Progressive Care RN A v1 Questions and Answers
Which of the following medications is MOST commonly indicated for patients with CHF? - CORRECT
ANSWERAce 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? - CORRECT ANSWERDilated right
pupil
What is the most common symptom of SIADH? - CORRECT ANSWERFluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you attend to
FIRST? - CORRECT ANSWERA 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? - CORRECT ANSWERA 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? - CORRECT ANSWERElectrical cardioversion
Which of the following supplemental medications is frequently ordered in conjunction with furosemide?
- CORRECT ANSWERPotassium
Which of the following positions is the BEST way to assess for JVD? - CORRECT ANSWERPosition 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? -
CORRECT ANSWERHold 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? - CORRECT ANSWERReplace 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? -
CORRECT ANSWERHypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the following would
you do FIRST? - CORRECT ANSWERCover 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? - CORRECT ANSWERStat 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? - CORRECT ANSWERPrepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - CORRECT ANSWERApical
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? - CORRECT
ANSWERLevetiracetam (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? - CORRECT ANSWEREncourage 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? - CORRECT ANSWERCall 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? - CORRECT ANSWERFollow 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: - CORRECT ANSWER"I will avoid canned food because it's salty"
The trough for vancomycin is measured: - CORRECT ANSWERImmediately 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? - CORRECT
ANSWERCompetency
You are caring for a patient in third degree heart block. Which of the following treatment options will
MOST likely be implemented? - CORRECT ANSWERPacemaker
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? - CORRECT ANSWERHigh level PPE
Which of the following patients would you see FIRST? - CORRECT ANSWERA 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? - CORRECT
ANSWERCharge nurse
A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF. Two hours after
admission you notice the patient now has ST elevation in each of those leads. What should you do
NEXT? - CORRECT ANSWERInitiate STEMI team
An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She has a 22 gauge
peripheral IV in her left hand and is due to void. She had morphine 8mg and Zofran 4mg in recovery, and
Which of the following medications is MOST commonly indicated for patients with CHF? - CORRECT
ANSWERAce 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? - CORRECT ANSWERDilated right
pupil
What is the most common symptom of SIADH? - CORRECT ANSWERFluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you attend to
FIRST? - CORRECT ANSWERA 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? - CORRECT ANSWERA 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? - CORRECT ANSWERElectrical cardioversion
Which of the following supplemental medications is frequently ordered in conjunction with furosemide?
- CORRECT ANSWERPotassium
Which of the following positions is the BEST way to assess for JVD? - CORRECT ANSWERPosition 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? -
CORRECT ANSWERHold 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? - CORRECT ANSWERReplace 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? -
CORRECT ANSWERHypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the following would
you do FIRST? - CORRECT ANSWERCover 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? - CORRECT ANSWERStat 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? - CORRECT ANSWERPrepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - CORRECT ANSWERApical
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? - CORRECT
ANSWERLevetiracetam (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? - CORRECT ANSWEREncourage 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? - CORRECT ANSWERCall 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? - CORRECT ANSWERFollow 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: - CORRECT ANSWER"I will avoid canned food because it's salty"
The trough for vancomycin is measured: - CORRECT ANSWERImmediately 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? - CORRECT
ANSWERCompetency
You are caring for a patient in third degree heart block. Which of the following treatment options will
MOST likely be implemented? - CORRECT ANSWERPacemaker
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? - CORRECT ANSWERHigh level PPE
Which of the following patients would you see FIRST? - CORRECT ANSWERA 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? - CORRECT
ANSWERCharge nurse
A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF. Two hours after
admission you notice the patient now has ST elevation in each of those leads. What should you do
NEXT? - CORRECT ANSWERInitiate STEMI team
An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She has a 22 gauge
peripheral IV in her left hand and is due to void. She had morphine 8mg and Zofran 4mg in recovery, and
