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"Complete Collection of Verified Answers for Progressive Care RN"
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"Complete Collection of Verified Answers for Progressive Care RN"
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By: doctorhit23 • 2 weeks ago
By: alex71 • 4 months ago
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1. A patient has a central venous catheter and reports sudden shortnessof breath. The nurse notices decreased oxygen saturation and
hypotension. What is the priority intervention?
A. Administer a prescribed diuretic.
B. Position the patient on their left side with the head down.
C. Notify the healthcare provider immediately.
D. Remove the central venous catheter.
Answer and Rationale:
B. Position the patient on their left side with the head down.
Rationale: This position traps air in the right atrium, minimizing the
risk of air embolism traveling to the lungs or brain.
2. 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.
3. A patient with a pulmonary artery catheter has a cardiac output of
3.5 L/min and a mean arterial pressure (MAP) of 55 mmHg. What is
the nurse’s priority intervention?
A. Administer a fluid bolus as prescribed.
B. Start an inotropic medication as prescribed.
C. Notify the healthcare provider.
D. Reassess cardiac output in 15 minutes.
Answer and Rationale:
A. Administer a fluid bolus as prescribed.
Rationale: Low cardiac output and MAP suggest inadequate perfusion,
often improved with fluid resuscitation to optimize preload.
4. A patient is receiving a continuous infusion of dopamine for
hypotension. Which finding indicates that the infusion rate may need to
be decreased?
A. Heart rate 110 bpm
B. Blood pressure 150/90 mmHg
C. Central venous pressure (CVP) 8 mmHg
D. Urine output 40 mL/hour
Answer and Rationale:
, B. Blood pressure 150/90 mmHg
Rationale: An elevated blood pressure suggests that the dopamine dose
is too high, potentially causing excessive vasoconstriction.
5. A patient on warfarin therapy has an INR of 4.5. What is the nurse’s
priority intervention?
A. Notify the healthcare provider.
B. Administer vitamin K as prescribed.
C. Hold the next dose of warfarin.
D. Assess the patient for signs of bleeding.
Answer and Rationale:
D. Assess the patient for signs of bleeding.
Rationale: An elevated INR increases the risk of bleeding, and
assessment ensures early detection of complications.
6. Which lab value is most concerning for a patient receiving heparin
therapy?
A. Platelet count: 95,000/μL
B. Hemoglobin: 12 g/dL
C. INR: 1.2
D. aPTT: 70 seconds
Answer and Rationale:
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