Relias Progressive Care RN Assessment A Exam (Latest 2025 / 2026): Most Comprehensive Qs & Ans - to Pass the Exam, 100% Verified

Relias Progressive Care RN Assessment A Exam (Latest 2025 / 2026): Most Comprehensive Qs & Ans - to Pass the Exam, 100% Verified Upon arrival to the ED a patient's lab results indicate a BNP of 2000. They are transferred to the PCU. What treatment plan would you expect from the attending provider? - ANSWER Furosemide (Lasix®) 40 mg IV BID Your patient reports chest pain. Which lab orders would you anticipate the provider ordering? - ANSWER -Troponin A patient presents with blood pressure of 90/60, creatinine of 3.0, and decreased urinary output. What is a possible cause for these findings? - ANSWER -Acute kidney injury You want to help your patient wean from the BiPap. You are collaborating with the healthcare team. What is a sign that your patient is fatiguing and you would communicate to the respiratory therapy team? - ANSWER -Increased PaCO2 What is an effective nursing intervention for reducing central line-associated bloodstream infections (CLABSIs)? - ANSWER -Perform a daily assessment of line necessity. You are administering 1 unit of packed red blood cells (PRBC) to your patient. They develop shortness of breath, tachycardia, and distended jugular veins in the first 15 minutes of PRBC administration. What type of transfusion reaction are they likely experiencing? - ANSWER -• Transfusion related hemolytic reaction (Wrong) • Septic transfusion reaction • Transfusion related fluid overload • Anaphylaxis When should the trough for vancomycin (Firvanq®) be measured? - ANSWER Immediately before the next scheduled dose What are PRIMARY goals in diabetic ketoacidosis therapy? - ANSWER -Correct fluid deficit and replace potassium. Your patient is receiving an amiodarone (Pacerone®) drip. When would you reduce the dose from 1 mg/mL to 0.5 mg/mL? - ANSWER -After 6 hours You walk into your patient's room. You notice that the chest tube collection chamber has been knocked over onto its side. There appears to be drainage dispersed throughout the chambers. What would you do NEXT? - ANSWER Replace chamber with a new one. Your patient is experiencing left-sided weakness from a meningioma. What would be the MOST likely treatment for their brain tumor? - ANSWER -Surgical resection Your coworker mistakenly gives 2 units of insulin to a patient. The patient is stabilized and the provider is informed. What would be your NEXT step? - ANSWER -Create an incident report Your patient had an IVC filter placed 2 days ago. They start to complain of sharp pain in the chest, shortness of breath, anxiety, and heart palpitations. What would you do NEXT? - ANSWER -Notify provider and prepare for a CT scan. What ethical principle is the foundation of end-of-life care? - ANSWER -Patient autonomy What is the importance of proper cuff inflation for tracheostomy tubes? - ANSWER -• To decrease the flow of supplemental oxygen. (Wrong) • To facilitate mechanical ventilation. • To prepare the patient for extubation. • To allow the patient to speak. What are the MOST common causes of acute onset pancreatitis? - ANSWER Alcoholism and gallstones Your patient has an upper GI bleed. They have a hemoglobin of 6.1 g/dL. What order would you perform FIRST? - ANSWER -Prepare to administer 2 units PRBCs. Your patient is on the midday schedule for hemodialysis. They have 100 mg metoprolol XL (Toprol®) ordered for this morning. Their blood pressure is 150/98. What would be your MOST appropriate action? - ANSWER -Hold the metoprolol because of the upcoming dialysis. What would be your BEST method for dressing a venous stasis ulcer? - ANSWER -Use gauze wrap covered by a compression bandage What would you check before administering digoxin (Lanoxin®)? - ANSWER Apical pulse What is the FIRST step of the PDSA quality improvement cycle? - ANSWER Plan Your patient has left ventricular heart failure and chest pain. The transport team is ready to take them to their echocardiogram. What would be your nursing PRIORITY for safe transportation? - ANSWER -Accompany patient to their destination Your patient has a new onset of atrial fibrillation with a blood pressure of 80/60. What treatment would be MOST appropriate? - ANSWER -Electrical cardioversion A patient is status post video-assisted thorascopic surgery (VATS) with lobectomy. You are preparing to admit them. What equipment should be placed in their room prior to their arrival? - ANSWER -High flow oxygen Which statement by your patient would concern you the MOST that they are seriously considering suicide? - ANSWER -I have 10 pills set aside if things get really bad. Your patient has advanced COPD with an oxygen saturation level of 80%. What would you do to promote adequate gas exchange? - ANSWER -Use a venturi mask to delivery oxygen as ordered What is an early hemodynamic change associated with stroke? - ANSWER -• Bradycardia • Widened pulse pressure • Hypotension (Wrong) • Hypertension