Progressive Care RN A 2024 Questions
With Correct Answers
You cwant cto cassess cfor cjugular cvein cdistention c(JVD). cWhat cposition cwould cbe
cBEST? c- cCORRECT cANS✔✔Position cpatient con ctheir cback cwith chead cof cbed cat
c30 cto c45 cdegrees.
Your cpatient cwith ctriple ccardiac cbypass csurgery cis cpost-op cday c3. cChest ctubes
chave cbeen cremoved. cThey csuddenly creport cpalpitations. cTheir cblood cpressure cis
c130/76 cand cheart crate cis c140 cbpm. cWhat cwould cyou cdo cNEXT? c- cCORRECT
cANS✔✔Perform ca cbedside cEKG
Your cpatient chas ca chistory cof crenal cinsufficiency. cWhat cclass cof canalgesics cwould
cMOST clikely cbe ccontraindicated cfor cthem? c- cCORRECT cANS✔✔Nonsteroidal canti-
inflammatory cmedications
Your cpatient cis cacutely cill. cWhat croute cof cmedication cadministration cwould clikely cbe
cLEAST ceffective? c- cCORRECT cANS✔✔Intramuscular
You care cworking cwith cthe ccode cteam cto cresuscitate ca cpatient cin cventricular
cfibrillation. cChest ccompressions care congoing cand cthe cpatient chas cbeen cshocked
ctwice. cWhat cemergency cmedication, cif cany, cwould cyou cadminister cat cthis cjuncture?
c- cCORRECT cANS✔✔Epinephrine c(Adrenaline) c1 cmg cIV
Your cpatient cis con canticoagulant cmedication. cYou care cdischarging cthem cand
cprovide cpatient ceducation.
Which cstatement cby cyour cpatient cindicates can cunderstanding cof cthe ceducation? c-
cCORRECT cANS✔✔I cwill cnot ctake cibuprofen c(Motrin®) cevery cday
Your cnon-verbal cpatient cis calert. cWhat ctype cof cpain cassessment cwould cbe
cappropriate? c- cCORRECT cANS✔✔• cVisual cpain cscale
• cVerbal cdescriptive cscale
• cVital csigns cassessment cto capproximate cpain
• cBehavioral cpain cscale c(Wrong)
Your cpatient chas creturned cfrom cthe ccath clab cpost cangioplasty. cUpon cassessment
cyou cnote ca clarge chematoma cat cthe csheath csite. cWhat cwould cbe cyour cimmediate
caction? c- cCORRECT cANS✔✔Apply cmanual cpressure cto cthe csite cand ccall cfor chelp.
, Your cpatient chas cnew conset cseizures. cThey cask cyou cwhat cthey cshould cknow cabout
ctaking clevetiracetam c(Keppra®). cWhat cwould cbe cyour cBEST cresponse? c-
cCORRECT cANS✔✔Common cside ceffects care cfatigue cand cdepression
Your cpatient cwith ccardiac cbypass csurgery cis cpost-op cday c2. cThe cnursing cassistant
creports cthat cyour cpatient chas ca ctemp cof c101.3°F cand cblood cpressure cof c82/56.
cTheir curine coutput chas cdecreased cto cless cthan c30 cmL cin cthe cpast c4 chours. cYou
csuspect ca cpost-surgery ccomplication. cAfter ccalling cthe cphysician cyou creceive
corders cfor cSTAT cCBC, cCMP, cand ccoagulation ctest. cWhat cresults cwould cyou
cexpect cto csee cafter cthese clabs care ccompleted? c- cCORRECT cANS✔✔WBC cgreater
cthan c19,000
What cis can cadequate camount cof curine coutput? c- cCORRECT cANS✔✔30 cmL/hr
Your cpatient chas cleft cventricular cfailure. cWhat cclinical cmanifestations cwould cyou
cexpect cto csee? c- cCORRECT cANS✔✔Dyspnea, cdistant cheart csounds, cbilateral
ccrackles
You care ccaring cfor cyour cpatient cwith can corder cfor cfurosemide c(Lasix®) c80 cmg cBID.
cWhat cwould cbe cyour cMOST cappropriate caction? c- cCORRECT cANS✔✔Call
cprovider cto cclarify cthe corder.
Your cpatient cis cin ccardiac carrest. cChest ccompressions care cbeing cperformed.
cCapnography cindicates cthe cend-tidal cCO2 cis c18 cmmg. cWhat cdo cthe ccapnography
cresults cindicate cabout cthe cchest ccompressions? c- cCORRECT cANS✔✔No cchanges.
cThese care chigh cquality ccompressions.
What cis crequired cbefore cmaking ca creport cof celder cabuse? c- cCORRECT
cANS✔✔Suspicion cof cabuse
You creceive cyour cpatient cwith cpneumonia cfrom cthe cED. cAntibiotics cand csteroids
chave cbeen cinitiated cby cthe cprovider. cThe cpatient creports cabdominal cpain cand chas
ca clarge cloose cbowel cmovement. cThey cinform cyou cthis cis ctheir cthird cbowel
cmovement cin cthe clast ctwo chours. cWhat cwould cyou cdo cFIRST? c- cCORRECT
cANS✔✔Initiate centeric ccontact cisolation cprecautions cfor cpossible cC. cdiff
Your cpatient chas cdeveloped csepsis cfrom can cindwelling curinary ccatheter. cWhat
cwould cbe cyour cPRIORITY cintervention? c- cCORRECT cANS✔✔Remove ccatheter.
Your cpatient cis cin cthird cdegree cheart cblock. cWhat ctreatment cwould cyou cMOST
clikely cexpect cto cbe cimplemented? c- cCORRECT cANS✔✔Pacemaker
What care c2 cnursing cinterventions cto cprevent cvenous cthromboembolism? c-
cCORRECT cANS✔✔• cAdequate chydration cand cearly cmobilization.
• cHemodynamic cmonitoring cand cearly cmobilization. c(Wrong)
With Correct Answers
You cwant cto cassess cfor cjugular cvein cdistention c(JVD). cWhat cposition cwould cbe
cBEST? c- cCORRECT cANS✔✔Position cpatient con ctheir cback cwith chead cof cbed cat
c30 cto c45 cdegrees.
Your cpatient cwith ctriple ccardiac cbypass csurgery cis cpost-op cday c3. cChest ctubes
chave cbeen cremoved. cThey csuddenly creport cpalpitations. cTheir cblood cpressure cis
c130/76 cand cheart crate cis c140 cbpm. cWhat cwould cyou cdo cNEXT? c- cCORRECT
cANS✔✔Perform ca cbedside cEKG
Your cpatient chas ca chistory cof crenal cinsufficiency. cWhat cclass cof canalgesics cwould
cMOST clikely cbe ccontraindicated cfor cthem? c- cCORRECT cANS✔✔Nonsteroidal canti-
inflammatory cmedications
Your cpatient cis cacutely cill. cWhat croute cof cmedication cadministration cwould clikely cbe
cLEAST ceffective? c- cCORRECT cANS✔✔Intramuscular
You care cworking cwith cthe ccode cteam cto cresuscitate ca cpatient cin cventricular
cfibrillation. cChest ccompressions care congoing cand cthe cpatient chas cbeen cshocked
ctwice. cWhat cemergency cmedication, cif cany, cwould cyou cadminister cat cthis cjuncture?
c- cCORRECT cANS✔✔Epinephrine c(Adrenaline) c1 cmg cIV
Your cpatient cis con canticoagulant cmedication. cYou care cdischarging cthem cand
cprovide cpatient ceducation.
Which cstatement cby cyour cpatient cindicates can cunderstanding cof cthe ceducation? c-
cCORRECT cANS✔✔I cwill cnot ctake cibuprofen c(Motrin®) cevery cday
Your cnon-verbal cpatient cis calert. cWhat ctype cof cpain cassessment cwould cbe
cappropriate? c- cCORRECT cANS✔✔• cVisual cpain cscale
• cVerbal cdescriptive cscale
• cVital csigns cassessment cto capproximate cpain
• cBehavioral cpain cscale c(Wrong)
Your cpatient chas creturned cfrom cthe ccath clab cpost cangioplasty. cUpon cassessment
cyou cnote ca clarge chematoma cat cthe csheath csite. cWhat cwould cbe cyour cimmediate
caction? c- cCORRECT cANS✔✔Apply cmanual cpressure cto cthe csite cand ccall cfor chelp.
, Your cpatient chas cnew conset cseizures. cThey cask cyou cwhat cthey cshould cknow cabout
ctaking clevetiracetam c(Keppra®). cWhat cwould cbe cyour cBEST cresponse? c-
cCORRECT cANS✔✔Common cside ceffects care cfatigue cand cdepression
Your cpatient cwith ccardiac cbypass csurgery cis cpost-op cday c2. cThe cnursing cassistant
creports cthat cyour cpatient chas ca ctemp cof c101.3°F cand cblood cpressure cof c82/56.
cTheir curine coutput chas cdecreased cto cless cthan c30 cmL cin cthe cpast c4 chours. cYou
csuspect ca cpost-surgery ccomplication. cAfter ccalling cthe cphysician cyou creceive
corders cfor cSTAT cCBC, cCMP, cand ccoagulation ctest. cWhat cresults cwould cyou
cexpect cto csee cafter cthese clabs care ccompleted? c- cCORRECT cANS✔✔WBC cgreater
cthan c19,000
What cis can cadequate camount cof curine coutput? c- cCORRECT cANS✔✔30 cmL/hr
Your cpatient chas cleft cventricular cfailure. cWhat cclinical cmanifestations cwould cyou
cexpect cto csee? c- cCORRECT cANS✔✔Dyspnea, cdistant cheart csounds, cbilateral
ccrackles
You care ccaring cfor cyour cpatient cwith can corder cfor cfurosemide c(Lasix®) c80 cmg cBID.
cWhat cwould cbe cyour cMOST cappropriate caction? c- cCORRECT cANS✔✔Call
cprovider cto cclarify cthe corder.
Your cpatient cis cin ccardiac carrest. cChest ccompressions care cbeing cperformed.
cCapnography cindicates cthe cend-tidal cCO2 cis c18 cmmg. cWhat cdo cthe ccapnography
cresults cindicate cabout cthe cchest ccompressions? c- cCORRECT cANS✔✔No cchanges.
cThese care chigh cquality ccompressions.
What cis crequired cbefore cmaking ca creport cof celder cabuse? c- cCORRECT
cANS✔✔Suspicion cof cabuse
You creceive cyour cpatient cwith cpneumonia cfrom cthe cED. cAntibiotics cand csteroids
chave cbeen cinitiated cby cthe cprovider. cThe cpatient creports cabdominal cpain cand chas
ca clarge cloose cbowel cmovement. cThey cinform cyou cthis cis ctheir cthird cbowel
cmovement cin cthe clast ctwo chours. cWhat cwould cyou cdo cFIRST? c- cCORRECT
cANS✔✔Initiate centeric ccontact cisolation cprecautions cfor cpossible cC. cdiff
Your cpatient chas cdeveloped csepsis cfrom can cindwelling curinary ccatheter. cWhat
cwould cbe cyour cPRIORITY cintervention? c- cCORRECT cANS✔✔Remove ccatheter.
Your cpatient cis cin cthird cdegree cheart cblock. cWhat ctreatment cwould cyou cMOST
clikely cexpect cto cbe cimplemented? c- cCORRECT cANS✔✔Pacemaker
What care c2 cnursing cinterventions cto cprevent cvenous cthromboembolism? c-
cCORRECT cANS✔✔• cAdequate chydration cand cearly cmobilization.
• cHemodynamic cmonitoring cand cearly cmobilization. c(Wrong)
