The Prophecy General ICU RN A v2 assessment is a standardized, updated exam measuring clinical competency in critical care nursing, covering topics such as cardiac tamponade, hemodynamic monitoring, and ventilator management. It tests knowledge on identifying critical patient changes and applying necessary interventions in high-intensity settings.
Prophecy General ICU RN A v2
Updated Exam Questions & Answers
This comprehensive study guide contains verified questions and answers for the Prophecy General ICU RN A
v2 exam. The content covers critical care nursing topics including hemodynamics, arterial blood gases, shock
management, mechanical ventilation, medications, and ICU procedures. Use this guide to prepare for your
Prophecy certification exam.
Arterial Blood Gases (ABGs)
Q1. ABG: pH 7.56, paCO2 24 mmHg, HCO3 23 mEq/L. What type of imbalance?
ANSWER: Respiratory Alkalosis
Q2. ABG: pH 7.25, pCO2 40, pO2 90, HCO3 20 mEq/L. What type of imbalance?
ANSWER: Metabolic Acidosis
Q3. ABG: pH 7.35, paCO2 60 mmHg, HCO3 38 mEq/L. What type of imbalance?
ANSWER: Compensated Respiratory Acidosis
Shock & Hemodynamics
Q4. A patient exhibits hypotension without an increase in HR. This is indicative
of what type of shock?
ANSWER: Neurogenic Shock
Q5. A patient was admitted with hemoglobin of 6, hematocrit of 25, has clammy
skin, confusion, agitation, BP 80/40, HR 145. What type of shock?
ANSWER: Hypovolemic Shock
Q6. Which of the following is a response of the cardiovascular system to early
sepsis?
ANSWER: Increased cardiac output and reduced systemic vascular resistance
Q7. 90% of thrombi develop in which area of the body?
ANSWER: Legs
Cardiac Conditions & Procedures
Q8. What is cardiac tamponade?
ANSWER: Fluid in the pericardial sac causing decreased preload, which decreases
stroke volume and ultimately cardiac output
Q9. Muffled heart sounds would indicate what condition?
ANSWER: Cardiac tamponade
Q10. IABP (Intra-Aortic Balloon Pump) optimal timing?
ANSWER: Inflation during diastole (AV closure) and deflation during systole (QRS)
Q11. IABP function?
ANSWER: Decrease afterload and increase coronary artery perfusion
Q12. What is endocarditis?
ANSWER: Inflammation of the inner lining of the heart
Medications - Cardiac & Vasoactive Drugs
Q13. Which medication improves contractility, increases stroke volume, and
increases cardiac output?
ANSWER: Dobutamine
Q14. Dobutamine classification and action?
ANSWER: Inotrope & Dilator (Beta 1/2 agonist)
Q15. Dopamine classification and dosing?
ANSWER: Vasopressor (catecholamine). Dopamine agonist at low doses, beta agonist
at 5-10 mcg/kg/min, alpha agonist at higher doses
Q16. How is dopamine usually administered in the ICU?
ANSWER: Titratable continuous infusion
Q17. Epinephrine classification?
ANSWER: Vasopressor/catecholamine (Beta agonist, alpha agonist at large doses)
Q18. Amiodarone classification?
ANSWER: Antiarrhythmic
Q19. Nicardipine/Cardene classification?
ANSWER: Calcium Channel Blocker works on periphery - used for hypertensive crisis
Q20. Cardizem/Diltiazem classification?
ANSWER: Calcium channel blocker works on periphery and heart
Q21. Which of the following classes of drugs are used to therapeutically
decrease venous return and reduce peripheral vascular resistance?
ANSWER: Nitrates
Respiratory & Airway Management
Q22. When assessing a chest tube, which of the following indicates a possible
air leak?
ANSWER: Excessive bubbling in the water chamber
Q23. Your patient is in bed eating lunch when they begin to cough and gag.
Suddenly they become dyspneic and bradycardic with excessive salivation.
What do you suspect?
ANSWER: Aspiration
Q24. What respiratory support would an alert patient with an acute COPD
exacerbation likely receive FIRST?
ANSWER: BiPAP
Q25. Which patient would you expect to be extubated?
ANSWER: Patient is awake, follows commands with RR of 14, FiO2 40%, and PEEP 5
Q26. What is a potential complication of high PEEP?
ANSWER: Pneumothorax
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