Progressive Care RN A 2024/2025 Latest 100%
Accurate Fall-Spring (Verified Exam)
Your patient has returned from the cath lab post angioplasty. Upon
assessment you note a large hematoma at the sheath site. What would be
your immediate action?
Apply manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they should know
about taking levetiracetam (Keppra®). What would be your BEST
response?
Common side effects are fatigue and depression
Your patient with cardiac bypass surgery is post-op day 2. The nursing
assistant reports that your patient has a temp of 101.3°F and blood
pressure of 82/56. Their urine output has decreased to less than 30 mL in
the past 4 hours. You suspect a post-surgery complication. After calling
the physician you receive orders for STAT CBC, CMP, and coagulation
test. What results would you expect to see after these labs are completed?
WBC greater than 19,000
,What is an adequate amount of urine output?
30 mL/hr
Your patient has left ventricular failure. What clinical manifestations
would you expect to see?
Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80
mg BID. What would be your MOST appropriate action?
Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed.
Capnography indicates the end-tidal CO2 is 18 mmg. What do the
capnography results indicate about the chest compressions?
No changes. These are high quality compressions.
What is required before making a report of elder abuse?
, Suspicion of abuse
You receive your patient with pneumonia from the ED. Antibiotics and
steroids have been initiated by the provider. The patient reports
abdominal pain and has a large loose bowel movement. They inform you
this is their third bowel movement in the last two hours. What would you
do FIRST?
Initiate enteric contact isolation precautions for possible C. diff
Your patient has developed sepsis from an indwelling urinary catheter.
What would be your PRIORITY intervention?
Remove catheter.
Your patient is in third degree heart block. What treatment would you
MOST likely expect to be implemented?
Pacemaker
What are 2 nursing interventions to prevent venous thromboembolism?
• Adequate hydration and early mobilization.
Accurate Fall-Spring (Verified Exam)
Your patient has returned from the cath lab post angioplasty. Upon
assessment you note a large hematoma at the sheath site. What would be
your immediate action?
Apply manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they should know
about taking levetiracetam (Keppra®). What would be your BEST
response?
Common side effects are fatigue and depression
Your patient with cardiac bypass surgery is post-op day 2. The nursing
assistant reports that your patient has a temp of 101.3°F and blood
pressure of 82/56. Their urine output has decreased to less than 30 mL in
the past 4 hours. You suspect a post-surgery complication. After calling
the physician you receive orders for STAT CBC, CMP, and coagulation
test. What results would you expect to see after these labs are completed?
WBC greater than 19,000
,What is an adequate amount of urine output?
30 mL/hr
Your patient has left ventricular failure. What clinical manifestations
would you expect to see?
Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80
mg BID. What would be your MOST appropriate action?
Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed.
Capnography indicates the end-tidal CO2 is 18 mmg. What do the
capnography results indicate about the chest compressions?
No changes. These are high quality compressions.
What is required before making a report of elder abuse?
, Suspicion of abuse
You receive your patient with pneumonia from the ED. Antibiotics and
steroids have been initiated by the provider. The patient reports
abdominal pain and has a large loose bowel movement. They inform you
this is their third bowel movement in the last two hours. What would you
do FIRST?
Initiate enteric contact isolation precautions for possible C. diff
Your patient has developed sepsis from an indwelling urinary catheter.
What would be your PRIORITY intervention?
Remove catheter.
Your patient is in third degree heart block. What treatment would you
MOST likely expect to be implemented?
Pacemaker
What are 2 nursing interventions to prevent venous thromboembolism?
• Adequate hydration and early mobilization.
