Progressive Care RN A 2024
1. 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.
2. 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
3. Your patient has a history of renal insufficiency. What class of analgesics would
MOST likely be contraindicated for them <answer> Nonsteroidal anti-inflammatory
medications
4. Your patient is acutely ill. What route of medication administration would likely
be LEAST effective <answer> Intramuscular
5. You are working with the code team to resuscitate a patient in ventricu- lar
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
6. Your patient is on anticoagulant medication.You are discharging them and provide
patient education.
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16
,Which statement by your patient indicates an understanding of the educa- tion
<answer> I will not take ibuprofen (Motrin) every day
7. 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)
8. Your patient has returned from the cath lab post angioplasty. Upon as- sessment
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.
9. 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
10. 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
2/
16
, completed <answer> WBC greater than 19,000
11. What is an adequate amount of urine output <answer> 30 mL/hr
3/
16
1. 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.
2. 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
3. Your patient has a history of renal insufficiency. What class of analgesics would
MOST likely be contraindicated for them <answer> Nonsteroidal anti-inflammatory
medications
4. Your patient is acutely ill. What route of medication administration would likely
be LEAST effective <answer> Intramuscular
5. You are working with the code team to resuscitate a patient in ventricu- lar
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
6. Your patient is on anticoagulant medication.You are discharging them and provide
patient education.
1/
16
,Which statement by your patient indicates an understanding of the educa- tion
<answer> I will not take ibuprofen (Motrin) every day
7. 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)
8. Your patient has returned from the cath lab post angioplasty. Upon as- sessment
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.
9. 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
10. 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
2/
16
, completed <answer> WBC greater than 19,000
11. What is an adequate amount of urine output <answer> 30 mL/hr
3/
16
