RN PROGRESSIVE CARE EXAM 2
EXAM FULLY SOLVED & UPDATED
(LATEST VERSION VERIFIED FOR
ACCURACY GRADED A+) |
LATEST!! PROGRESSIVE CARE RN
A 2026
You want to assess for jugular vein distention (JVD). What position would be BEST? -
answer-Position patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been
removed. They suddenly report palpitations. Their blood pressure is 130/76 and heart
rate is 140 bpm. What would you do NEXT? - answer-Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST
likely be contraindicated for them? - answer-Nonsteroidal anti-inflammatory
medications
Your patient is acutely ill. What route of medication administration would likely be
LEAST effective? - answer-Intramuscular
You are working with the code team to resuscitate a patient in ventricular fibrillation.
Chest compressions are ongoing and the patient has been shocked twice. What
emergency medication, if any, would you administer at this juncture? - answer-
Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging them and provide
patient education.
Which statement by your patient indicates an understanding of the education? -
answer-I will not take ibuprofen (Motrin®) every day
, Your non-verbal patient is alert. What type of pain assessment would be appropriate? -
answer-• Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty. Upon assessment you
note a large hematoma at the sheath site. What would be your immediate action? -
answer-Apply manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they should know about taking
levetiracetam (Keppra®). What would be your BEST response? - answer-Common side
effects are fatigue and depression
Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant reports
that your patient has a temp of 101.3°F and blood pressure of 82/56. Their urine output
has decreased to less than 30 mL in the past 4 hours. You suspect a post-surgery
complication. After calling the physician you receive orders for STAT CBC, CMP, and
coagulation test. What results would you expect to see after these labs are completed?
- answer-WBC greater than 19,000
What is an adequate amount of urine output? - answer-30 mL/hr
Your patient has left ventricular failure. What clinical manifestations would you expect
to see? - answer-Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What
would be your MOST appropriate action? - answer-Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed.
Capnography indicates the end-tidal CO2 is 18 mmg. What do the capnography results
indicate about the chest compressions? - answer-No changes. These are high quality
compressions.
EXAM FULLY SOLVED & UPDATED
(LATEST VERSION VERIFIED FOR
ACCURACY GRADED A+) |
LATEST!! PROGRESSIVE CARE RN
A 2026
You want to assess for jugular vein distention (JVD). What position would be BEST? -
answer-Position patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been
removed. They suddenly report palpitations. Their blood pressure is 130/76 and heart
rate is 140 bpm. What would you do NEXT? - answer-Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST
likely be contraindicated for them? - answer-Nonsteroidal anti-inflammatory
medications
Your patient is acutely ill. What route of medication administration would likely be
LEAST effective? - answer-Intramuscular
You are working with the code team to resuscitate a patient in ventricular fibrillation.
Chest compressions are ongoing and the patient has been shocked twice. What
emergency medication, if any, would you administer at this juncture? - answer-
Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging them and provide
patient education.
Which statement by your patient indicates an understanding of the education? -
answer-I will not take ibuprofen (Motrin®) every day
, Your non-verbal patient is alert. What type of pain assessment would be appropriate? -
answer-• Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty. Upon assessment you
note a large hematoma at the sheath site. What would be your immediate action? -
answer-Apply manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they should know about taking
levetiracetam (Keppra®). What would be your BEST response? - answer-Common side
effects are fatigue and depression
Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant reports
that your patient has a temp of 101.3°F and blood pressure of 82/56. Their urine output
has decreased to less than 30 mL in the past 4 hours. You suspect a post-surgery
complication. After calling the physician you receive orders for STAT CBC, CMP, and
coagulation test. What results would you expect to see after these labs are completed?
- answer-WBC greater than 19,000
What is an adequate amount of urine output? - answer-30 mL/hr
Your patient has left ventricular failure. What clinical manifestations would you expect
to see? - answer-Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What
would be your MOST appropriate action? - answer-Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed.
Capnography indicates the end-tidal CO2 is 18 mmg. What do the capnography results
indicate about the chest compressions? - answer-No changes. These are high quality
compressions.
