2024 PROGRESSIVE CARE RN A V1
EXAM WITH VERIFIED SOLUTIONS
(CORRECT ANSWERS)
Which of the following medications is MOST commonly indicated for patients
with CHF? - CORRECT-ANSWERSAce inhibitors
What is the most common symptom of SIADH? - CORRECT-ANSWERSFluid
retention
Upon arrival to the unit, you receive report on four PCU patients. Which
patient should you attend to FIRST? - CORRECT-ANSWERSA patient
complaining of shortness of breathe on continuous BiPAP with a BP of
189/109
Which of the following has been found to be linked to a diagnosis of
endocarditis? - CORRECT-ANSWERSRecent invasive dental procedures
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? - CORRECT-ANSWERSDilated right pupil
Your patient is post-op day 3 after triple bypass surgery. Chest tubes have
been removed. The patient suddenly complains of palpitations. His blood
pressure is 130/76 and heart rate is 140 bpm. What would you do NEXT? -
CORRECT-ANSWERSImmediately perform a bedside EKG
What abnormal heart sound would you expect to hear in a patient with mitral
stenosis? - CORRECT-ANSWERSDiastolic murmur
You are performing auscultation on your patient and note an absence of
breath sounds in the right lower lobe. Which of the following would you
suspect? - CORRECT-ANSWERSPneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? -
CORRECT-ANSWERSCorrect fluid deficit and replace potassium
You receive an 84 year old patient from the ED with pneumonia. Antibiotics
and steroids have already been initiated by the provider. The patient
complains of abdominal pain and has a large, loose bowel movement and
, notifies you this is the third one. What should you do FIRST? - CORRECT-
ANSWERSInitiate contact isolation precautions for possible C. difficile
You have completed a blood transfusion and are unsure of how to dispose of
the empty bag. What should you do? - CORRECT-ANSWERSLocate the MSDS
book to find policy and procedures
Which of the following is an early indication of a stroke? - CORRECT-
ANSWERSPtosis
Which of the following are clinical manifestations typically seen in a patient
with left ventricular failure? - CORRECT-ANSWERSDyspnea/peripheral
edema/JVD or Dyspnea/distant heart sounds/bilateral crackles???
A patient is admitted to the PCU with COPD exacerbation. Which of the
following assessment findings would you expect to find knowing that the
patient has been taking prednisone 40 mg PO once daily for 18 years? -
CORRECT-ANSWERSHyperglycemia
A 16 year old patient was admitted to the unit for asthma exacerbation. The
patient has a suicide attempt the previous shift and states "I want to die
because I am being bullied at school." Which of the following is the MOST
important action? - CORRECT-ANSWERSPlace the patient on suicide
precautions to prevent a second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10
mg/hour. The vial of diltiazem contains 5mg/mL. Which of the following is the
correct volume to add to the bag of D5W? - CORRECT-ANSWERS25 mL
The provider has ordered a 24-hour urine collection for your patient. The
patient voids 275 cc, 2 hours after the order is given. This specimen should
be: - CORRECT-ANSWERSDiscarded, then begin collection with the next void
What acid-base imbalance would you expect to see in a patient with an acute
kidney injury? - CORRECT-ANSWERSMetabolic acidosis
Your 28 year old patient is being discharged on warfarin 5 mg every evening
after being diagnosed with atrial fibrillation. Which of the following
statements indicates a need for further teaching? - CORRECT-ANSWERS"I
cant wait to get back to riding on my horse."
You are caring for an 80 year old male with advanced COPD with an oxygen
saturation level of 80%. Which of the following would you do to promote
adequate oxygen exchange? - CORRECT-ANSWERSUse a high-flow venturi
mask to deliver oxygen as ordered
EXAM WITH VERIFIED SOLUTIONS
(CORRECT ANSWERS)
Which of the following medications is MOST commonly indicated for patients
with CHF? - CORRECT-ANSWERSAce inhibitors
What is the most common symptom of SIADH? - CORRECT-ANSWERSFluid
retention
Upon arrival to the unit, you receive report on four PCU patients. Which
patient should you attend to FIRST? - CORRECT-ANSWERSA patient
complaining of shortness of breathe on continuous BiPAP with a BP of
189/109
Which of the following has been found to be linked to a diagnosis of
endocarditis? - CORRECT-ANSWERSRecent invasive dental procedures
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? - CORRECT-ANSWERSDilated right pupil
Your patient is post-op day 3 after triple bypass surgery. Chest tubes have
been removed. The patient suddenly complains of palpitations. His blood
pressure is 130/76 and heart rate is 140 bpm. What would you do NEXT? -
CORRECT-ANSWERSImmediately perform a bedside EKG
What abnormal heart sound would you expect to hear in a patient with mitral
stenosis? - CORRECT-ANSWERSDiastolic murmur
You are performing auscultation on your patient and note an absence of
breath sounds in the right lower lobe. Which of the following would you
suspect? - CORRECT-ANSWERSPneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? -
CORRECT-ANSWERSCorrect fluid deficit and replace potassium
You receive an 84 year old patient from the ED with pneumonia. Antibiotics
and steroids have already been initiated by the provider. The patient
complains of abdominal pain and has a large, loose bowel movement and
, notifies you this is the third one. What should you do FIRST? - CORRECT-
ANSWERSInitiate contact isolation precautions for possible C. difficile
You have completed a blood transfusion and are unsure of how to dispose of
the empty bag. What should you do? - CORRECT-ANSWERSLocate the MSDS
book to find policy and procedures
Which of the following is an early indication of a stroke? - CORRECT-
ANSWERSPtosis
Which of the following are clinical manifestations typically seen in a patient
with left ventricular failure? - CORRECT-ANSWERSDyspnea/peripheral
edema/JVD or Dyspnea/distant heart sounds/bilateral crackles???
A patient is admitted to the PCU with COPD exacerbation. Which of the
following assessment findings would you expect to find knowing that the
patient has been taking prednisone 40 mg PO once daily for 18 years? -
CORRECT-ANSWERSHyperglycemia
A 16 year old patient was admitted to the unit for asthma exacerbation. The
patient has a suicide attempt the previous shift and states "I want to die
because I am being bullied at school." Which of the following is the MOST
important action? - CORRECT-ANSWERSPlace the patient on suicide
precautions to prevent a second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10
mg/hour. The vial of diltiazem contains 5mg/mL. Which of the following is the
correct volume to add to the bag of D5W? - CORRECT-ANSWERS25 mL
The provider has ordered a 24-hour urine collection for your patient. The
patient voids 275 cc, 2 hours after the order is given. This specimen should
be: - CORRECT-ANSWERSDiscarded, then begin collection with the next void
What acid-base imbalance would you expect to see in a patient with an acute
kidney injury? - CORRECT-ANSWERSMetabolic acidosis
Your 28 year old patient is being discharged on warfarin 5 mg every evening
after being diagnosed with atrial fibrillation. Which of the following
statements indicates a need for further teaching? - CORRECT-ANSWERS"I
cant wait to get back to riding on my horse."
You are caring for an 80 year old male with advanced COPD with an oxygen
saturation level of 80%. Which of the following would you do to promote
adequate oxygen exchange? - CORRECT-ANSWERSUse a high-flow venturi
mask to deliver oxygen as ordered
