Progressive Care RN A QUESTIONS AND ACCURATE
ANSWERS
Which of the following medications is MOST commonly indicated for patients with CHF? -
(ANSWER)Ace inhibitors
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? -
(ANSWER)Dilated right pupil
What is the most common symptom of SIADH? -(ANSWER)Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you
attend to FIRST? -(ANSWER)A patient complaining of shortness of breath on continuous
BiPAP with a BP of 189/109
Of the following patients, which one would you see FIRST? -(ANSWER)A 30 year suicidal
female that took an unknown number of alprazolam with an O2 saturation of 85%
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? -(ANSWER)Electrical
cardioversion
Which of the following supplemental medications is frequently ordered in conjunction with
furosemide? -(ANSWER)Potassium
Which of the following positions is the BEST way to assess for JVD? -(ANSWER)Position the
patient on his/her back with the head of bed 30-45 degrees
Your patient is on the midday schedule for hemodialysis. He has 100 mg of metoprolol XL
ordered for this morning and his blood pressure if 150/98. Which of the following would be an
appropriate action? -(ANSWER)Hold the metoprolol because of the upcoming dialysis
You walk into your patient's room and notice that the chest tube collection chamber has been
knocked over on the floor. There appears to be drainage dispersed throughout the chambers.
What should you do NEXT? -(ANSWER)Replace the chamber with a new one
Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is 89/55, heart
rate is 122 bpm, and the temperature is 100.8 F. What condition is this patient most likely
experiencing? -(ANSWER)Hypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the following
would you do FIRST? -(ANSWER)Cover the insertion site immediately with Vaseline gauze
Page | 1
, A 78 year old male is admitted from the ED for syncope with ground level fall. You note his
heart rate is 50 and the patient is confused. His daughter states she thinks he has dementia but he
has not been diagnosed yet. Blood pressure is stable. What order do you anticipate? -
(ANSWER)Stat head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should
you do FIRST? -(ANSWER)Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? -(ANSWER)Apical
pulse
A patient with a history of acute seizure activity of unknown etiology is admitted to the PCU
from the ED. Which of the following orders would you expect to receive from the admitting
provider? -(ANSWER)Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure
precautions
You are caring for a patient post left pneumonectomy with a chest tube in place for drainage.
Which of the following is a priority in caring for this patient? -(ANSWER)Encourage the patient
to cough and deep breathe
You are caring for a patient with an order for "furosemide 80 mg BID". Which of the following
actions is the MOST appropriate? -(ANSWER)Call the provider to clarify the order
You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient goes into
cardiac arrest and the patient's daughter states "Do whatever you can to save my dad." Which of
the following is the BEST response? -(ANSWER)Follow the patient's wishes and honor the
DNR
You are educating your patient about reducing sodium intake. You know that the patient
understands when they make the statement: -(ANSWER)"I will avoid canned food because it's
salty"
The trough for vancomycin is measured: -(ANSWER)Immediately before the next scheduled
dose
You are delegating wound care to a LPN. The LPN states that she has never performed this type
of wound care before. Which of the following components of delegation have you neglected? -
(ANSWER)Competency
You are caring for a patient in third degree heart block. Which of the following treatment options
will MOST likely be implemented? -(ANSWER)Pacemaker
You are assigned a patient who recently traveled outside of the United States. He has a fever of
101.9 F and excessive diarrhea. You suspect he may have been exposed to Ebola. What type of
PPE would you expect to use? -(ANSWER)High level PPE
Page | 2
ANSWERS
Which of the following medications is MOST commonly indicated for patients with CHF? -
(ANSWER)Ace inhibitors
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? -
(ANSWER)Dilated right pupil
What is the most common symptom of SIADH? -(ANSWER)Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you
attend to FIRST? -(ANSWER)A patient complaining of shortness of breath on continuous
BiPAP with a BP of 189/109
Of the following patients, which one would you see FIRST? -(ANSWER)A 30 year suicidal
female that took an unknown number of alprazolam with an O2 saturation of 85%
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? -(ANSWER)Electrical
cardioversion
Which of the following supplemental medications is frequently ordered in conjunction with
furosemide? -(ANSWER)Potassium
Which of the following positions is the BEST way to assess for JVD? -(ANSWER)Position the
patient on his/her back with the head of bed 30-45 degrees
Your patient is on the midday schedule for hemodialysis. He has 100 mg of metoprolol XL
ordered for this morning and his blood pressure if 150/98. Which of the following would be an
appropriate action? -(ANSWER)Hold the metoprolol because of the upcoming dialysis
You walk into your patient's room and notice that the chest tube collection chamber has been
knocked over on the floor. There appears to be drainage dispersed throughout the chambers.
What should you do NEXT? -(ANSWER)Replace the chamber with a new one
Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is 89/55, heart
rate is 122 bpm, and the temperature is 100.8 F. What condition is this patient most likely
experiencing? -(ANSWER)Hypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the following
would you do FIRST? -(ANSWER)Cover the insertion site immediately with Vaseline gauze
Page | 1
, A 78 year old male is admitted from the ED for syncope with ground level fall. You note his
heart rate is 50 and the patient is confused. His daughter states she thinks he has dementia but he
has not been diagnosed yet. Blood pressure is stable. What order do you anticipate? -
(ANSWER)Stat head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should
you do FIRST? -(ANSWER)Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? -(ANSWER)Apical
pulse
A patient with a history of acute seizure activity of unknown etiology is admitted to the PCU
from the ED. Which of the following orders would you expect to receive from the admitting
provider? -(ANSWER)Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure
precautions
You are caring for a patient post left pneumonectomy with a chest tube in place for drainage.
Which of the following is a priority in caring for this patient? -(ANSWER)Encourage the patient
to cough and deep breathe
You are caring for a patient with an order for "furosemide 80 mg BID". Which of the following
actions is the MOST appropriate? -(ANSWER)Call the provider to clarify the order
You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient goes into
cardiac arrest and the patient's daughter states "Do whatever you can to save my dad." Which of
the following is the BEST response? -(ANSWER)Follow the patient's wishes and honor the
DNR
You are educating your patient about reducing sodium intake. You know that the patient
understands when they make the statement: -(ANSWER)"I will avoid canned food because it's
salty"
The trough for vancomycin is measured: -(ANSWER)Immediately before the next scheduled
dose
You are delegating wound care to a LPN. The LPN states that she has never performed this type
of wound care before. Which of the following components of delegation have you neglected? -
(ANSWER)Competency
You are caring for a patient in third degree heart block. Which of the following treatment options
will MOST likely be implemented? -(ANSWER)Pacemaker
You are assigned a patient who recently traveled outside of the United States. He has a fever of
101.9 F and excessive diarrhea. You suspect he may have been exposed to Ebola. What type of
PPE would you expect to use? -(ANSWER)High level PPE
Page | 2
