Progressive Care RN A v1
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? - ANS Place the
R
patient on suicide precautions to prevent a second suicide attempt
E
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
H
dementia but he has not been diagnosed yet. Blood pressure is stable. What order do you
anticipate? - ANS Stat head CT
G
A co-worker administered a narcotic earlier in the shift, but failed to get a witness for the
I
portion of medication that was wasted. The co-worker asks that you sign off as the
witness. What is the BEST response? - ANS Refuse to witness the waste and ask
H
the co-worker to notify the charge nurse
G
A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF.
Two hours after admission you notice the patient now has ST elevation in each of those
N
leads. What should you do NEXT? - ANS Initiate STEMI team
I
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
Y
prednisone 40 mg PO once daily for 18 years? - ANS Hyperglycemia
L
A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab
F
values supports confirmation of this diagnosis? - ANS Hgb of 5.2
A patient is on strict I&Os with an indwelling urinary catheter. 4 hours into your shift you
notice that there is a total of 50 mL of urine in the bag. You notify the provider because
you recognize that adequate urine output should be: - ANS 30 mL/hr
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? -
ANS Dilated right pupil
, 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? - ANS Levetiracetam (Keppra) 500 mg IV every 12 hours and
seizure precautions
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders
R
should you do FIRST? - ANS Prepare to administer 2 units PRBCs
E
A patient with new onset seizures is most likely to have which of the following in their
room? - ANS Padded side rails and suction at the bedside
H
An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She has a
G
22 gauge peripheral IV in her left hand and is due to void. She had morphine 8mg and
I
Zofran 4mg in recovery, and is complaining of nausea. She has Phenergan 50mg ordered
IV every 6 hours/PRN. What should you do FIRST? - ANS Start a new IV in the
antecubital region or obtain an order for Phenergan IM.
H
Of the following patients, which one would you see FIRST? - ANS A 30 year
G
suicidal female that took an unknown number of alprazolam with an O2 saturation of
85%
N
The patient is presenting with a blood pressure of 90/60, a creatinine of 3.0 and decreased
I
urinary output. What is a possible cause for these findings? - ANS Acute kidney
injury
LY
The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The patient
has been transferred to PCU. What treatment plan would you anticipate from the
F
attending provider? - ANS Furosemide 40 mg IV BID
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: - ANS Discarded,
then begin collection with the next void
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? - ANS 25 mL
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? - ANS Place the
R
patient on suicide precautions to prevent a second suicide attempt
E
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
H
dementia but he has not been diagnosed yet. Blood pressure is stable. What order do you
anticipate? - ANS Stat head CT
G
A co-worker administered a narcotic earlier in the shift, but failed to get a witness for the
I
portion of medication that was wasted. The co-worker asks that you sign off as the
witness. What is the BEST response? - ANS Refuse to witness the waste and ask
H
the co-worker to notify the charge nurse
G
A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF.
Two hours after admission you notice the patient now has ST elevation in each of those
N
leads. What should you do NEXT? - ANS Initiate STEMI team
I
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
Y
prednisone 40 mg PO once daily for 18 years? - ANS Hyperglycemia
L
A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab
F
values supports confirmation of this diagnosis? - ANS Hgb of 5.2
A patient is on strict I&Os with an indwelling urinary catheter. 4 hours into your shift you
notice that there is a total of 50 mL of urine in the bag. You notify the provider because
you recognize that adequate urine output should be: - ANS 30 mL/hr
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? -
ANS Dilated right pupil
, 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? - ANS Levetiracetam (Keppra) 500 mg IV every 12 hours and
seizure precautions
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders
R
should you do FIRST? - ANS Prepare to administer 2 units PRBCs
E
A patient with new onset seizures is most likely to have which of the following in their
room? - ANS Padded side rails and suction at the bedside
H
An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She has a
G
22 gauge peripheral IV in her left hand and is due to void. She had morphine 8mg and
I
Zofran 4mg in recovery, and is complaining of nausea. She has Phenergan 50mg ordered
IV every 6 hours/PRN. What should you do FIRST? - ANS Start a new IV in the
antecubital region or obtain an order for Phenergan IM.
H
Of the following patients, which one would you see FIRST? - ANS A 30 year
G
suicidal female that took an unknown number of alprazolam with an O2 saturation of
85%
N
The patient is presenting with a blood pressure of 90/60, a creatinine of 3.0 and decreased
I
urinary output. What is a possible cause for these findings? - ANS Acute kidney
injury
LY
The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The patient
has been transferred to PCU. What treatment plan would you anticipate from the
F
attending provider? - ANS Furosemide 40 mg IV BID
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: - ANS Discarded,
then begin collection with the next void
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? - ANS 25 mL
