Progressive Care RN A 2024 (Relias)
Latest Exam & Solutions
You want to assess for jugular vein distention (JVD). What position would be BEST?
- correct-answer -Position patient on their back with head of bed at 30 to 45
degrees.
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? - correct-answer -Perform a
bedside EKG
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? - correct-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? - correct-answer -Increased PaCO2
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What is an effective nursing intervention for reducing central line-associated
bloodstream infections (CLABSIs)? - correct-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? - correct-answer -• Transfusion related hemolytic reaction
(Wrong)
• Septic transfusion reaction
• Transfusion related fluid overload
• Anaphylaxis
When should the trough for vancomycin (Firvanq®) be measured? - correct-
answer -Immediately before the next scheduled dose
What are PRIMARY goals in diabetic ketoacidosis therapy? - correct-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? - correct-answer -After 6 hours