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  • Progressive Care RN A V1
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Exam (elaborations)

Progressive Care RN A v1 Exam Graded A+

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2024/2025 Written for academic year
Institution Progressive Care RN A V1
Course Progressive Care RN A v1
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Progressive Care RN A v1 Exam Graded A+ 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

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Progressive Care RN A v1 Exam Graded A+
Az16zyearzoldzpatientzwaszadmittedztozthezunitzforzasthmazexacerbation.zThezpatientzhaszazsuicidezattempt
zthezpreviouszshiftzandzstatesz"IzwantztozdiezbecausezIzamzbeingzbulliedzatzschool."zWhichzofzthezfollowingzi

szthezMOSTzimportantzaction?z-zCORRECTzANSWER-
Placezthezpatientzonzsuicidezprecautionsztozpreventzazsecondzsuicidezattempt



Az78zyearzoldzmaleziszadmittedzfromzthezEDzforzsyncopezwithzgroundzlevelzfall.zYouznotezhiszheartzratezisz5
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sedzyet.zBloodzpressureziszstable.zWhatzorderzdozyouzanticipate?z-zCORRECTzANSWER-StatzheadzCT



Azco-
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zCORRECTzANSWER-Refuseztozwitnesszthezwastezandzaskzthezco-workerztoznotifyzthezchargeznurse




AzpatientziszadmittedzforzazNSTEMIzandzSTzdepressionzisznotedzinzleadszII,zIII,zandzAVF.zTwozhourszafterzad
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AzpatientziszadmittedztozthezPCUzwithzCOPDzexacerbation.zWhichzofzthezfollowingzassessmentzfindingszwo
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ears?z-zCORRECTzANSWER-Hyperglycemia



Azpatientziszadmittedzwithzazdiagnosiszofz"rulezoutzGIzbleed."zWhichzofzthezfollowingzlabzvalueszsupportszc
onfirmationzofzthiszdiagnosis?z-zCORRECTzANSWER-Hgbzofz5.2



AzpatientziszonzstrictzI&Oszwithzanzindwellingzurinaryzcatheter.z4zhourszintozyourzshiftzyouznoticezthatzther
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AzpatientzwaszinvolvedzinzazmotorzvehiclezaccidentzandzCATzscanzresultszrevealzazrightzsidedzSDH.zWhatzw
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, AzpatientzwithzazhistoryzofzacutezseizurezactivityzofzunknownzetiologyziszadmittedztozthezPCUzfromzthezED.z
Whichzofzthezfollowingzorderszwouldzyouzexpectztozreceivezfromzthezadmittingzprovider?z-
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AzpatientzwithzanzupperzGIzbleedzhaszazhgbzofz6.1zg/dL.zWhichzofzthezfollowingzorderszshouldzyouzdozFIRS
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Azpatientzwithznewzonsetzseizuresziszmostzlikelyztozhavezwhichzofzthezfollowingzinztheirzroom?z-
zCORRECTzANSWER-Paddedzsidezrailszandzsuctionzatzthezbedside




Anz18zyearzoldzfemaleziszadmittedztozPCUzfromzPACUzafterzazcholecystectomy.zShezhaszaz22zgaugezperiphe
ralzIVzinzherzleftzhandzandziszdueztozvoid.zShezhadzmorphinez8mgzandzZofranz4mgzinzrecovery,zandziszcompl
ainingzofznausea.zShezhaszPhenerganz50mgzorderedzIVzeveryz6zhours/PRN.zWhatzshouldzyouzdozFIRST?z-
zCORRECTzANSWER-StartzaznewzIVzinzthezantecubitalzregionzorzobtainzanzorderzforzPhenerganzIM.




Ofzthezfollowingzpatients,zwhichzonezwouldzyouzseezFIRST?z-zCORRECTzANSWER-
Az30zyearzsuicidalzfemalezthatztookzanzunknownznumberzofzalprazolamzwithzanzO2zsaturationzofz85%



Thezpatientziszpresentingzwithzazbloodzpressurezofz90/60,zazcreatininezofz3.0zandzdecreasedzurinaryzoutpu
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Thezpatient'szlabztestzresultszindicatezazBNPzofz2,000zuponzarrivalztozthezED.zThezpatientzhaszbeenztransfer
redztozPCU.zWhatztreatmentzplanzwouldzyouzanticipatezfromzthezattendingzprovider?z-
zCORRECTzANSWER-Furosemidez40zmgzIVzBID




Thezproviderzhaszorderedzaz24-
hourzurinezcollectionzforzyourzpatient.zThezpatientzvoidsz275zcc,z2zhourszafterzthezorderziszgiven.zThiszspeci
menzshouldzbe:z-zCORRECTzANSWER-Discarded,zthenzbeginzcollectionzwithztheznextzvoid



Thezproviderzhaszwrittenzanzorderzforzdiltiazemz125zmgzinz100zmLzD5Wzatz10zmg/hour.zThezvialzofzdiltiaze
mzcontainsz5mg/mL.zWhichzofzthezfollowingziszthezcorrectzvolumeztozaddztozthezbagzofzD5W?z-
zCORRECTzANSWER-25zmL

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