Prophecy Progressive Care RN A V1 Questions and Answers
Prepare for success with Prophecy Progressive Care RN A V1 Questions and Answers.
Access comprehensive, accurate solutions to enhance your nursing skills
Which of the following medications is MOST commonly indicated for patients with CHF?
- ✔✔ANSWER✔✔>>Ace inhibitors
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?
- ✔✔ANSWER✔✔>>Dilated right pupil
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? - ✔✔ANSWER✔✔>>Refuse to witness the waste
and ask the co-worker to notify the charge nurse
You are caring for a patient taking warfarin for atrial fibrillation. The lab calls reporting
that the patient has an INR of 6.4. What medication do you anticipate being ordered by
the provider? - ✔✔ANSWER✔✔>>Vitamin K
You are caring for a patient complaining of chest pain. Which of the following troponin I
levels requires provider notification? - ✔✔ANSWER✔✔>>0.5 ng/mL???
A patient with new onset seizures is most likely to have which of the following in their
room? - ✔✔ANSWER✔✔>>Padded side rails and suction at the bedside
You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into
the transfusion, the patient complains of lower back pain, shortness of breath, and
chills. Which of the following would you do FIRST? - ✔✔ANSWER✔✔>>Stop the
transfusion
You receive a patient from the emergency department with a fever, cough for 3 weeks,
night chills, and fatigue. During the admission assessment the patient reports recent
travel out of the country. What should be your FIRST action? -
✔✔ANSWER✔✔>>Notify the provider, apply a mask to the patient, and transfer to a
negative pressure room
Unstable angina is characterized by which of the following? - ✔✔ANSWER✔✔>>Chest
pain, usually while at rest
, 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
attending provider? - ✔✔ANSWER✔✔>>Furosemide 40 mg IV BID
Which of the following has been found to be linked to a diagnosis of endocarditis? -
✔✔ANSWER✔✔>>Recent invasive dental procedures
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? - ✔✔ANSWER✔✔>>Immediately
perform a bedside EKG
What abnormal heart sound would you expect to hear in a patient with mitral stenosis? -
✔✔ANSWER✔✔>>Diastolic 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? -
✔✔ANSWER✔✔>>Pneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? -
✔✔ANSWER✔✔>>Correct 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? - ✔✔ANSWER✔✔>>Initiate contact isolation precautions for
possible C. difficile
What is the most common symptom of SIADH? - ✔✔ANSWER✔✔>>Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should
you attend to FIRST? - ✔✔ANSWER✔✔>>A patient complaining of shortness of
breathe on continuous BiPAP with a BP of 189/109
Of the following patients, which one would you see FIRST? - ✔✔ANSWER✔✔>>A 30
year suicidal female that took an unknown number of alprazolam with an O2 saturation
of 85%
You are caring for a patient with new onset atrial fibrillation with a blood pressure of
80/60. Which of the following treatment options is MOST appropriate? -
✔✔ANSWER✔✔>>Electrical cardioversion
Prepare for success with Prophecy Progressive Care RN A V1 Questions and Answers.
Access comprehensive, accurate solutions to enhance your nursing skills
Which of the following medications is MOST commonly indicated for patients with CHF?
- ✔✔ANSWER✔✔>>Ace inhibitors
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?
- ✔✔ANSWER✔✔>>Dilated right pupil
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? - ✔✔ANSWER✔✔>>Refuse to witness the waste
and ask the co-worker to notify the charge nurse
You are caring for a patient taking warfarin for atrial fibrillation. The lab calls reporting
that the patient has an INR of 6.4. What medication do you anticipate being ordered by
the provider? - ✔✔ANSWER✔✔>>Vitamin K
You are caring for a patient complaining of chest pain. Which of the following troponin I
levels requires provider notification? - ✔✔ANSWER✔✔>>0.5 ng/mL???
A patient with new onset seizures is most likely to have which of the following in their
room? - ✔✔ANSWER✔✔>>Padded side rails and suction at the bedside
You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into
the transfusion, the patient complains of lower back pain, shortness of breath, and
chills. Which of the following would you do FIRST? - ✔✔ANSWER✔✔>>Stop the
transfusion
You receive a patient from the emergency department with a fever, cough for 3 weeks,
night chills, and fatigue. During the admission assessment the patient reports recent
travel out of the country. What should be your FIRST action? -
✔✔ANSWER✔✔>>Notify the provider, apply a mask to the patient, and transfer to a
negative pressure room
Unstable angina is characterized by which of the following? - ✔✔ANSWER✔✔>>Chest
pain, usually while at rest
, 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
attending provider? - ✔✔ANSWER✔✔>>Furosemide 40 mg IV BID
Which of the following has been found to be linked to a diagnosis of endocarditis? -
✔✔ANSWER✔✔>>Recent invasive dental procedures
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? - ✔✔ANSWER✔✔>>Immediately
perform a bedside EKG
What abnormal heart sound would you expect to hear in a patient with mitral stenosis? -
✔✔ANSWER✔✔>>Diastolic 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? -
✔✔ANSWER✔✔>>Pneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? -
✔✔ANSWER✔✔>>Correct 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? - ✔✔ANSWER✔✔>>Initiate contact isolation precautions for
possible C. difficile
What is the most common symptom of SIADH? - ✔✔ANSWER✔✔>>Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should
you attend to FIRST? - ✔✔ANSWER✔✔>>A patient complaining of shortness of
breathe on continuous BiPAP with a BP of 189/109
Of the following patients, which one would you see FIRST? - ✔✔ANSWER✔✔>>A 30
year suicidal female that took an unknown number of alprazolam with an O2 saturation
of 85%
You are caring for a patient with new onset atrial fibrillation with a blood pressure of
80/60. Which of the following treatment options is MOST appropriate? -
✔✔ANSWER✔✔>>Electrical cardioversion
