACU after surgery and is very drowsy. She
attempts to eat a candy bar and begins to choke. The physician is unable to
clear the airway. You would expect to prepare for which of the following.
emergency procedures?
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PROPHECY GENERAL ICU RN A V2 UPDATED

2025 /A+GRADE

Prophecy General ICU RN A v2 updated 2025.

Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammyskin. Which of the following would you suspect?

  • Panic Attack
  • Hypoglycemia The staff nurse asks the nursing assistant to check on a patient. The nursing assistant reports back that the patient is experiencing chest pain and is diaphorectic.Which of the following can the staff nurse delegate to the assistant?
  • Informing the charge nurse that a patient needs attention
    • Obtaining a medication for the nurse to administer to the patient The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L. What type of acid imbalance does he have.
  • Metabolic Acidosis Common complications of massive transfusions are
    • Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis Long term use of TPN may lead to:
  • Liver Failure Which of the following is a potential complication of high PEEP
    • Pneumothorax What is a common assessment finding for a patient returning from a small bowel resection?
  • Hypoactive bowel sound Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a candy bar and begins to choke. The physician is unable to clear the airway. You would expect to prepare for which of the following. emergency procedures?
  • C) Tracheostomy The initial insulin therapy for a patient with acute DKA is usually administered by which route
  • Intravenous bolus followed by a continuous infusion Screening tests for DIC include:
    • D-Dimer and FDPs Which of the following hormones is secreted by the hypothalamus in an effort to regulate water balance?
    • ADH Which of the following IV sedatives would most likely be ordered for a non-intubated patient?
    • Precedex Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they become dyspneic and bradycardic with excessive salivation. What do you suspect happened?
    • Aspiration Which of the following is a response of the cardiovascular system to early sepsis? - Increased cardiac output and reduced systemic vascular resistance Which patient would you expect to be extubated?
  • Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5 Your patient is in a Hypertensive crisis. What medication can you expect the doctor to order.
    • Nicardipine Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in the urinary catheter tubing and decreased urinary output. Which of the following conditions would you suspect?
  • Rhabdomyolysis Which class of drugs should be avoided in patients with asthma?
  • Beta Blockers
  • Lasix A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin, confusion, and agitation, BP 80/40, HR 145. What type of shock is this? - Hypovolemic The patient is admitted with suspected Guillain-Barre syndrome. The nurse would expect CSF analysis to reveal which of the following to confirm the diagnosis?
    • CSF protein of 60 mg/dL and WBC 0 cells/mm Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the following should the nurse observe for during the assessment? - Hypotension The Central Venus Pressure (CVP) measures the pressure in the
  • right atrium Which lab value is used to determine the severity of sepsis
    • lactic acid Which of the following hormones is secreted by the thyroid gland?
    • calcitonin An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which diagnosis?
    • Adrenal crisis

The most common cause for the patient to file a nursing negligence claim is - Ineffective communication Which of the following medications is a paralytic

  • Vecuronium Ninety percent of thrombi develop in which area of the body?
  • Legs Which of the following medications is usually the first to be administered during status epilepticus
  • Ativan Your patient's BP on admission was 110/40, and Hgb was 10.5. The BP is now 80/50 and pt is vomiting coffee ground emesisi. You expect Hgb to be:
  • 8 You note the appearance of a U wave on the ECG tracing of your patient, This would indicate that the nurse check laboratory values for the presence of
  • Hypokalemia Which of the following should be performed prior to A-line insertion
  • Allen test which of the following diets would be best for patient with renal failure?
  • low sodium, low potassium, and moderate protein You're caring for a 49 yo head trauma pt with an ICP line. What is the formula for calculating the CPP?
  • MAP - ICP Your patient presents with fever, chills, cough, SOB and chest pain. Which diagnosis would you anticipate?
  • Pneumonia

Which of the following is a Hypotonic solution

  • 0.45% NS What pathological condition might you suspect in a patient with a serum sodium of 165 and serum osmolality of 330?
  • Diabetes Insipidus Which of the following medications are commonly used to decrease ICP
  • Mannitol Interpret the following: ABG 7.35, paCO2 60mmHg, HCO3 38 mEq - Compensated respiratory acidosis Which of the folloing is a contraindication for administering Lorazepam - Pt with acute angle
  • closure glaucoma