Progressive Care RN A 2024 Exam Questions with 100% Complete Solutions Rated 100%

You want to assess for jugular vein distention (JVD). What position would be BEST? - cORRECT sOLUTION 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? - cORRECT sOLUTION Perform a bedside EKG Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be contraindicated for them? - cORRECT sOLUTION Nonsteroidal anti-inflammatory medications Your patient is acutely ill. What route of medication administration would likely be LEAST effective? - cORRECT sOLUTION 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? - cORRECT sOLUTION 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? - cORRECT sOLUTION I will not take ibuprofen (Motrin®) every day Your non-verbal patient is alert. What type of pain assessment would be appropriate? - cORRECT sOLUTION • 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? - cORRECT sOLUTION 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? - cORRECT sOLUTION 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? - cORRECT sOLUTION WBC greater than 19,000 What is an adequate amount of urine output? - cORRECT sOLUTION 30 mL/hr Your patient has left ventricular failure. What clinical manifestations would you expect to see? - cORRECT sOLUTION 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? - cORRECT sOLUTION 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? - cORRECT sOLUTION No changes. These are high quality compressions. What is required before making a report of elder abuse? - cORRECT sOLUTION Suspicion of abuse