Progressive Care
RN A Exam
Actual Questions and Answers
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This Exam contains:
Questions and Answers
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Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Expert-Verified explanation
,### Question 1
Upon arrival to the unit, you receive report on four PCU patients. Which
patient should you attend to FIRST?
A) A patient with stable vitals and scheduled medication
B) A patient complaining of shortness of breath on continuous BiPAP with a
BP of 189/109
C) A postoperative patient with mild pain
D) A patient with controlled diabetes
Answer: B) A patient complaining of shortness of breath on continuous BiPAP
with a BP of 189/109
Explanation: The patient on BiPAP is experiencing respiratory distress with
elevated blood pressure, indicating priority for immediate assessment and
potential intervention, while the others are stable.
---
### Question 2
Of the following patients, which one would you see FIRST?
A) A 30-year-old suicidal female that took an unknown number of
alprazolam with an O2 saturation of 85%
B) A patient with a stable gastrointestinal issue
C) A post-operative patient with mild discomfort
D) A patient undergoing routine evaluation
Answer: A) A 30-year-old suicidal female that took an unknown number of
alprazolam with an O2 saturation of 85%
,Explanation: This patient's potential overdose, marked by low oxygen
saturation, poses significant risk for respiratory depression and requires
immediate intervention.
---
### Question 3
You are caring for a patient with new onset atrial fibrillation with a blood
pressure of 80/60. Which of the following treatment options is MOST
appropriate?
A) Beta-blockers
B) Anticoagulants
C) Electrical cardioversion
D) Calcium channel blockers
Answer: C) Electrical cardioversion
Explanation: Given the hypotensive state and symptomatic a-fib, electrical
cardioversion is indicated to quickly restore normal sinus rhythm and
stabilize blood pressure.
### Question 4
Which of the following medications is MOST commonly indicated for patients
with CHF?
A) Beta blockers
B) ACE inhibitors
C) Digoxin
D) Diuretics
, Answer: B) ACE inhibitors
Explanation: ACE inhibitors are critical in the management of congestive
heart failure (CHF) as they improve symptoms, reduce hospitalizations, and
decrease mortality by lowering blood pressure and reducing workload on the
heart.
---
### Question 5
A patient was involved in a motor vehicle accident and CAT scan results
reveal a right-sided SDH. What would be an expected neurological
assessment finding in this patient?
A) Left pupil constriction
B) Bilateral dilated pupils
C) Dilated right pupil
D) Decreased level of consciousness
Answer: C) Dilated right pupil
Explanation: A right-sided subdural hematoma (SDH) may cause pressure
on the optic nerve, leading to a dilated right pupil, which is a sign of
increased intracranial pressure or neurological compromise.
---
### Question 6
What is the most common symptom of SIADH?
A) Weight loss
B) Fluid retention
RN A Exam
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
Questions and Answers
100% Guarantee Pass
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Expert-Verified explanation
,### Question 1
Upon arrival to the unit, you receive report on four PCU patients. Which
patient should you attend to FIRST?
A) A patient with stable vitals and scheduled medication
B) A patient complaining of shortness of breath on continuous BiPAP with a
BP of 189/109
C) A postoperative patient with mild pain
D) A patient with controlled diabetes
Answer: B) A patient complaining of shortness of breath on continuous BiPAP
with a BP of 189/109
Explanation: The patient on BiPAP is experiencing respiratory distress with
elevated blood pressure, indicating priority for immediate assessment and
potential intervention, while the others are stable.
---
### Question 2
Of the following patients, which one would you see FIRST?
A) A 30-year-old suicidal female that took an unknown number of
alprazolam with an O2 saturation of 85%
B) A patient with a stable gastrointestinal issue
C) A post-operative patient with mild discomfort
D) A patient undergoing routine evaluation
Answer: A) A 30-year-old suicidal female that took an unknown number of
alprazolam with an O2 saturation of 85%
,Explanation: This patient's potential overdose, marked by low oxygen
saturation, poses significant risk for respiratory depression and requires
immediate intervention.
---
### Question 3
You are caring for a patient with new onset atrial fibrillation with a blood
pressure of 80/60. Which of the following treatment options is MOST
appropriate?
A) Beta-blockers
B) Anticoagulants
C) Electrical cardioversion
D) Calcium channel blockers
Answer: C) Electrical cardioversion
Explanation: Given the hypotensive state and symptomatic a-fib, electrical
cardioversion is indicated to quickly restore normal sinus rhythm and
stabilize blood pressure.
### Question 4
Which of the following medications is MOST commonly indicated for patients
with CHF?
A) Beta blockers
B) ACE inhibitors
C) Digoxin
D) Diuretics
, Answer: B) ACE inhibitors
Explanation: ACE inhibitors are critical in the management of congestive
heart failure (CHF) as they improve symptoms, reduce hospitalizations, and
decrease mortality by lowering blood pressure and reducing workload on the
heart.
---
### Question 5
A patient was involved in a motor vehicle accident and CAT scan results
reveal a right-sided SDH. What would be an expected neurological
assessment finding in this patient?
A) Left pupil constriction
B) Bilateral dilated pupils
C) Dilated right pupil
D) Decreased level of consciousness
Answer: C) Dilated right pupil
Explanation: A right-sided subdural hematoma (SDH) may cause pressure
on the optic nerve, leading to a dilated right pupil, which is a sign of
increased intracranial pressure or neurological compromise.
---
### Question 6
What is the most common symptom of SIADH?
A) Weight loss
B) Fluid retention
