(Answered) Progressive Care RN A Exam: all answered
correctly_ Summer 2022.
Which of the following medications is MOST commonly indicated for patients
with CHF?
Ace inhibitors
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?
Dilated right pupil
What is the most common symptom of SIADH?
Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient
should you attend to FIRST?
A patient complaining of shortness of breathe on continuous BiPAP with a BP of
189/109
Of the following patients, which one would you see FIRST?
A 30 year suicidal female that took an unknown number of alprazolam with an O2
saturation of 85%
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?
Electrical cardioversion
Which of the following supplemental medications is frequently ordered in
conjunction with furosemide?
Potassium
Which of the following positions is the BEST way to assess for JVD?
Position the patient on his/her back with the head of bed 30-45 degrees
Your patient is on the midday schedule for hemodialysis. He has 100 mg of
metoprolol XL ordered for this morning and his blood pressure if 150/98. Which of
the following would be an appropriate action?
Hold the metoprolol because of the upcoming dialysis
You walk into your patient's room and notice that the chest tube collection
chamber has been knocked over on the floor. There appears to be drainage
dispersed throughout the chambers. What should you do NEXT?
Replace the chamber with a new one
Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure
is 89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is
this patient most likely experiencing?
Hypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which
of the following would you do FIRST?
Cover the insertion site immediately with Vaseline gauze
A 78 year old male is admitted from the ED for syncope with ground level fall. You
note his heart rate is 50 and the patient is confused. His daughter states she
, thinks he has dementia but he has not been diagnosed yet. Blood pressure is
stable. What order do you anticipate?
Stat head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following
orders should you do FIRST?
Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin?
Apical pulse
A patient with a history of acute seizure activity of unknown etiology is admitted
to the PCU from the ED. Which of the following orders would you expect to
receive from the admitting provider?
Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions
You are caring for a patient post left pneumonectomy with a chest tube in place
for drainage. Which of the following is a priority in caring for this patient?
Encourage the patient to cough and deep breathe
You are caring for a patient with an order for "furosemide 80 mg BID". Which of
the following actions is the MOST appropriate?
Call the provider to clarify the order
You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient
goes into cardiac arrest and the patient's daughter states "Do whatever you can
to save my dad." Which of the following is the BEST response?
Follow the patient's wishes and honor the DNR
You are educating your patient about reducing sodium intake. You know that the
patient understands when they make the statement:
"I will avoid canned food because it's salty"
The trough for vancomycin is measured:
Immediately before the next scheduled dose
You are delegating wound care to a LPN. The LPN states that she has never
performed this type of wound care before. Which of the following components of
delegation have you neglected?
Competency
You are caring for a patient in third degree heart block. Which of the following
treatment options will MOST likely be implemented?
Pacemaker
You are assigned a patient who recently traveled outside of the United States. He
has a fever of 101.9 F and excessive diarrhea. You suspect he may have been
exposed to Ebola. What type of PPE would you expect to use?
High level PPE
Which of the following patients would you see FIRST?
A 57 year old male complaining of worsening chest tightness
You enter a patient's room and notice the telemetry box on the bed and the IV on
the floor connected to running IV fluids. You last saw the patient 1 hour ago. Who
should be notified immediately?
Charge nurse
correctly_ Summer 2022.
Which of the following medications is MOST commonly indicated for patients
with CHF?
Ace inhibitors
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?
Dilated right pupil
What is the most common symptom of SIADH?
Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient
should you attend to FIRST?
A patient complaining of shortness of breathe on continuous BiPAP with a BP of
189/109
Of the following patients, which one would you see FIRST?
A 30 year suicidal female that took an unknown number of alprazolam with an O2
saturation of 85%
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?
Electrical cardioversion
Which of the following supplemental medications is frequently ordered in
conjunction with furosemide?
Potassium
Which of the following positions is the BEST way to assess for JVD?
Position the patient on his/her back with the head of bed 30-45 degrees
Your patient is on the midday schedule for hemodialysis. He has 100 mg of
metoprolol XL ordered for this morning and his blood pressure if 150/98. Which of
the following would be an appropriate action?
Hold the metoprolol because of the upcoming dialysis
You walk into your patient's room and notice that the chest tube collection
chamber has been knocked over on the floor. There appears to be drainage
dispersed throughout the chambers. What should you do NEXT?
Replace the chamber with a new one
Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure
is 89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is
this patient most likely experiencing?
Hypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which
of the following would you do FIRST?
Cover the insertion site immediately with Vaseline gauze
A 78 year old male is admitted from the ED for syncope with ground level fall. You
note his heart rate is 50 and the patient is confused. His daughter states she
, thinks he has dementia but he has not been diagnosed yet. Blood pressure is
stable. What order do you anticipate?
Stat head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following
orders should you do FIRST?
Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin?
Apical pulse
A patient with a history of acute seizure activity of unknown etiology is admitted
to the PCU from the ED. Which of the following orders would you expect to
receive from the admitting provider?
Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions
You are caring for a patient post left pneumonectomy with a chest tube in place
for drainage. Which of the following is a priority in caring for this patient?
Encourage the patient to cough and deep breathe
You are caring for a patient with an order for "furosemide 80 mg BID". Which of
the following actions is the MOST appropriate?
Call the provider to clarify the order
You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient
goes into cardiac arrest and the patient's daughter states "Do whatever you can
to save my dad." Which of the following is the BEST response?
Follow the patient's wishes and honor the DNR
You are educating your patient about reducing sodium intake. You know that the
patient understands when they make the statement:
"I will avoid canned food because it's salty"
The trough for vancomycin is measured:
Immediately before the next scheduled dose
You are delegating wound care to a LPN. The LPN states that she has never
performed this type of wound care before. Which of the following components of
delegation have you neglected?
Competency
You are caring for a patient in third degree heart block. Which of the following
treatment options will MOST likely be implemented?
Pacemaker
You are assigned a patient who recently traveled outside of the United States. He
has a fever of 101.9 F and excessive diarrhea. You suspect he may have been
exposed to Ebola. What type of PPE would you expect to use?
High level PPE
Which of the following patients would you see FIRST?
A 57 year old male complaining of worsening chest tightness
You enter a patient's room and notice the telemetry box on the bed and the IV on
the floor connected to running IV fluids. You last saw the patient 1 hour ago. Who
should be notified immediately?
Charge nurse
