PROGRESSIVE CARE RN A VERSION A AND VERSION B NEWEST 2024 ACTUAL EXAM COMPLETE 130
QUESTIONS AND CORRECT DETAILED 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 breathe 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
, PROGRESSIVE CARE RN A VERSION A AND VERSION B NEWEST 2024 ACTUAL EXAM COMPLETE 130
QUESTIONS AND CORRECT DETAILED ANSWERS
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
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"
QUESTIONS AND CORRECT DETAILED 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 breathe 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
, PROGRESSIVE CARE RN A VERSION A AND VERSION B NEWEST 2024 ACTUAL EXAM COMPLETE 130
QUESTIONS AND CORRECT DETAILED ANSWERS
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
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"
