PROGRESSIVE CARE RN A 2024 (RELIAS?) QUESTIONS AND CORRECT VERIFIED ANSWERS

PROGRESSIVE CARE RN A 2024
(RELIAS?) QUESTIONS AND CORRECT
VERIFIED ANSWERS
YouA2wantA2toA2assessA2forA2jugularA2veinA2distentionA2(JVD).A2WhatA2positionA2wouldA2b
eA2BEST?A2-A2Ans--
PositionA2patientA2onA2theirA2backA2withA2headA2ofA2bedA2atA230A2toA245A2degrees.

YourA2patientA2withA2tripleA2cardiacA2bypassA2surgeryA2isA2post-
opA2dayA23.A2ChestA2tubesA2haveA2beenA2removed.A2TheyA2suddenlyA2reportA2palpitations
.A2TheirA2bloodA2pressureA2isA2130/76A2andA2heartA2rateA2isA2140A2bpm.A2WhatA2wouldA2yo
uA2doA2NEXT?A2-A2Ans--PerformA2aA2bedsideA2EKG

YourA2patientA2hasA2aA2historyA2ofA2renalA2insufficiency.A2WhatA2classA2ofA2analgesicsA2w
ouldA2MOSTA2likelyA2beA2contraindicatedA2forA2them?A2-A2Ans--NonsteroidalA2anti-
inflammatoryA2medications

YourA2patientA2isA2acutelyA2ill.A2WhatA2routeA2ofA2medicationA2administrationA2wouldA2likel
yA2beA2LEASTA2effective?A2-A2Ans--Intramuscular

YouA2areA2workingA2withA2theA2codeA2teamA2toA2resuscitateA2aA2patientA2inA2ventricularA2fi
brillation.A2ChestA2compressionsA2areA2ongoingA2andA2theA2patientA2hasA2beenA2shockedA
2twice.A2WhatA2emergencyA2medication,A2ifA2any,A2wouldA2youA2administerA2atA2thisA2junct
ure?A2-A2Ans--EpinephrineA2(Adrenaline)A21A2mgA2IV

YourA2patientA2isA2onA2anticoagulantA2medication.A2YouA2areA2dischargingA2themA2andA2pr
ovideA2patientA2education.
WhichA2statementA2byA2yourA2patientA2indicatesA2anA2understandingA2ofA2theA2education?
A2-A2Ans--IA2willA2notA2takeA2ibuprofenA2(Motrin®)A2everyA2day


YourA2non-
verbalA2patientA2isA2alert.A2WhatA2typeA2ofA2painA2assessmentA2wouldA2beA2appropriate?
A2-A2Ans--•A2VisualA2painA2scale
•A2VerbalA2descriptiveA2scale
•A2VitalA2signsA2assessmentA2toA2approximateA2pain
•A2BehavioralA2painA2scaleA2(Wrong)

YourA2patientA2hasA2returnedA2fromA2theA2cathA2labA2postA2angioplasty.A2UponA2assessm
entA2youA2noteA2aA2largeA2hematomaA2atA2theA2sheathA2site.A2WhatA2wouldA2beA2yourA2im
mediateA2action?A2-A2Ans--ApplyA2manualA2pressureA2toA2theA2siteA2andA2callA2forA2help.

, YourA2patientA2hasA2newA2onsetA2seizures.A2TheyA2askA2youA2whatA2theyA2shouldA2knowA2
aboutA2takingA2levetiracetamA2(Keppra®).A2WhatA2wouldA2beA2yourA2BESTA2response?A2-
A2Ans--CommonA2sideA2effectsA2areA2fatigueA2andA2depression


YourA2patientA2withA2cardiacA2bypassA2surgeryA2isA2post-
opA2dayA22.A2TheA2nursingA2assistantA2reportsA2thatA2yourA2patientA2hasA2aA2tempA2ofA210
1.3°FA2andA2bloodA2pressureA2ofA282/56.A2TheirA2urineA2outputA2hasA2decreasedA2toA2less
A2thanA230A2mLA2inA2theA2pastA24A2hours.A2YouA2suspectA2aA2post-
surgeryA2complication.A2AfterA2callingA2theA2physicianA2youA2receiveA2ordersA2forA2STATA2
CBC,A2CMP,A2andA2coagulationA2test.A2WhatA2resultsA2wouldA2youA2expectA2toA2seeA2afte
rA2theseA2labsA2areA2completed?A2-A2Ans--WBCA2greaterA2thanA219,000

WhatA2isA2anA2adequateA2amountA2ofA2urineA2output?A2-A2Ans--30A2mL/hr

YourA2patientA2hasA2leftA2ventricularA2failure.A2WhatA2clinicalA2manifestationsA2wouldA2you
A2expectA2toA2see?A2-A2Ans--Dyspnea,A2distantA2heartA2sounds,A2bilateralA2crackles


YouA2areA2caringA2forA2yourA2patientA2withA2anA2orderA2forA2furosemideA2(Lasix®)A280A2mg
A2BID.A2WhatA2wouldA2beA2yourA2MOSTA2appropriate A2action?A2-A2Ans--
CallA2providerA2toA2clarifyA2theA2order.

YourA2patientA2isA2inA2cardiacA2arrest.A2ChestA2compressionsA2areA2beingA2performed.A2C
apnographyA2indicatesA2theA2end-
tidalA2CO2A2isA218A2mmg.A2WhatA2doA2theA2capnographyA2resultsA2indicateA2aboutA2theA2c
hestA2compressions?A2-A2Ans--NoA2changes.A2TheseA2areA2highA2qualityA2compressions.

WhatA2isA2requiredA2beforeA2makingA2aA2reportA2ofA2elderA2abuse?A2-A2Ans--
SuspicionA2ofA2abuse

YouA2receiveA2yourA2patientA2withA2pneumoniaA2fromA2theA2ED.A2AntibioticsA2andA2steroid
sA2haveA2beenA2initiatedA2byA2theA2provider.A2TheA2patientA2reportsA2abdominalA2painA2an
dA2hasA2aA2largeA2looseA2bowelA2movement.A2TheyA2informA2youA2thisA2isA2theirA2thirdA2bo
welA2movementA2inA2theA2lastA2twoA2hours.A2WhatA2wouldA2youA2doA2FIRST?A2-A2Ans--
InitiateA2entericA2contactA2isolationA2precautionsA2forA2possibleA2C.A2diff

YourA2patientA2hasA2developedA2sepsisA2fromA2anA2indwellingA2urinaryA2catheter.A2WhatA2
wouldA2beA2yourA2PRIORITYA2intervention?A2-A2Ans--RemoveA2catheter.

YourA2patientA2isA2inA2thirdA2degreeA2heartA2block.A2WhatA2treatmentA2wouldA2youA2MOST
A2likelyA2expectA2toA2beA2implemented?A2-A2Ans--Pacemaker


WhatA2areA22A2nursingA2interventionsA2toA2preventA2venousA2thromboembolism?A2-
A2Ans--•A2AdequateA2hydrationA2andA2earlyA2mobilization.
•A2HemodynamicA2monitoringA2andA2earlyA2mobilization.A2(Wrong)
•A2AdequateA2hydrationA2andA2encouragingA2aA2steadyA2amountA2ofA2greenA2leafyA2veget
ablesA2inA2diet.