Progressive Care RN A v1 Exam 2024 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 woul d 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 optio ns 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 appro priate 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 chambe rs. 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 l ikely 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 admitt ed 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
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 appro priate 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 chambe rs. 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 l ikely 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 admitt ed 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
