PROGRESSIVE CARE RN A QUESTIONS
AND CORRECT VERIFIED ANSWERS
WhichA2ofA2theA2followingA2medicationsA2isA2MOSTA2commonlyA2indicatedA2forA2patientsA2
withA2CHF?A2-A2Ans--AceA2inhibitors
AA2patientA2wasA2involvedA2inA2aA2motorA2vehicleA2accidentA2andA2CATA2scanA2resultsA2re
vealA2aA2rightA2sidedA2SDH.A2WhatA2wouldA2beA2anA2expectedA2neurologicalA2assessment
A2findingA2inA2thisA2patient?A2-A2Ans--DilatedA2rightA2pupil
WhatA2isA2theA2mostA2commonA2symptomA2ofA2SIADH?A2-A2Ans--FluidA2retention
UponA2arrivalA2toA2theA2unit,A2youA2receiveA2reportA2onA2fourA2PCUA2patients.A2WhichA2pat
ientA2shouldA2youA2attendA2toA2FIRST?A2-A2Ans--
AA2patientA2complainingA2ofA2shortnessA2ofA2breatheA2onA2continuousA2BiPAPA2withA2aA2B
PA2ofA2189/109
OfA2theA2followingA2patients,A2whichA2oneA2wouldA2youA2seeA2FIRST?A2-A2Ans--
AA230A2yearA2suicidalA2femaleA2thatA2tookA2anA2unknownA2numberA2ofA2alprazolamA2withA2
anA2O2A2saturationA2ofA285%
YouA2areA2caringA2forA2aA2patientA2withA2newA2onsetA2atrialA2fibrillationA2withA2aA2bloodA2pr
essureA2ofA280/60.A2WhichA2ofA2theA2followingA2treatmentA2optionsA2isA2MOSTA2appropriat
e?A2-A2Ans--ElectricalA2cardioversion
WhichA2ofA2theA2followingA2supplementalA2medicationsA2isA2frequentlyA2orderedA2inA2conj
unctionA2withA2furosemide?A2-A2Ans--Potassium
WhichA2ofA2theA2followingA2positionsA2isA2theA2BESTA2wayA2toA2assessA2forA2JVD?A2-
A2Ans--PositionA2theA2patientA2onA2his/herA2backA2withA2theA2headA2ofA2bedA230-
45A2degrees
YourA2patientA2isA2onA2theA2middayA2scheduleA2forA2hemodialysis.A2HeA2hasA2100A2mgA2of
A2metoprololA2XLA2orderedA2forA2thisA2morningA2andA2hisA2bloodA2pressureA2ifA2150/98.A2
WhichA2ofA2theA2followingA2wouldA2beA2anA2appropriateA2action?A2-A2Ans--
HoldA2theA2metoprololA2becauseA2ofA2theA2upcomingA2dialysis
YouA2walkA2intoA2yourA2patient'sA2roomA2andA2noticeA2thatA2theA2chestA2tubeA2collectionA2c
hamberA2hasA2beenA2knockedA2overA2onA2theA2floor.A2ThereA2appearsA2toA2beA2drainageA2
dispersedA2throughoutA2theA2chambers.A2WhatA2shouldA2youA2doA2NEXT?A2-A2Ans--
ReplaceA2theA2chamberA2withA2aA2newA2one
YourA2patientA2isA2complainingA2ofA2nausea,A2vomiting,A2andA2diarrhea.A2HisA2bloodA2pres
sureA2isA289/55,A2heartA2rateA2isA2122A2bpm,A2andA2theA2temperatureA2isA2100.8A2F.A2What
A2conditionA2isA2thisA2patientA2mostA2likelyA2experiencing?A2-A2Ans--HypovolemicA2shock
, YouA2areA2caringA2forA2aA2patientA2withA2aA2chestA2tubeA2thatA2hasA2becomeA2dislodged.A2
WhichA2ofA2theA2followingA2wouldA2youA2doA2FIRST?A2-A2Ans--
CoverA2theA2insertionA2siteA2immediatelyA2withA2VaselineA2gauze
AA278A2yearA2oldA2maleA2isA2admittedA2fromA2theA2EDA2forA2syncopeA2withA2groundA2levelA
2fall.A2YouA2noteA2hisA2heartA2rateA2isA250A2andA2theA2patientA2isA2confused.A2HisA2daughte
rA2statesA2sheA2thinksA2heA2hasA2dementiaA2butA2heA2hasA2notA2beenA2diagnosedA2yet.A2Bl
oodA2pressureA2isA2stable.A2WhatA2orderA2doA2youA2anticipate?A2-A2Ans--StatA2headA2CT
AA2patientA2withA2anA2upperA2GIA2bleedA2hasA2aA2hgbA2ofA26.1A2g/
dL.A2WhichA2ofA2theA2followingA2ordersA2shouldA2youA2doA2FIRST?A2-A2Ans--
PrepareA2toA2administerA22A2unitsA2PRBCs
WhichA2ofA2theA2followingA2shouldA2beA2checkedA2beforeA2administeringA2digoxin?A2-
A2Ans--ApicalA2pulse
AA2patientA2withA2aA2historyA2ofA2acuteA2seizureA2activityA2ofA2unknownA2etiologyA2isA2admi
ttedA2toA2theA2PCUA2fromA2theA2ED.A2WhichA2ofA2theA2followingA2ordersA2wouldA2youA2exp
ectA2toA2receiveA2fromA2theA2admittingA2provider?A2-A2Ans--
LevetiracetamA2(Keppra)A2500A2mgA2IVA2everyA212A2hoursA2andA2seizureA2precautions
YouA2areA2caringA2forA2aA2patientA2postA2leftA2pneumonectomyA2withA2aA2chestA2tubeA2inA2
placeA2forA2drainage.A2WhichA2ofA2theA2followingA2isA2aA2priorityA2inA2caringA2forA2thisA2pati
ent?A2-A2Ans--EncourageA2theA2patientA2toA2coughA2andA2deepA2breathe
YouA2areA2caringA2forA2aA2patientA2withA2anA2orderA2forA2"furosemideA280A2mgA2BID".A2Whi
chA2ofA2theA2followingA2actionsA2isA2theA2MOSTA2appropriate?A2-A2Ans--
CallA2theA2providerA2toA2clarifyA2theA2order
YouA2areA2caringA2forA2aA2patientA2withA2aA2DoA2NotA2ResuscitateA2(DNR)A2order.A2TheA2p
atientA2goesA2intoA2cardiacA2arrestA2andA2theA2patient'sA2daughterA2statesA2"DoA2whatever
A2youA2canA2toA2saveA2myA2dad."A2WhichA2ofA2theA2followingA2isA2theA2BESTA2response?
A2-A2Ans--FollowA2theA2patient'sA2wishesA2andA2honorA2theA2DNR
YouA2areA2educatingA2yourA2patientA2aboutA2reducingA2sodiumA2intake.A2YouA2knowA2that
A2theA2patientA2understandsA2whenA2theyA2makeA2theA2statement:A2-
A2Ans--"IA2willA2avoidA2cannedA2foodA2becauseA2it'sA2salty"
TheA2troughA2forA2vancomycinA2isA2measured:A2-A2Ans--
ImmediatelyA2beforeA2theA2nextA2scheduledA2dose
YouA2areA2delegatingA2woundA2careA2toA2aA2LPN.A2TheA2LPNA2statesA2thatA2sheA2hasA2ne
verA2performedA2thisA2typeA2ofA2woundA2careA2before.A2WhichA2ofA2theA2followingA2compo
nentsA2ofA2delegationA2haveA2youA2neglected?A2-A2Ans--Competency
AND CORRECT VERIFIED ANSWERS
WhichA2ofA2theA2followingA2medicationsA2isA2MOSTA2commonlyA2indicatedA2forA2patientsA2
withA2CHF?A2-A2Ans--AceA2inhibitors
AA2patientA2wasA2involvedA2inA2aA2motorA2vehicleA2accidentA2andA2CATA2scanA2resultsA2re
vealA2aA2rightA2sidedA2SDH.A2WhatA2wouldA2beA2anA2expectedA2neurologicalA2assessment
A2findingA2inA2thisA2patient?A2-A2Ans--DilatedA2rightA2pupil
WhatA2isA2theA2mostA2commonA2symptomA2ofA2SIADH?A2-A2Ans--FluidA2retention
UponA2arrivalA2toA2theA2unit,A2youA2receiveA2reportA2onA2fourA2PCUA2patients.A2WhichA2pat
ientA2shouldA2youA2attendA2toA2FIRST?A2-A2Ans--
AA2patientA2complainingA2ofA2shortnessA2ofA2breatheA2onA2continuousA2BiPAPA2withA2aA2B
PA2ofA2189/109
OfA2theA2followingA2patients,A2whichA2oneA2wouldA2youA2seeA2FIRST?A2-A2Ans--
AA230A2yearA2suicidalA2femaleA2thatA2tookA2anA2unknownA2numberA2ofA2alprazolamA2withA2
anA2O2A2saturationA2ofA285%
YouA2areA2caringA2forA2aA2patientA2withA2newA2onsetA2atrialA2fibrillationA2withA2aA2bloodA2pr
essureA2ofA280/60.A2WhichA2ofA2theA2followingA2treatmentA2optionsA2isA2MOSTA2appropriat
e?A2-A2Ans--ElectricalA2cardioversion
WhichA2ofA2theA2followingA2supplementalA2medicationsA2isA2frequentlyA2orderedA2inA2conj
unctionA2withA2furosemide?A2-A2Ans--Potassium
WhichA2ofA2theA2followingA2positionsA2isA2theA2BESTA2wayA2toA2assessA2forA2JVD?A2-
A2Ans--PositionA2theA2patientA2onA2his/herA2backA2withA2theA2headA2ofA2bedA230-
45A2degrees
YourA2patientA2isA2onA2theA2middayA2scheduleA2forA2hemodialysis.A2HeA2hasA2100A2mgA2of
A2metoprololA2XLA2orderedA2forA2thisA2morningA2andA2hisA2bloodA2pressureA2ifA2150/98.A2
WhichA2ofA2theA2followingA2wouldA2beA2anA2appropriateA2action?A2-A2Ans--
HoldA2theA2metoprololA2becauseA2ofA2theA2upcomingA2dialysis
YouA2walkA2intoA2yourA2patient'sA2roomA2andA2noticeA2thatA2theA2chestA2tubeA2collectionA2c
hamberA2hasA2beenA2knockedA2overA2onA2theA2floor.A2ThereA2appearsA2toA2beA2drainageA2
dispersedA2throughoutA2theA2chambers.A2WhatA2shouldA2youA2doA2NEXT?A2-A2Ans--
ReplaceA2theA2chamberA2withA2aA2newA2one
YourA2patientA2isA2complainingA2ofA2nausea,A2vomiting,A2andA2diarrhea.A2HisA2bloodA2pres
sureA2isA289/55,A2heartA2rateA2isA2122A2bpm,A2andA2theA2temperatureA2isA2100.8A2F.A2What
A2conditionA2isA2thisA2patientA2mostA2likelyA2experiencing?A2-A2Ans--HypovolemicA2shock
, YouA2areA2caringA2forA2aA2patientA2withA2aA2chestA2tubeA2thatA2hasA2becomeA2dislodged.A2
WhichA2ofA2theA2followingA2wouldA2youA2doA2FIRST?A2-A2Ans--
CoverA2theA2insertionA2siteA2immediatelyA2withA2VaselineA2gauze
AA278A2yearA2oldA2maleA2isA2admittedA2fromA2theA2EDA2forA2syncopeA2withA2groundA2levelA
2fall.A2YouA2noteA2hisA2heartA2rateA2isA250A2andA2theA2patientA2isA2confused.A2HisA2daughte
rA2statesA2sheA2thinksA2heA2hasA2dementiaA2butA2heA2hasA2notA2beenA2diagnosedA2yet.A2Bl
oodA2pressureA2isA2stable.A2WhatA2orderA2doA2youA2anticipate?A2-A2Ans--StatA2headA2CT
AA2patientA2withA2anA2upperA2GIA2bleedA2hasA2aA2hgbA2ofA26.1A2g/
dL.A2WhichA2ofA2theA2followingA2ordersA2shouldA2youA2doA2FIRST?A2-A2Ans--
PrepareA2toA2administerA22A2unitsA2PRBCs
WhichA2ofA2theA2followingA2shouldA2beA2checkedA2beforeA2administeringA2digoxin?A2-
A2Ans--ApicalA2pulse
AA2patientA2withA2aA2historyA2ofA2acuteA2seizureA2activityA2ofA2unknownA2etiologyA2isA2admi
ttedA2toA2theA2PCUA2fromA2theA2ED.A2WhichA2ofA2theA2followingA2ordersA2wouldA2youA2exp
ectA2toA2receiveA2fromA2theA2admittingA2provider?A2-A2Ans--
LevetiracetamA2(Keppra)A2500A2mgA2IVA2everyA212A2hoursA2andA2seizureA2precautions
YouA2areA2caringA2forA2aA2patientA2postA2leftA2pneumonectomyA2withA2aA2chestA2tubeA2inA2
placeA2forA2drainage.A2WhichA2ofA2theA2followingA2isA2aA2priorityA2inA2caringA2forA2thisA2pati
ent?A2-A2Ans--EncourageA2theA2patientA2toA2coughA2andA2deepA2breathe
YouA2areA2caringA2forA2aA2patientA2withA2anA2orderA2forA2"furosemideA280A2mgA2BID".A2Whi
chA2ofA2theA2followingA2actionsA2isA2theA2MOSTA2appropriate?A2-A2Ans--
CallA2theA2providerA2toA2clarifyA2theA2order
YouA2areA2caringA2forA2aA2patientA2withA2aA2DoA2NotA2ResuscitateA2(DNR)A2order.A2TheA2p
atientA2goesA2intoA2cardiacA2arrestA2andA2theA2patient'sA2daughterA2statesA2"DoA2whatever
A2youA2canA2toA2saveA2myA2dad."A2WhichA2ofA2theA2followingA2isA2theA2BESTA2response?
A2-A2Ans--FollowA2theA2patient'sA2wishesA2andA2honorA2theA2DNR
YouA2areA2educatingA2yourA2patientA2aboutA2reducingA2sodiumA2intake.A2YouA2knowA2that
A2theA2patientA2understandsA2whenA2theyA2makeA2theA2statement:A2-
A2Ans--"IA2willA2avoidA2cannedA2foodA2becauseA2it'sA2salty"
TheA2troughA2forA2vancomycinA2isA2measured:A2-A2Ans--
ImmediatelyA2beforeA2theA2nextA2scheduledA2dose
YouA2areA2delegatingA2woundA2careA2toA2aA2LPN.A2TheA2LPNA2statesA2thatA2sheA2hasA2ne
verA2performedA2thisA2typeA2ofA2woundA2careA2before.A2WhichA2ofA2theA2followingA2compo
nentsA2ofA2delegationA2haveA2youA2neglected?A2-A2Ans--Competency