Progressive Care RN A 2024 Questions And
Answers
You want to assess for jugular vein distention (JVD). What position
would be BEST? - (Correct Answer) Position patient on their back
with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3.
Chest tubes have been removed. They suddenly report
palpitations. Their blood pressure is 130/76 and heart rate is 140
bpm. What would you do NEXT? - (Correct Answer) Perform a
bedside EKG
Your patient has a history of renal insufficiency. What class of
analgesics would MOST likely be contraindicated for them? -
(Correct Answer) Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration
would likely be LEAST effective? - (Correct Answer) Intramuscular
You are working with the code team to resuscitate a patient in
ventricular fibrillation. Chest compressions are ongoing and the
patient has been shocked twice. What emergency medication, if
any, would you administer at this juncture? - (Correct Answer)
Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging
them and provide patient education.
Which statement by your patient indicates an understanding of
the education? - (Correct Answer) I will not take ibuprofen
(Motrin®) every day
, Your non-verbal patient is alert. What type of pain assessment
would be appropriate? - (Correct Answer) • Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty.
Upon assessment you note a large hematoma at the sheath site.
What would be your immediate action? - (Correct Answer) Apply
manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they
should know about taking levetiracetam (Keppra®). What would
be your BEST response? - (Correct Answer) Common side effects
are fatigue and depression
Your patient with cardiac bypass surgery is post-op day 2. The
nursing assistant reports that your patient has a temp of 101.3°F
and blood pressure of 82/56. Their urine output has decreased to
less than 30 mL in the past 4 hours. You suspect a post-surgery
complication. After calling the physician you receive orders for
STAT CBC, CMP, and coagulation test. What results would you
expect to see after these labs are completed? - (Correct Answer)
WBC greater than 19,000
What is an adequate amount of urine output? - (Correct Answer)
30 mL/hr
Your patient has left ventricular failure. What clinical
manifestations would you expect to see? - (Correct Answer)
Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide
(Lasix®) 80 mg BID. What would be your MOST appropriate
action? - (Correct Answer) Call provider to clarify the order.
Answers
You want to assess for jugular vein distention (JVD). What position
would be BEST? - (Correct Answer) Position patient on their back
with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3.
Chest tubes have been removed. They suddenly report
palpitations. Their blood pressure is 130/76 and heart rate is 140
bpm. What would you do NEXT? - (Correct Answer) Perform a
bedside EKG
Your patient has a history of renal insufficiency. What class of
analgesics would MOST likely be contraindicated for them? -
(Correct Answer) Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration
would likely be LEAST effective? - (Correct Answer) Intramuscular
You are working with the code team to resuscitate a patient in
ventricular fibrillation. Chest compressions are ongoing and the
patient has been shocked twice. What emergency medication, if
any, would you administer at this juncture? - (Correct Answer)
Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging
them and provide patient education.
Which statement by your patient indicates an understanding of
the education? - (Correct Answer) I will not take ibuprofen
(Motrin®) every day
, Your non-verbal patient is alert. What type of pain assessment
would be appropriate? - (Correct Answer) • Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty.
Upon assessment you note a large hematoma at the sheath site.
What would be your immediate action? - (Correct Answer) Apply
manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they
should know about taking levetiracetam (Keppra®). What would
be your BEST response? - (Correct Answer) Common side effects
are fatigue and depression
Your patient with cardiac bypass surgery is post-op day 2. The
nursing assistant reports that your patient has a temp of 101.3°F
and blood pressure of 82/56. Their urine output has decreased to
less than 30 mL in the past 4 hours. You suspect a post-surgery
complication. After calling the physician you receive orders for
STAT CBC, CMP, and coagulation test. What results would you
expect to see after these labs are completed? - (Correct Answer)
WBC greater than 19,000
What is an adequate amount of urine output? - (Correct Answer)
30 mL/hr
Your patient has left ventricular failure. What clinical
manifestations would you expect to see? - (Correct Answer)
Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide
(Lasix®) 80 mg BID. What would be your MOST appropriate
action? - (Correct Answer) Call provider to clarify the order.
