PROPHECY GENERAL ICU RN A V1 LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|AGRADE

PROPHECY GENERAL ICU RN A V1 LATEST 2023-2024

ACTUAL EXAM QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES|AGRADE

The surgeon has ordered ampicillin (Ancef) for a patient. When you check their chart,

you see an allergy to penicillin. What is the BEST action?

- A) Administer the medication with diphenhydramine

B) Ask the patient to describe their reaction to penicillin

C) Contact the pharmacist to clarify the order

***D) Contact the provider to question the order

You are receiving report for a patient who had a percutaneous transluminal angioplasty

for right lower extremity peripheral vascular disease and is now recovering in the PACU.

What type of surgical dressing do you expect to find for this patient?

- A) JP drain sutured in place near the lateral calf

B) Several small incisions in calf groin covered with gauze

***C) Clear dressing applied to the right groin

D) 3 in incision on the right upper thigh with bulky dressing

You are receiving a report on a post op patients from the OR nurse and during the

report when you asked for clarifications, the OR nurse became angry, belligerent, and

rude. She ended up not answering your question. How will you proceed?

- ***A) Report the incident to your charge nurse

B) Refuse to take the patient

C) Take the report as she gave it to you

D) Figure out the clarifications from computer

***WRONG***You are reviewing your orders for you 8 year-old patient that recently

arrive in PACU. Which PRN pain order would you question? - A) IV acetaminophen

(maybe??? bc super expensive???)

B) PO acetaminophen

C) PO ketorolac (maybe???? bc shows increased risk of bleeding than tylenol, and is

oral, which maybe they're trying to avoid PO after surgery)

What is a physiologic effect related to unrelieved pain?

- A) Hypoglycemia

B) Bradycardia

C) Decreased metabolism

***D) Decreased healing

You are caring for a patient after placement of a percutaneous J tube. A student nurse

asks you, " Where does this tube go in the patient?" How should you answer?

- ***A) The tube is placed into the Jejunum

B) The tube passes from the esophagus into the jejunum

This tube is inserted into the stomach

D) The tube is inserted directly into the colon

***WRONG***When caring for a patient who is recovering from placement of a new

arteriovenous fistula in their right arm, you observe the presence of mild edema at the

site. What should you do?

- A) Hold pressure on the anastomosis graft

B) Elevate the right arm above the heart

D) Contact the surgical team

You are caring for patient who is intubated, receiving ventilatory support, and is sedated

with a propofol infusion. Over the last 5 minutes you have decreased the propofol

infusion in preparation for extubation. The patient is now opening their eyes to voice and

following commands. What should you do NEXT to prepare the patient for immediate

extubation?

- A) Place a manual, resuscitator device at the bedside

B) Insert an oral airway

***C) Stop the propofol infusion

D) As the patient to cough

When caring for a patient who is receiving outpatient surgery, what is the BEST way to

know that a patient's post-operative blood pressure is sufficient for discharge to home? -

A) The pressure is greater than 100 mmHg SBP

***B) It is +/- 20% of baseline pre-operative levels

C) Adhere to professional standards

D) Follow the anesthesia order set