Progressive Care RN A 2024 (Answered)
100% Correct, 63 Q&A.
You want to assess for jugular vein distention (JVD). What position would be BEST?
Position patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been removed. They
suddenly report palpitations. Their blood pressure is 130/76 and heart rate is 140 bpm. What would you
do NEXT?
Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them?
Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST effective?
Intramuscular
You are working with the code team to resuscitate a patient in ventricular fibrillation. Chest
compressions are ongoing and the patient has been shocked twice. What emergency medication, if any,
would you administer at this juncture?
Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging them and provide patient education.
Which statement by your patient indicates an understanding of the education?
I will not take ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate?
• Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty. Upon assessment you note a large
hematoma at the sheath site. What would be your immediate action?
Apply manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they should know about taking levetiracetam
(Keppra®). What would be your BEST response?
Common side effects are fatigue and depression
, Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant reports that your patient
has a temp of 101.3°F and blood pressure of 82/56. Their urine output has decreased to less than 30 mL
in the past 4 hours. You suspect a post-surgery complication. After calling the physician you receive
orders for STAT CBC, CMP, and coagulation test. What results would you expect to see after these labs
are completed?
WBC greater than 19,000
What is an adequate amount of urine output?
30 mL/hr
Your patient has left ventricular failure. What clinical manifestations would you expect to see?
Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action?
Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the
end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions?
No changes. These are high quality compressions.
What is required before making a report of elder abuse?
Suspicion of abuse
You receive your patient with pneumonia from the ED. Antibiotics and steroids have been initiated by the
provider. The patient reports abdominal pain and has a large loose bowel movement. They inform you
this is their third bowel movement in the last two hours. What would you do FIRST?
Initiate enteric contact isolation precautions for possible C. diff
Your patient has developed sepsis from an indwelling urinary catheter. What would be your PRIORITY
intervention?
Remove catheter.
Your patient is in third degree heart block. What treatment would you MOST likely expect to be
implemented?
Pacemaker
What are 2 nursing interventions to prevent venous thromboembolism?
• Adequate hydration and early mobilization.
• Hemodynamic monitoring and early mobilization. (Wrong)
• Adequate hydration and encouraging a steady amount of green leafy vegetables in diet.
• Hemodynamic monitoring and encouraging a steady amount of green leafy vegetables in diet.
100% Correct, 63 Q&A.
You want to assess for jugular vein distention (JVD). What position would be BEST?
Position patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been removed. They
suddenly report palpitations. Their blood pressure is 130/76 and heart rate is 140 bpm. What would you
do NEXT?
Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them?
Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST effective?
Intramuscular
You are working with the code team to resuscitate a patient in ventricular fibrillation. Chest
compressions are ongoing and the patient has been shocked twice. What emergency medication, if any,
would you administer at this juncture?
Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging them and provide patient education.
Which statement by your patient indicates an understanding of the education?
I will not take ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate?
• Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty. Upon assessment you note a large
hematoma at the sheath site. What would be your immediate action?
Apply manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they should know about taking levetiracetam
(Keppra®). What would be your BEST response?
Common side effects are fatigue and depression
, Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant reports that your patient
has a temp of 101.3°F and blood pressure of 82/56. Their urine output has decreased to less than 30 mL
in the past 4 hours. You suspect a post-surgery complication. After calling the physician you receive
orders for STAT CBC, CMP, and coagulation test. What results would you expect to see after these labs
are completed?
WBC greater than 19,000
What is an adequate amount of urine output?
30 mL/hr
Your patient has left ventricular failure. What clinical manifestations would you expect to see?
Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action?
Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the
end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions?
No changes. These are high quality compressions.
What is required before making a report of elder abuse?
Suspicion of abuse
You receive your patient with pneumonia from the ED. Antibiotics and steroids have been initiated by the
provider. The patient reports abdominal pain and has a large loose bowel movement. They inform you
this is their third bowel movement in the last two hours. What would you do FIRST?
Initiate enteric contact isolation precautions for possible C. diff
Your patient has developed sepsis from an indwelling urinary catheter. What would be your PRIORITY
intervention?
Remove catheter.
Your patient is in third degree heart block. What treatment would you MOST likely expect to be
implemented?
Pacemaker
What are 2 nursing interventions to prevent venous thromboembolism?
• Adequate hydration and early mobilization.
• Hemodynamic monitoring and early mobilization. (Wrong)
• Adequate hydration and encouraging a steady amount of green leafy vegetables in diet.
• Hemodynamic monitoring and encouraging a steady amount of green leafy vegetables in diet.
