Progressive Care RN A Questions and
Answers.
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 ✔✔ P e r f o r m a bedside EKG
Your patient has a history of renal insufficiency. What class of
analgesics would MOST likely be contraindicated for them? -
CORRECT ANSWER ✔✔ N o n s t e r o i d a l anti-
inflammatory medications
Your patient is acutely ill. What route of medication
administration would likely be LEAST effective? -
CORRECT ANSWER ✔✔ Intramuscular
You are working with the code team to resuscitate a patient in
ventricular fibrillation. Chest compressions are ongoing and
the patient has been shocked twice. What emergency
medication, if any, would you administer at this juncture? -
CORRECT ANSWER ✔✔ Epinephrine (Adrenaline) 1 mg
IV
, Your patient is on anticoagulant medication. You are
discharging them and provide patient education.
Which statement by your patient indicates an understanding of the
education? - CORRECT ANSWER ✔✔ I will not take
ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment
would be appropriate? -
• Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
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? - CORRECT
ANSWER ✔✔ 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? - CORRECT ANSWER ✔✔
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? -
CORRECT ANSWER ✔✔ WBC greater than 19,000
Answers.
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 ✔✔ P e r f o r m a bedside EKG
Your patient has a history of renal insufficiency. What class of
analgesics would MOST likely be contraindicated for them? -
CORRECT ANSWER ✔✔ N o n s t e r o i d a l anti-
inflammatory medications
Your patient is acutely ill. What route of medication
administration would likely be LEAST effective? -
CORRECT ANSWER ✔✔ Intramuscular
You are working with the code team to resuscitate a patient in
ventricular fibrillation. Chest compressions are ongoing and
the patient has been shocked twice. What emergency
medication, if any, would you administer at this juncture? -
CORRECT ANSWER ✔✔ Epinephrine (Adrenaline) 1 mg
IV
, Your patient is on anticoagulant medication. You are
discharging them and provide patient education.
Which statement by your patient indicates an understanding of the
education? - CORRECT ANSWER ✔✔ I will not take
ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment
would be appropriate? -
• Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
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? - CORRECT
ANSWER ✔✔ 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? - CORRECT ANSWER ✔✔
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? -
CORRECT ANSWER ✔✔ WBC greater than 19,000
