Progressive Care RN A v1 Test (65 Questions and Correct Answers)
Verified Answers Updated 2024
Which of the following is an early indication of a stroke?
Ptosis
Which of the following are clinical manifestations typically seen in a patient with left ventricular failure?
Dyspnea/peripheral edema/JVD or Dyspnea/distant heart sounds/bilateral crackles???
A patient is admitted to the PCU with COPD exacerbation. Which of the following assessment findings
would you expect to find knowing that the patient has been taking prednisone 40 mg PO once daily for
18 years?
Hyperglycemia
A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a suicide
attempt the previous shift and states "I want to die because I am being bullied at school." Which of the
following is the MOST important action?
Place the patient on suicide precautions to prevent a second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10 mg/hour. The vial of
diltiazem contains 5mg/mL. Which of the following is the correct volume to add to the bag of D5W?
25 mL
The provider has ordered a 24-hour urine collection for your patient. The patient voids 275 cc, 2 hours
after the order is given. This specimen should be:
Discarded, then begin collection with the next void
What acid-base imbalance would you expect to see in a patient with an acute kidney injury?
Metabolic acidosis
Your 28 year old patient is being discharged on warfarin 5 mg every evening after being diagnosed with
atrial fibrillation. Which of the following statements indicates a need for further teaching?
"I cant wait to get back to riding on my horse."
You are caring for an 80 year old male with advanced COPD with an oxygen saturation level of 80%.
Which of the following would you do to promote adequate oxygen exchange?
Use a high-flow venturi mask to deliver oxygen as ordered
You are caring for a patient that has returned from the cath lab post antioplasty. Upon assessment, you
note a large hematoma at the sheath site. Which of the following would you do immediateley?
Apply manual pressure to the site and call for help
Which of the following findings assist in the diagnosis of deep vein thrombosis?
, Positive D-dimer
The patient is presenting with a blood pressure of 90/60, a creatinine of 3.0 and decreased urinary
output. What is a possible cause for these findings?
Acute kidney injury
You admit a patient to the PCU that was rear-ended in a motor vehicle accident. As they sit up in bed
you notice bruising to the right flank area. What immediate action should be taken?
Notify the provider of assessment findings and possible retroperitoneal bleeding
A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab values supports
confirmation of this diagnosis?
Hgb of 5.2
You are taking care of a patient who is scheduled for ablation to treat atrial fibrillation. While obtaining
consent , the patient asks multiple questions about the procedure. What is the BEST response?
Request the provider come and discuss the procedure with the patient
Your patient has an IVC filter placed two days ago and starts to complain of sharp pain in the chest,
shortness of breath, anxiety, and heart palpitations. What should you do NEXT?
Notify the provider and prepare for a CT scan
What is the MOST important intervention for a patient with non-blanching redness and intact skin to
their coccyx?
Turning the patient every two hours, alternating from side to side
What is the most common cause of acute onset pancreatitis?
Alcoholism and galstones
Then nursing assistant reports that your post-op day 2 CABG patient has a temp of 101.3 and BP of
82/56. The patient's output has decreased to < 30 cc in the past 4 hours. You suspect a post surgical
complication. After calling the doctor, you receive the orders for STAT CBC, CMP, and coagulation test.
Which of the following results would you expect to see after these labs are completed?
WBC greater than 19,000
Your patient is receiving an amiodarone drip. You should reduce the dose from 1 mg/mL to 0.5 mg/mL
after:
6 hours
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's Disease, CAD,
and depression. The patient reports drinking 3-4 alcoholic drinks/night. This is your third day caring for
this patient and you suddenly notice that he is more anxious and restless than his baseline. What would
be your INITIAL nursing intervention?
Verified Answers Updated 2024
Which of the following is an early indication of a stroke?
Ptosis
Which of the following are clinical manifestations typically seen in a patient with left ventricular failure?
Dyspnea/peripheral edema/JVD or Dyspnea/distant heart sounds/bilateral crackles???
A patient is admitted to the PCU with COPD exacerbation. Which of the following assessment findings
would you expect to find knowing that the patient has been taking prednisone 40 mg PO once daily for
18 years?
Hyperglycemia
A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a suicide
attempt the previous shift and states "I want to die because I am being bullied at school." Which of the
following is the MOST important action?
Place the patient on suicide precautions to prevent a second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10 mg/hour. The vial of
diltiazem contains 5mg/mL. Which of the following is the correct volume to add to the bag of D5W?
25 mL
The provider has ordered a 24-hour urine collection for your patient. The patient voids 275 cc, 2 hours
after the order is given. This specimen should be:
Discarded, then begin collection with the next void
What acid-base imbalance would you expect to see in a patient with an acute kidney injury?
Metabolic acidosis
Your 28 year old patient is being discharged on warfarin 5 mg every evening after being diagnosed with
atrial fibrillation. Which of the following statements indicates a need for further teaching?
"I cant wait to get back to riding on my horse."
You are caring for an 80 year old male with advanced COPD with an oxygen saturation level of 80%.
Which of the following would you do to promote adequate oxygen exchange?
Use a high-flow venturi mask to deliver oxygen as ordered
You are caring for a patient that has returned from the cath lab post antioplasty. Upon assessment, you
note a large hematoma at the sheath site. Which of the following would you do immediateley?
Apply manual pressure to the site and call for help
Which of the following findings assist in the diagnosis of deep vein thrombosis?
, Positive D-dimer
The patient is presenting with a blood pressure of 90/60, a creatinine of 3.0 and decreased urinary
output. What is a possible cause for these findings?
Acute kidney injury
You admit a patient to the PCU that was rear-ended in a motor vehicle accident. As they sit up in bed
you notice bruising to the right flank area. What immediate action should be taken?
Notify the provider of assessment findings and possible retroperitoneal bleeding
A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab values supports
confirmation of this diagnosis?
Hgb of 5.2
You are taking care of a patient who is scheduled for ablation to treat atrial fibrillation. While obtaining
consent , the patient asks multiple questions about the procedure. What is the BEST response?
Request the provider come and discuss the procedure with the patient
Your patient has an IVC filter placed two days ago and starts to complain of sharp pain in the chest,
shortness of breath, anxiety, and heart palpitations. What should you do NEXT?
Notify the provider and prepare for a CT scan
What is the MOST important intervention for a patient with non-blanching redness and intact skin to
their coccyx?
Turning the patient every two hours, alternating from side to side
What is the most common cause of acute onset pancreatitis?
Alcoholism and galstones
Then nursing assistant reports that your post-op day 2 CABG patient has a temp of 101.3 and BP of
82/56. The patient's output has decreased to < 30 cc in the past 4 hours. You suspect a post surgical
complication. After calling the doctor, you receive the orders for STAT CBC, CMP, and coagulation test.
Which of the following results would you expect to see after these labs are completed?
WBC greater than 19,000
Your patient is receiving an amiodarone drip. You should reduce the dose from 1 mg/mL to 0.5 mg/mL
after:
6 hours
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's Disease, CAD,
and depression. The patient reports drinking 3-4 alcoholic drinks/night. This is your third day caring for
this patient and you suddenly notice that he is more anxious and restless than his baseline. What would
be your INITIAL nursing intervention?
