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PROGRESSIVE CARE RN EXAM 2 WITH COMPLETE ACTUAL TEST QUESTIONS AND CORRECT DETAILED ANSWERS (CORRECT VERIFIED ANSWERS)

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PROGRESSIVE CARE RN EXAM 2 WITH COMPLETE ACTUAL TEST QUESTIONS AND CORRECT DETAILED ANSWERS (CORRECT VERIFIED ANSWERS)

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Voorbeeld van de inhoud

Progressive Care V1 Exam 2023h h h h




WhichhinformationhishahpriorityhforhthehRNhtohreinforcehtohanholderhclienthafterhintravenou
shpylegraphy?
A)hEathahlighthdiethforhthehresthofhthehday
B)hResthforhthehnexth24hhourshsincehthehpreparationhandhthehtesthishtiring.
C)hDuringhwakinghhourshdrinkhathleasth1h8-
ouncehglasshofhfluidheveryhhourhforhthehnexth2hdays
D)hMeasurehthehurinehoutputhforhthehnexthdayhandhimmediatelyhnotifyhthehhealthhcarehpr
oviderhifhithshouldhdecrease.h-
hAnswerhD)hMeasurehthehurinehoutputhforhthehnexthdayhandhimmediatelyhnotifyhthehhealt

hhcarehproviderhifhithshouldhdecrease.

Ahclienthhashalteredhrenalhfunctionhandhishbeinghtreatedhathhome.hThehnursehrecognizesh
thaththehmosthaccuratehindicatorhofhfluidhbalancehduringhthehweeklyhvisitshis
A)hdifferencehinhthehintakehandhoutput
B)hchangeshinhthehmucoushmembranes
C)hskinhturgor
D)hweeklyhweighth-hAnswerhD)hweeklyhweight

AhclienthhashbeenhdiagnosedhwithhZollinger-
Ellisonhsyndrome.Whichhinformationhishmosthimportanthforhthehnursehtohreinforcehwithhth
ehclient?
A)hIthishahconditionhinhwhichhonehorhmorehtumorshcalledhgastrinomashformhinhthehpancre
ashorhinhthehupperhparthofhthehsmallhintestineh(duodenum)
B)hIthishcriticalhtohreporthpromptlyhtohyourhhealthhcarehproviderhanyhfindingshofhpeptichulce
rs
c)hTreatmenthconsistshofhmedicationshtohreducehacidhandhhealhanyhpeptichulcershand,hifh
possible,hsurgeryhtohremovehanyhtumors
D)hWithhthehaveragehagehathdiagnosishath50hyearshthehpeptichulcershmayhoccurhathunusu
alhareashofhthehstomachhorhintestineh-
hAnswerhB)hIthishcriticalhtohreporthpromptlyhtohyourhhealthhcarehproviderhanyhfindingshofhp

eptichulcers

Ahprimigravidahinhthehthirdhtrimesterhishhospitalizedhforhpreeclampsia.hThehnursehdeter
mineshthaththehclient'shbloodhpressurehishincreasing.hWhichhactionhshouldhthehnursehtak
ehfirst?
A)hCheckhthehproteinhlevelhinhurine
B)hHavehthehclienthturnhtohthehlefthside
C)hTakehthehtemperature
D)hMonitorhthehurinehoutputh-hAnswerhB)hHavehthehclienthturnhtohthehlefthside

Thehnursehishcaringhforhahclienthinhatrialhfibrillation.hThehatrialhhearthratehish250handhthehv
entricularhratehishcontrolledhath75.hWhichhofhthehfollowinghfindingshishcausehforhthehmost
concern?
A)hDiminishedhbowelhsounds
B)hLosshofhappetite
C)hAhcold,hpalehlowerhleg
D)hTachypneah-hAnswerhC)hAhcold,hpalehlowerhleg

,Progressive Care V1 Exam 2023
h h h h




Thehclienthwithhinfectivehendocarditishmusthbehassessedhfrequentlyhbyhthehhomehhealthh
nurse.hWhichhfindinghsuggestshthathantibiotichtherapyhishnotheffective,handhmusthbehrepo
rtedhbyhthehnursehimmediatelyhtohthehhealthcarehprovider?
A)hNauseahandhvomiting
B)hFeverhofh103hdegreeshFahrenheith(39.5hdegreeshCelsius)
C)hDiffusehmacularhrash
D)hMusclehtendernessh-
hAnswerhB)hFeverhofh103hdegreeshFahrenheith(39.5hdegreeshCelsius)




Ahclienthwhohhadhahvasectomyhishinhthehposthrecoveryhunithathanhoutpatienthclinic.hWhich
hofhthesehpointshishmosthimportanthtohbehreinforcedhbyhthehnurse?

A)hUntilhthehhealthhcarehproviderhhashdeterminedhthathyourhejaculatehdoesn'thcontainhsp
erm,hcontinuehtohusehanotherhformhofhcontraception.
B)hThishprocedurehdoesn'thimpedehthehproductionhofhmalehhormoneshorhthehproductionh
ofhspermhinhthehtesticles.hThehspermhcanhnohlongerhenterhyourhsemenhandhnohspermhar
ehin
yourhejaculate.
C)hAfterhyourhvasectomy,hstrenuoushactivityhneedshtohbehavoidedhforhathleasth48hhours.hI
fhyourhworkhdoesn'thinvolvehhardhphysicalhlabor,hyouhcanhreturnhtohyourhjobhashsoonhashy
ou
feelhuphtohit.hThehstitcheshgenerallyhdissolvehinhsevenhtohtenhdays.
D)Thehhealthhcarehproviderhaththishclinichrecommendshrest,hice,hanhathletichsupporterhorh
over-the-counterhpainhmedicationhtohrelievehanyhdiscomfort.h-
hAnswerhA)hUntilhthehhealthhcarehproviderhhashdeterminedhthathyourhejaculatehdoesn'thc

ontainhsperm,hcontinuehtohusehanotherhformhofhcontraception.

Ahclienthwhohishtohhavehantineoplastichchemotherapyhtellshthehnurseshofhahfearhofhbeingh
sickhallhthehtimehandhwisheshtohtryhacupuncture.hWhichhofhthesehbeliefshstatedhbyhthehcli
ent
wouldhbehincorrecthabouthacupuncture?
A)hSomehneedleshgohashdeephash3hinches,hdependinghonhwherehthey'rehplacedhinhthehb
odyhandhwhaththehtreatmenthishfor.hThehneedleshusuallyharehlefthinhforh15htoh30hminutes.
B)hInhtraditionalhChinesehmedicine,himbalanceshinhthehbasichenergetichflowhofhlifeh—
hknownhashqihorhchih—harehthoughthtohcausehillness.

C)hThehflowhofhlifehishbelievedhtohflowhthroughhmajorhpathwayshorhnervehclustershinhyourh
body.
D)hByhinsertinghextremelyhfinehneedleshintohsomehofhthehoverh400hacupuncturehpointshin
hvarioushcombinationshithishbelievedhthathenergyhflowhwillhrebalancehtohallowhthehbody'sh

naturalhhealinghmechanismshtohtakehover.h-
hAnswerhC)hThehflowhof hlifehishbelievedhtohflowhthroughhmajorhpathwayshorhnervehcluster

shinhyourhbody.

ThehnursehishdiscussinghwithhahgrouphofhstudentshthehdiseasehKawasaki.hWhathstateme
nthmadehbyhahstudenthabouthKawasakihdiseasehishincorrect?
A)hIthalsohcalledhmucocutaneoushlymphhnodehsyndromehbecausehithaffectshthehmucoush
membranesh(insidehthehmouth,hthroathandhnose),hskinhandhlymphhnodes.

,Progressive Care V1 Exam 2023
h h h h




B)hInhthehsecondhphasehofhthehdisease,hfindingshincludehpeelinghofhthehskinhonhthehhand
shandhfeethwithhjointhandhabdominalhpain
C)hKawasakihdiseasehoccurshmosthoftenhinhboys,hchildrenhyoungerhthanhageh5handhchild
renhofhHispanichdescent
D)hInitiallyhfindingsharehahsuddenhhighhfever,husuallyhaboveh104hdegreeshFahrenheit,hw
hichhlastsh1hto2hweeksh-
hAnswerhC)hKawasakihdiseasehoccurshmosthoftenhinhboys,hchildrenhyoungerhthanhageh5h

andhchildrenhofhHispanichdescent

Ahclienthhashviralhpneumoniahaffectingh2/3hofhthehrighthlung.hWhathwouldhbehthehbesthpos
itionhtohteachhthehclienthtohliehinheveryhotherhhourhduringhfirsth12hhourshafterhadmission?
A)hSide-lyinghonhthehlefthwithhthehheadhelevatedh10hdegrees
B)hSide-lyinghonhthehlefthwithhthehheadhelevatedh35hdegrees
C)hSide-lyinghonhthehrighthwilhthehheadhelevatedh10hdegrees
D)hSide-lyinghonhthehrighthwithhthehheadhelevatedh35hdegreesh-hAnswerhA)hSide-
lyinghonhthehlefthwithhthehheadhelevatedh10hdegrees

Ahclienthhashanhindwellinghcatheterhwithhcontinuoushbladderhirrigationhafterhundergoingh
ahtransurethralhresectionhofhthehprostateh(TURP)h12hhourshago.hWhichhfindinghaththishti
mehshouldhbehreportedhtohthehhealthhcarehprovider?
A)hLight,hpinkhurine
B)hoccasionalhsuprapubichcramping
C)hminimalhdrainagehintohthehurinaryhcollectionhbag
D)hcomplaintshofhthehfeelinghofhpullinghonhthehurinaryhcatheterh-
hAnswerhC)hminimalhdrainagehintohthehurinaryhcollectionhbag




AhnursehishperforminghCPRhonhanhadulthwhohwenthintohcardiopulmonaryharrest.hAnother
hnursehentershthehroomhinhresponsehtohthehcall.hAfterhcheckinghthehclient'shpulse

andhrespirations,hwhathshouldhbehthehfunctionhofhthehsecondhnurse?
A)hRelievehthehnursehperforminghCPR
B)hGohgeththehcodehcart
C)hParticipatehwithhthehcompressionshorhbreathing
D)hValidatehthehclient'shadvancedhdirectiveh-
hAnswerhC)hParticipatehwithhthehcompressionshorhbreathing




Thehnursehassesseshah72hyear-
oldhclienthwhohwashadmittedhforhrighthsidedhcongestivehhearthfailure.hWhichhofhthehfollow
inghwouldhthehnursehanticipatehfinding?
A)hDecreasedhurinaryhoutput
B)hJugularhveinhdistention
C)hPleuralheffusion
D)hBibasilarhcracklesh-hAnswerhB)hJugularhveinhdistention

Ahclienthwithhhearthfailurehhashahprescriptionhforhdigoxin.hThehnursehishawarehthathsuffici
enthpotassiumhshouldhbehincludedhinhthehdiethbecausehhypokalemiahinhcombinationhwit
hhthishmedication
A)hCanhpredisposehtohdysrhythmias

, Progressive Care V1 Exam 2023
h h h h




B)hMayhleadhtoholiguria
C)hMayhcausehirritabilityhandhanxiety
D)hSometimeshaltershconsciousnessh-hAnswerhA)hCanhpredisposehtohdysrhythmias

Ahnursehassesseshahyounghadulthinhthehemergencyhroomhfollowinghahmotorhvehiclehacci
dent.hWhichhofhthehfollowinghneurologicalhsignshishofhmosthconcern?
A)hFlaccidhparalysis
B)hPupilshfixedhandhdilated
C)hDiminishedhspinalhreflexes
D)hReducedhsensoryhresponsesh-hAnswerhB)hPupilshfixedhandhdilated

Ah14hyear-
oldhwithhahhistoryhofhsicklehcellhdiseasehishadmittedhtohthehhospitalhwithhahdiagnosishofhva
so-
occlusivehcrisis.hWhichhstatementshbyhthehclienthwouldhbehmosthindicativehofhthehetiolog
yhofhthishcrisis?
A)h"Ihknewhthishwouldhhappen.hI'vehbeenheatinghtoohmuchhredhmeathlately."
B)h"Ihreallyhenjoyedhmyhfishinghtriphyesterday.hIhcaughth2hfish."
C)h"Ihhavehreallyhbeenhworkinghhardhpracticinghwithhthehdebatehteamhathschool."
D)h"IhwenthtohthehhealthhcarehproviderhlasthweekhforhahcoldhandhIhhavehgottenhworse."h-
hAnswerhD)h"IhwenthtohthehhealthhcarehproviderhlasthweekhforhahcoldhandhIhhavehgottenhw

orse."

Whichhthesehfindingshwouldhthehnursehmorehcloselyhassociatehwithhanemiahinhah10hmon
th-oldhinfant?
A)hHemoglobinhlevelhofh12hg/dI
B)hPalehmucosahofhtheheyelidshandhlips
C)hHypoactivity
D)hAhhearthratehbetweenh140htoh160h-hAnswerhB)hPalehmucosahofhtheheyelidshandhlips

Thehnursehishcaringhforhahclienthinhhypertensivehcrisishinhanhintensivehcarehunit.hThehprior
ityhassessmenthinhthehfirsthhourhofhcarehis
A)hHearthrate
B)hPedalhpulses
C)hLunghsounds
D)hPupilhresponsesh-hAnswerhD)hPupilhresponses

Whichhofhthesehclientshwhoharehallhinhthehterminalhstagehofhcancerhishleasthappropriateht
ohsuggesththehusehofhpatienthcontrolledhanalgesiah(PCA)hwithhahpump?
A)hAhyounghadulthwithhahhistoryhofhDown'shsyndrome
B)hAhteenagerhwhohreadshathah4thhgradehlevel
C)hAnhelderlyhclienthwithhnumerousharthritichnoduleshonhthehhands
D)hAhpreschoolerhwithhintermittenthepisodeshofhalertnessh-
hAnswerhD)hAhpreschoolerhwithhintermittenthepisodeshofhalertness




Thehnursehishabouthtohassesshah6hmonth-oldhchildhwithhnonorganichfailure-
tohthriveh(NOFTT).hUponhenteringhthehroom,hthehnursehwouldhexpecththehbabyhtohbe

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