Progressive Care PCU RN Knowledge Assessment
Exam
ACLSzProtocol:zfirstzmedicationzadministrationz-zCORRECTzANSWER-Epinephrine
Howzlongzdozyouzapplyzdirectzpressureztozthezsitezofzanzarterialzcatheter/sheath?z-zCORRECTzANSWER-
Atzleastz5zminutes
Possiblezbloodztransfusionzreactions?z-zCORRECTzANSWER-
Urticaria,zFever,zchills,zDyspnea,zRespiratoryzdistress,zHypotension,zHypothermia
Whatzdozyouzdozifzyourzpatientzhaszazbloodztransfusionzreaction?z-zCORRECTzANSWER--
Stopztransfusionzimmediatelyz
-ContinuezNS
-ExaminezbloodzbagzandzsendzbackztozBB
-monitorzVSzq15zmins
-Sendzpostztransfusionzbloodzsampleztozlab
CVAzsymptomsz-zCORRECTzANSWER-Confusion,zone-sidedzweaknesszandzfacialzdrooping
WhatzdozyouzdozIfzyourzpatientzexpresseszchestzpainzandzdyspneaz-zCORRECTzANSWER-
Contactzrapidzresponse
Hypoglycemiazsymptomsz-zCORRECTzANSWER--zTachycardia
-zMoistzclammyzskin
-zVertigoz(dizzy)
-zTremors
Whatzdozbilateralzraleszindicatezonsetzand/orzworsening?z-zCORRECTzANSWER-HeartzFailurez(HF)
, Hypertensionzsymptomsz-zCORRECTzANSWER--
headachez(usuallyzinzoccipitalzregionzandzoccurszuponzwakingzup)
-dizziness
-weakness
-epistaxis
-tinnitus
-blurredzvision
-seizures
Whatzdozyouzdozifzyouzthinkzyourzpatientziszhyper/hypoglycemic?z-zCORRECTzANSWER-
ObtainzazSTATzbloodzglucose
Painzassessmentztoolsz-zCORRECTzANSWER--Wong-BakerzFACES
-BeyerzOucherzpainzscale
-CRIESzpainzscale
-FLACCzscale
-COMFORTzscale
myocardialzinfarctionz-zCORRECTzANSWER-
thezocclusionzofzonezorzmorezcoronaryzarterieszcausedzbyzplaquezbuildupz(heartzattack)
postzangioplastyzcarez-zCORRECTzANSWER-
Patientszshouldzbezkeptzlyingzflatzforzseveralzhourszafterzthezprocedurezsozthatzanyzseriouszbleedingzcanzb
ezavoidedzandzthatzthezarteryzcanzheal
Whatziszneededzforzazpatientzinzrestraints?z-zCORRECTzANSWER-
monitorzeveryz2zhourszandzreevaluatezaszneeded
Whatzarezearlyzindicationszofzheartzfailurez-zCORRECTzANSWER-
Shortnesszofzbreathzwithzactivityzorzwhenzlyingzdown.zFatiguezandzweakness.zSwellingzinzthezlegs,zanklesza
ndzfeet.zRapidzorzirregularzheartbeat.
Exam
ACLSzProtocol:zfirstzmedicationzadministrationz-zCORRECTzANSWER-Epinephrine
Howzlongzdozyouzapplyzdirectzpressureztozthezsitezofzanzarterialzcatheter/sheath?z-zCORRECTzANSWER-
Atzleastz5zminutes
Possiblezbloodztransfusionzreactions?z-zCORRECTzANSWER-
Urticaria,zFever,zchills,zDyspnea,zRespiratoryzdistress,zHypotension,zHypothermia
Whatzdozyouzdozifzyourzpatientzhaszazbloodztransfusionzreaction?z-zCORRECTzANSWER--
Stopztransfusionzimmediatelyz
-ContinuezNS
-ExaminezbloodzbagzandzsendzbackztozBB
-monitorzVSzq15zmins
-Sendzpostztransfusionzbloodzsampleztozlab
CVAzsymptomsz-zCORRECTzANSWER-Confusion,zone-sidedzweaknesszandzfacialzdrooping
WhatzdozyouzdozIfzyourzpatientzexpresseszchestzpainzandzdyspneaz-zCORRECTzANSWER-
Contactzrapidzresponse
Hypoglycemiazsymptomsz-zCORRECTzANSWER--zTachycardia
-zMoistzclammyzskin
-zVertigoz(dizzy)
-zTremors
Whatzdozbilateralzraleszindicatezonsetzand/orzworsening?z-zCORRECTzANSWER-HeartzFailurez(HF)
, Hypertensionzsymptomsz-zCORRECTzANSWER--
headachez(usuallyzinzoccipitalzregionzandzoccurszuponzwakingzup)
-dizziness
-weakness
-epistaxis
-tinnitus
-blurredzvision
-seizures
Whatzdozyouzdozifzyouzthinkzyourzpatientziszhyper/hypoglycemic?z-zCORRECTzANSWER-
ObtainzazSTATzbloodzglucose
Painzassessmentztoolsz-zCORRECTzANSWER--Wong-BakerzFACES
-BeyerzOucherzpainzscale
-CRIESzpainzscale
-FLACCzscale
-COMFORTzscale
myocardialzinfarctionz-zCORRECTzANSWER-
thezocclusionzofzonezorzmorezcoronaryzarterieszcausedzbyzplaquezbuildupz(heartzattack)
postzangioplastyzcarez-zCORRECTzANSWER-
Patientszshouldzbezkeptzlyingzflatzforzseveralzhourszafterzthezprocedurezsozthatzanyzseriouszbleedingzcanzb
ezavoidedzandzthatzthezarteryzcanzheal
Whatziszneededzforzazpatientzinzrestraints?z-zCORRECTzANSWER-
monitorzeveryz2zhourszandzreevaluatezaszneeded
Whatzarezearlyzindicationszofzheartzfailurez-zCORRECTzANSWER-
Shortnesszofzbreathzwithzactivityzorzwhenzlyingzdown.zFatiguezandzweakness.zSwellingzinzthezlegs,zanklesza
ndzfeet.zRapidzorzirregularzheartbeat.