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Prophecy general ICU A V3 Test 2023
9. 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?: C. Stop weaning and rest the patient
10. While assessing a patient just admitted to the hospital, he admits to drink- ing 12 cans of
beer a day, with the last drink being right before admission. What is the expected onset of
delirium tremens?: Within 48-72 hours
11. 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 uring. when can the patient
expect the medication to start working: 6 minutes
12. 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?: It is best if
your family takes your belongings.
13. What is a significant complication of imaging studies performed with iv contrast: Acute
kidney injury
14. What respiratory support would an alert patient with an acute COPD
exacerbatiobn likely receive FIRST?: Bipap
15. Your intubated and unresponsive patient is scheduled for surgery in the morning. Who
is the most appropriate person to make decisions for your patient?: The healthcare POA
16. When administering a titratable infusion what information must you check on the
medication IV bag to confirm the correct dose is being admin- istered?: Concentration
60. What MUST you confirm before removing a cervical spine collar?: Pres- ence of active
order to remove
61. Which of the following signs or symptoms indicates a patient might not be tolerating the
extubation?: The patient is coughing and has tachycardia
62. Which age group is MORE likely to experence a "Blown" vein: older adults
63. What acid/base imbalance is MOST likely to be found in a patient with
COPD: Respiratroy acidosis
64. Which of the following should you do if your patient suddenly becomes diaphoretic,
anxious, tachycardic, and has clammy skin?: Check their glucose
65. What information is MOST important for you to confirm in smart IV pump settings?:
Weight
66. Besides the white blood cells, what laboratroy value is used in the diag- nosis of sepsis?:
Lactic acid
67. Which medication is associated with increased delirium in critical care patients?:
Lorazepam ( ativan)
68. What is an effective way to evaluate for cyanosis in a person of color: -
Check inner eyelids
69. What cardiac condition shows cardiomegaly on chest x-ray: Systolic heart failure
70. Your patient begins to choke and a code blue is called. The provider is unsuccessful at
removing the object and is unable to place the ETT. You would expect to prepare for what
type of procedure: Surgical airway
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