PROGRESSIVE CARE RN A V1 EXAM ACTUAL EXAM 80
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
Which of the following medications is MOST commonly indicated for patients with
CHF? - ANSWER: 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? - ANSWER: Dilated right pupil
What is the most common symptom of SIADH? - ANSWER: Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient
should you attend to FIRST? - ANSWER: 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? - ANSWER: 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? - ANSWER:
Electrical cardioversion
Which of the following supplemental medications is frequently ordered in
conjunction with furosemide? - ANSWER: Potassium
Which of the following positions is the BEST way to assess for JVD? - ANSWER:
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? - ANSWER: 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? - ANSWER: 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? - ANSWER: Hypovolemic shock
, You are caring for a patient with a chest tube that has become dislodged. Which of
the following would you do FIRST? - ANSWER: 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? - ANSWER: 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? - ANSWER: Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - ANSWER:
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? - ANSWER: 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? - ANSWER:
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? - ANSWER: 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? - ANSWER: 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: - ANSWER: "I will avoid canned
food because it's salty"
The trough for vancomycin is measured: - ANSWER: 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? - ANSWER: Competency
You are caring for a patient in third degree heart block. Which of the following
treatment options will MOST likely be implemented? - ANSWER: Pacemaker
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
Which of the following medications is MOST commonly indicated for patients with
CHF? - ANSWER: 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? - ANSWER: Dilated right pupil
What is the most common symptom of SIADH? - ANSWER: Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient
should you attend to FIRST? - ANSWER: 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? - ANSWER: 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? - ANSWER:
Electrical cardioversion
Which of the following supplemental medications is frequently ordered in
conjunction with furosemide? - ANSWER: Potassium
Which of the following positions is the BEST way to assess for JVD? - ANSWER:
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? - ANSWER: 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? - ANSWER: 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? - ANSWER: Hypovolemic shock
, You are caring for a patient with a chest tube that has become dislodged. Which of
the following would you do FIRST? - ANSWER: 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? - ANSWER: 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? - ANSWER: Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - ANSWER:
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? - ANSWER: 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? - ANSWER:
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? - ANSWER: 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? - ANSWER: 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: - ANSWER: "I will avoid canned
food because it's salty"
The trough for vancomycin is measured: - ANSWER: 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? - ANSWER: Competency
You are caring for a patient in third degree heart block. Which of the following
treatment options will MOST likely be implemented? - ANSWER: Pacemaker
