PROGRESSIVE CARE RN A 2024 EXAM
WITH COMPLETE SOLUTIONS
You nwant nto nassess nfor njugular nvein ndistention n(JVD). nWhat nposition nwould nbe
nBEST? n- ncorrect nanswers n-Position npatient non ntheir nback nwith nhead nof nbed nat
n30 nto n45 ndegrees.
Your npatient nwith ntriple ncardiac nbypass nsurgery nis npost-op nday n3. nChest ntubes
nhave nbeen nremoved. nThey nsuddenly nreport npalpitations. nTheir nblood npressure nis
n130/76 nand nheart nrate nis n140 nbpm. nWhat nwould nyou ndo nNEXT? n- ncorrect
nanswers n-Perform na nbedside nEKG
, Your npatient nhas na nhistory nof nrenal ninsufficiency. nWhat nclass nof nanalgesics
nwould nMOST nlikely nbe ncontraindicated nfor nthem? n- ncorrect nanswers n-
Nonsteroidal nanti-inflammatory nmedications
Your npatient nis nacutely nill. nWhat nroute nof nmedication nadministration nwould nlikely
nbe nLEAST neffective? n- ncorrect nanswers n-Intramuscular
You nare nworking nwith nthe ncode nteam nto nresuscitate na npatient nin nventricular
nfibrillation. nChest ncompressions nare nongoing nand nthe npatient nhas nbeen nshocked
ntwice. nWhat nemergency nmedication, nif nany, nwould nyou nadminister nat nthis
njuncture? n- ncorrect nanswers n-Epinephrine n(Adrenaline) n1 nmg nIV
Your npatient nis non nanticoagulant nmedication. nYou nare ndischarging nthem nand
nprovide npatient neducation.
Which nstatement nby nyour npatient nindicates nan nunderstanding nof nthe neducation? n-
ncorrect nanswers n-I nwill nnot ntake nibuprofen n(Motrin®) nevery nday
Your nnon-verbal npatient nis nalert. nWhat ntype nof npain nassessment nwould nbe
nappropriate? n- ncorrect nanswers n-• nVisual npain nscale
• nVerbal ndescriptive nscale
• nVital nsigns nassessment nto napproximate npain
• nBehavioral npain nscale n(Wrong)
Your npatient nhas nreturned nfrom nthe ncath nlab npost nangioplasty. nUpon nassessment
nyou nnote na nlarge nhematoma nat nthe nsheath nsite. nWhat nwould nbe nyour
nimmediate naction? n- ncorrect nanswers n-Apply nmanual npressure nto nthe nsite nand
ncall nfor nhelp.
Your npatient nhas nnew nonset nseizures. nThey nask nyou nwhat nthey nshould nknow
nabout ntaking nlevetiracetam n(Keppra®). nWhat nwould nbe nyour nBEST nresponse? n-
ncorrect nanswers n-Common nside neffects nare nfatigue nand ndepression
Your npatient nwith ncardiac nbypass nsurgery nis npost-op nday n2. nThe nnursing
nassistant nreports nthat nyour npatient nhas na ntemp nof n101.3°F nand nblood npressure
nof n82/56. nTheir nurine noutput nhas ndecreased nto nless nthan n30 nmL nin nthe npast n4
nhours. nYou nsuspect na npost-surgery ncomplication. nAfter ncalling nthe nphysician nyou
nreceive norders nfor nSTAT nCBC, nCMP, nand ncoagulation ntest. nWhat nresults nwould
nyou nexpect nto nsee nafter nthese nlabs nare ncompleted? n- ncorrect nanswers n-WBC
ngreater nthan n19,000
What nis nan nadequate namount nof nurine noutput? n- ncorrect nanswers n-30 nmL/hr
Your npatient nhas nleft nventricular nfailure. nWhat nclinical nmanifestations nwould nyou
nexpect nto nsee? n- ncorrect nanswers n-Dyspnea, ndistant nheart nsounds, nbilateral
ncrackles
WITH COMPLETE SOLUTIONS
You nwant nto nassess nfor njugular nvein ndistention n(JVD). nWhat nposition nwould nbe
nBEST? n- ncorrect nanswers n-Position npatient non ntheir nback nwith nhead nof nbed nat
n30 nto n45 ndegrees.
Your npatient nwith ntriple ncardiac nbypass nsurgery nis npost-op nday n3. nChest ntubes
nhave nbeen nremoved. nThey nsuddenly nreport npalpitations. nTheir nblood npressure nis
n130/76 nand nheart nrate nis n140 nbpm. nWhat nwould nyou ndo nNEXT? n- ncorrect
nanswers n-Perform na nbedside nEKG
, Your npatient nhas na nhistory nof nrenal ninsufficiency. nWhat nclass nof nanalgesics
nwould nMOST nlikely nbe ncontraindicated nfor nthem? n- ncorrect nanswers n-
Nonsteroidal nanti-inflammatory nmedications
Your npatient nis nacutely nill. nWhat nroute nof nmedication nadministration nwould nlikely
nbe nLEAST neffective? n- ncorrect nanswers n-Intramuscular
You nare nworking nwith nthe ncode nteam nto nresuscitate na npatient nin nventricular
nfibrillation. nChest ncompressions nare nongoing nand nthe npatient nhas nbeen nshocked
ntwice. nWhat nemergency nmedication, nif nany, nwould nyou nadminister nat nthis
njuncture? n- ncorrect nanswers n-Epinephrine n(Adrenaline) n1 nmg nIV
Your npatient nis non nanticoagulant nmedication. nYou nare ndischarging nthem nand
nprovide npatient neducation.
Which nstatement nby nyour npatient nindicates nan nunderstanding nof nthe neducation? n-
ncorrect nanswers n-I nwill nnot ntake nibuprofen n(Motrin®) nevery nday
Your nnon-verbal npatient nis nalert. nWhat ntype nof npain nassessment nwould nbe
nappropriate? n- ncorrect nanswers n-• nVisual npain nscale
• nVerbal ndescriptive nscale
• nVital nsigns nassessment nto napproximate npain
• nBehavioral npain nscale n(Wrong)
Your npatient nhas nreturned nfrom nthe ncath nlab npost nangioplasty. nUpon nassessment
nyou nnote na nlarge nhematoma nat nthe nsheath nsite. nWhat nwould nbe nyour
nimmediate naction? n- ncorrect nanswers n-Apply nmanual npressure nto nthe nsite nand
ncall nfor nhelp.
Your npatient nhas nnew nonset nseizures. nThey nask nyou nwhat nthey nshould nknow
nabout ntaking nlevetiracetam n(Keppra®). nWhat nwould nbe nyour nBEST nresponse? n-
ncorrect nanswers n-Common nside neffects nare nfatigue nand ndepression
Your npatient nwith ncardiac nbypass nsurgery nis npost-op nday n2. nThe nnursing
nassistant nreports nthat nyour npatient nhas na ntemp nof n101.3°F nand nblood npressure
nof n82/56. nTheir nurine noutput nhas ndecreased nto nless nthan n30 nmL nin nthe npast n4
nhours. nYou nsuspect na npost-surgery ncomplication. nAfter ncalling nthe nphysician nyou
nreceive norders nfor nSTAT nCBC, nCMP, nand ncoagulation ntest. nWhat nresults nwould
nyou nexpect nto nsee nafter nthese nlabs nare ncompleted? n- ncorrect nanswers n-WBC
ngreater nthan n19,000
What nis nan nadequate namount nof nurine noutput? n- ncorrect nanswers n-30 nmL/hr
Your npatient nhas nleft nventricular nfailure. nWhat nclinical nmanifestations nwould nyou
nexpect nto nsee? n- ncorrect nanswers n-Dyspnea, ndistant nheart nsounds, nbilateral
ncrackles
