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Verified Answers for Progressive Care RN A
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Verified Answers for Progressive Care RN A
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1. The nurse notices a peaked T wave on the ECG of a patient withchronic kidney disease. What is the nurse’s priority?
A. Notify the healthcare provider.
B. Administer sodium bicarbonate.
C. Administer calcium gluconate.
D. Check the patient’s potassium level.
Answer and Rationale:
D. Check the patient’s potassium level.
Rationale: Peaked T waves suggest hyperkalemia. Verifying the
potassium level is essential to guide treatment.
2. A progressive care nurse is caring for a patient with sepsis. Which
finding indicates the need for immediate intervention?
A. Blood pressure 90/60 mmHg
B. Heart rate 112 bpm
C. Lactate level 4 mmol/L
D. Temperature 38.5°C (101.3°F)
Answer and Rationale:
C. Lactate level 4 mmol/L
,Rationale: A lactate level >2 mmol/L indicates tissue hypoperfusion
and possible organ dysfunction. Prompt interventions are needed to
address underlying sepsis.
3. A patient develops tachypnea, hypotension, and muffled heart
sounds. What is the nurse’s priority intervention?
A. Administer a fluid bolus.
B. Notify the healthcare provider immediately.
C. Prepare for pericardiocentesis.
D. Perform a focused cardiac assessment.
Answer and Rationale:
C. Prepare for pericardiocentesis.
Rationale: These are signs of cardiac tamponade, requiring immediate
pericardiocentesis to relieve pressure.
4. A patient with a history of atrial fibrillation is admitted with slurred
speech and right-sided weakness. What is the nurse’s priority?
A. Check blood glucose levels.
B. Perform a neurological assessment.
C. Notify the healthcare provider immediately.
D. Prepare the patient for a CT scan.
Answer and Rationale:
C. Notify the healthcare provider immediately.
, Rationale: Prompt communication ensures timely diagnostic and
therapeutic interventions for a suspected stroke.
5. A patient with a history of aortic stenosis reports dizziness and chest
pain. The nurse observes a systolic murmur on auscultation. What is
the priority intervention?
A. Administer oxygen via nasal cannula.
B. Notify the healthcare provider immediately.
C. Place the patient in a supine position.
D. Obtain an electrocardiogram (ECG).
Answer and Rationale:
B. Notify the healthcare provider immediately.
Rationale: These symptoms suggest worsening aortic stenosis, a life-
threatening condition requiring prompt evaluation.
6. What is the priority assessment for a patient receiving a continuous
nitroglycerin infusion?
A. Heart rate
B. Blood pressure
C. Respiratory rate
D. Pain level
Answer and Rationale:
B. Blood pressure
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