RN A Exam
Actual Questions and Answers
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This Exam contains:
Questions and Answers
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Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Expert-Verified explanation
,### Question 1
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you
attend to FIRST?
A) A patient with stable vitals and scheduled medication
B) A patient complaining of shortness of breath on continuous BiPAP with a BP of 189/109
C) A postoperative patient with mild pain
D) A patient with controlled diabetes
Correct Answer: B) A patient complaining of shortness of breath on continuous BiPAP with
a BP of 189/109
Expert Explanation: The patient on BiPAP is experiencing respiratory distress with elevated
blood pressure, indicating priority for immediate assessment and potential intervention,
while the others are stable.
---
### Question 2
Of the following patients, which one would you see FIRST?
A) A 30-year-old suicidal female that took an unknown number of alprazolam with an O2
saturation of 85%
B) A patient with a stable gastrointestinal issue
C) A post-operative patient with mild discomfort
D) A patient undergoing routine evaluation
Correct Answer: A) A 30-year-old suicidal female that took an unknown number of
alprazolam with an O2 saturation of 85%
,Expert Explanation: This patient's potential overdose, marked by low oxygen saturation,
poses significant risk for respiratory depression and requires immediate intervention.
---
### Question 3
You are caring for a patient with new onset atrial fibrillation with a blood pressure of 80/60.
Which of the following treatment options is MOST appropriate?
A) Beta-blockers
B) Anticoagulants
C) Electrical cardioversion
D) Calcium channel blockers
Correct Answer: C) Electrical cardioversion
Expert Explanation: Given the hypotensive state and symptomatic a-fib, electrical
cardioversion is indicated to quickly restore normal sinus rhythm and stabilize blood
pressure.
### Question 4
Which of the following medications is MOST commonly indicated for patients with CHF?
A) Beta blockers
B) ACE inhibitors
C) Digoxin
D) Diuretics
Correct Answer: B) ACE inhibitors
, Expert Explanation: ACE inhibitors are critical in the management of congestive heart failure
(CHF) as they improve symptoms, reduce hospitalizations, and decrease mortality by
lowering blood pressure and reducing workload on the heart.
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### Question 5
A patient was involved in a motor vehicle accident and CAT scan results reveal a right-sided
SDH. What would be an expected neurological assessment finding in this patient?
A) Left pupil constriction
B) Bilateral dilated pupils
C) Dilated right pupil
D) Decreased level of consciousness
Correct Answer: C) Dilated right pupil
Expert Explanation: A right-sided subdural hematoma (SDH) may cause pressure on the optic
nerve, leading to a dilated right pupil, which is a sign of increased intracranial pressure or
neurological compromise.
---
### Question 6
What is the most common symptom of SIADH?
A) Weight loss
B) Fluid retention
C) Muscle cramps
D) Increased thirst