PROGRESSIVE CARE RN V1 EXAM
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 Answer Place
the patient on suicide precautions to prevent a second suicide attempt
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? -Correct Answer Stat head CT
A co-worker administered a narcotic earlier in the shift, but failed to get a witness for the
portion of medication that was wasted. The co-worker asks that you sign off as the
witness. What is the BEST response? -Correct Answer Refuse to witness the waste and
ask the co-worker to notify the charge nurse
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
leads. What should you do NEXT? -Correct Answer Initiate STEMI team
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 Answer Hyperglycemia
A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab
values supports confirmation of this diagnosis? -Correct Answer 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: -Correct Answer 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?
-Correct Answer 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? -Correct Answer 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
should you do FIRST? -Correct Answer Prepare to administer 2 units PRBCs
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 Answer Place
the patient on suicide precautions to prevent a second suicide attempt
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? -Correct Answer Stat head CT
A co-worker administered a narcotic earlier in the shift, but failed to get a witness for the
portion of medication that was wasted. The co-worker asks that you sign off as the
witness. What is the BEST response? -Correct Answer Refuse to witness the waste and
ask the co-worker to notify the charge nurse
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
leads. What should you do NEXT? -Correct Answer Initiate STEMI team
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 Answer Hyperglycemia
A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab
values supports confirmation of this diagnosis? -Correct Answer 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: -Correct Answer 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?
-Correct Answer 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? -Correct Answer 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
should you do FIRST? -Correct Answer Prepare to administer 2 units PRBCs
