Progressive Care RN A v1
A sixteen 12 months old patient changed into admitted to the unit for bronchial asthma
exacerbation. The patient has a suicide attempt the previous shift and states "I want to die
because I am being bullied at college." Which of the subsequent is the MOST essential
motion? - ANS-Place the affected person on suicide precautions to save you a 2nd suicide
attempt
A 78 yr old male is admitted from the ED for syncope with ground stage fall. You be aware
his heart rate is 50 and the patient is confused. His daughter states she thinks he has
dementia however he has not been identified but. Blood stress is solid. What order do you
expect? - ANS-Stat head CT
A co-worker administered a narcotic in advance inside the shift, however did not get a
witness for the portion of drugs that changed into wasted. The co-employee asks which you
log out because the witness. What is the BEST reaction? - ANS-Refuse to witness the waste
and ask the co-employee to notify the rate nurse
A patient is admitted for a NSTEMI and ST depression is referred to in leads II, III, and AVF.
Two hours after admission you observe the affected person now has ST elevation in every of
these leads. What ought to you do NEXT? - ANS-Initiate STEMI group
A patient is admitted to the PCU with COPD exacerbation. Which of the following evaluation
findings might you expect to find understanding that the patient has been taking prednisone
forty mg PO once day by day for 18 years? - ANS-Hyperglycemia
A patient is admitted with a prognosis of "rule out GI bleed." Which of the subsequent lab
values supports affirmation of this prognosis? - ANS-Hgb of five.2
A affected person is on strict I&Os with an indwelling urinary catheter. Four hours into your
shift you note that there is a total of 50 mL of urine within the bag. You notify the company
because you apprehend that adequate urine output have to be: - ANS-30 mL/hr
A patient was concerned in a motor automobile accident and CAT scan effects screen a
proper sided SDH. What would be an anticipated neurological assessment finding in this
affected person? - ANS-Dilated right student
A patient with a history of acute seizure pastime of unknown etiology is admitted to the PCU
from the ED. Which of the subsequent orders could you expect to acquire from the admitting
company? - ANS-Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions
A patient with an top GI bleed has a hgb of 6.1 g/dL. Which of the following orders need to
you do FIRST? - ANS-Prepare to manage 2 devices PRBCs
A patient with new onset seizures is maximum possibly to have which of the following in their
room? - ANS-Padded aspect rails and suction at the bedside
An 18 yr vintage female is admitted to PCU from PACU after a cholecystectomy. She has a
22 gauge peripheral IV in her left hand and is because of void. She had morphine 8mg and
Zofran 4mg in recuperation, and is complaining of nausea. She has Phenergan 50mg
ordered IV each 6 hours/PRN. What must you do FIRST? - ANS-Start a brand new IV in the
antecubital area or acquire an order for Phenergan IM.
Of the following patients, which one could you see FIRST? - ANS-A 30 year suicidal girl that
took an unknown quantity of alprazolam with an O2 saturation of eighty five%
, The patient is providing with a blood strain of ninety/60, a creatinine of three.0 and reduced
urinary output. What is a probable cause for these findings? - ANS-Acute kidney harm
The patient's lab check results suggest a BNP of two,000 upon arrival to the ED. The
affected person has been transferred to PCU. What remedy plan would you expect from the
attending company? - ANS-Furosemide forty mg IV BID
The company has ordered a 24-hour urine collection in your patient. The affected person
voids 275 cc, 2 hours after the order is given. This specimen need to be: - ANS-Discarded,
then start collection with the next void
The provider has written an order for diltiazem 125 mg in one hundred mL D5W at 10
mg/hour. The vial of diltiazem contains 5mg/mL. Which of the subsequent is the appropriate
volume to add to the bag of D5W? - ANS-25 mL
The trough for vancomycin is measured: - ANS-Immediately before the next scheduled dose
Then nursing assistant reports that your submit-op day 2 CABG affected person has a temp
of one hundred and one.Three and BP of 82/56. The affected person's output has decreased
to < 30 cc inside the past 4 hours. You suspect a submit surgical difficulty. After calling the
doctor, you acquire the orders for STAT CBC, CMP, and coagulation check. Which of the
subsequent consequences could you anticipate to see after these labs are finished? -
ANS-WBC greater than 19,000
Unstable angina is characterized by way of which of the subsequent? - ANS-Chest ache,
generally whilst at relaxation
Upon arrival to the unit, you acquire record on four PCU sufferers. Which patient should you
attend to FIRST? - ANS-A patient complaining of shortness of breathe on continuous BiPAP
with a BP of 189/109
What odd coronary heart sound might you expect to listen in a affected person with mitral
stenosis? - ANS-Diastolic murmur
What acid-base imbalance would you expect to look in a patient with an acute kidney harm?
- ANS-Metabolic acidosis
What is the most common motive of acute onset pancreatitis? - ANS-Alcoholism and
galstones
What is the maximum commonplace symptom of SIADH? - ANS-Fluid retention
What is the MOST crucial intervention for a patient with non-blanching redness and intact
pores and skin to their coccyx? - ANS-Turning the patient each hours, alternating backward
and forward
Which of the subsequent are scientific manifestations usually visible in a affected person
with left ventricular failure? - ANS-Dyspnea/peripheral edema/JVD or Dyspnea/distant heart
sounds/bilateral crackles???
Which of the subsequent are number one dreams in diabetic ketoacidosis therapy? -
ANS-Correct fluid deficit and update potassium
Which of the subsequent findings assist in the analysis of deep vein thrombosis? -
ANS-Positive D-dimer
Which of the subsequent has been discovered to be linked to a prognosis of endocarditis? -
ANS-Recent invasive dental approaches
Which of the following is an early indication of a stroke? - ANS-Ptosis
Which of the following medications is MOST generally indicated for patients with CHF? -
ANS-Ace inhibitors
Which of the subsequent sufferers would you spot FIRST? - ANS-A fifty seven 12 months
vintage male complaining of worsening chest tightness
A sixteen 12 months old patient changed into admitted to the unit for bronchial asthma
exacerbation. The patient has a suicide attempt the previous shift and states "I want to die
because I am being bullied at college." Which of the subsequent is the MOST essential
motion? - ANS-Place the affected person on suicide precautions to save you a 2nd suicide
attempt
A 78 yr old male is admitted from the ED for syncope with ground stage fall. You be aware
his heart rate is 50 and the patient is confused. His daughter states she thinks he has
dementia however he has not been identified but. Blood stress is solid. What order do you
expect? - ANS-Stat head CT
A co-worker administered a narcotic in advance inside the shift, however did not get a
witness for the portion of drugs that changed into wasted. The co-employee asks which you
log out because the witness. What is the BEST reaction? - ANS-Refuse to witness the waste
and ask the co-employee to notify the rate nurse
A patient is admitted for a NSTEMI and ST depression is referred to in leads II, III, and AVF.
Two hours after admission you observe the affected person now has ST elevation in every of
these leads. What ought to you do NEXT? - ANS-Initiate STEMI group
A patient is admitted to the PCU with COPD exacerbation. Which of the following evaluation
findings might you expect to find understanding that the patient has been taking prednisone
forty mg PO once day by day for 18 years? - ANS-Hyperglycemia
A patient is admitted with a prognosis of "rule out GI bleed." Which of the subsequent lab
values supports affirmation of this prognosis? - ANS-Hgb of five.2
A affected person is on strict I&Os with an indwelling urinary catheter. Four hours into your
shift you note that there is a total of 50 mL of urine within the bag. You notify the company
because you apprehend that adequate urine output have to be: - ANS-30 mL/hr
A patient was concerned in a motor automobile accident and CAT scan effects screen a
proper sided SDH. What would be an anticipated neurological assessment finding in this
affected person? - ANS-Dilated right student
A patient with a history of acute seizure pastime of unknown etiology is admitted to the PCU
from the ED. Which of the subsequent orders could you expect to acquire from the admitting
company? - ANS-Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions
A patient with an top GI bleed has a hgb of 6.1 g/dL. Which of the following orders need to
you do FIRST? - ANS-Prepare to manage 2 devices PRBCs
A patient with new onset seizures is maximum possibly to have which of the following in their
room? - ANS-Padded aspect rails and suction at the bedside
An 18 yr vintage female is admitted to PCU from PACU after a cholecystectomy. She has a
22 gauge peripheral IV in her left hand and is because of void. She had morphine 8mg and
Zofran 4mg in recuperation, and is complaining of nausea. She has Phenergan 50mg
ordered IV each 6 hours/PRN. What must you do FIRST? - ANS-Start a brand new IV in the
antecubital area or acquire an order for Phenergan IM.
Of the following patients, which one could you see FIRST? - ANS-A 30 year suicidal girl that
took an unknown quantity of alprazolam with an O2 saturation of eighty five%
, The patient is providing with a blood strain of ninety/60, a creatinine of three.0 and reduced
urinary output. What is a probable cause for these findings? - ANS-Acute kidney harm
The patient's lab check results suggest a BNP of two,000 upon arrival to the ED. The
affected person has been transferred to PCU. What remedy plan would you expect from the
attending company? - ANS-Furosemide forty mg IV BID
The company has ordered a 24-hour urine collection in your patient. The affected person
voids 275 cc, 2 hours after the order is given. This specimen need to be: - ANS-Discarded,
then start collection with the next void
The provider has written an order for diltiazem 125 mg in one hundred mL D5W at 10
mg/hour. The vial of diltiazem contains 5mg/mL. Which of the subsequent is the appropriate
volume to add to the bag of D5W? - ANS-25 mL
The trough for vancomycin is measured: - ANS-Immediately before the next scheduled dose
Then nursing assistant reports that your submit-op day 2 CABG affected person has a temp
of one hundred and one.Three and BP of 82/56. The affected person's output has decreased
to < 30 cc inside the past 4 hours. You suspect a submit surgical difficulty. After calling the
doctor, you acquire the orders for STAT CBC, CMP, and coagulation check. Which of the
subsequent consequences could you anticipate to see after these labs are finished? -
ANS-WBC greater than 19,000
Unstable angina is characterized by way of which of the subsequent? - ANS-Chest ache,
generally whilst at relaxation
Upon arrival to the unit, you acquire record on four PCU sufferers. Which patient should you
attend to FIRST? - ANS-A patient complaining of shortness of breathe on continuous BiPAP
with a BP of 189/109
What odd coronary heart sound might you expect to listen in a affected person with mitral
stenosis? - ANS-Diastolic murmur
What acid-base imbalance would you expect to look in a patient with an acute kidney harm?
- ANS-Metabolic acidosis
What is the most common motive of acute onset pancreatitis? - ANS-Alcoholism and
galstones
What is the maximum commonplace symptom of SIADH? - ANS-Fluid retention
What is the MOST crucial intervention for a patient with non-blanching redness and intact
pores and skin to their coccyx? - ANS-Turning the patient each hours, alternating backward
and forward
Which of the subsequent are scientific manifestations usually visible in a affected person
with left ventricular failure? - ANS-Dyspnea/peripheral edema/JVD or Dyspnea/distant heart
sounds/bilateral crackles???
Which of the subsequent are number one dreams in diabetic ketoacidosis therapy? -
ANS-Correct fluid deficit and update potassium
Which of the subsequent findings assist in the analysis of deep vein thrombosis? -
ANS-Positive D-dimer
Which of the subsequent has been discovered to be linked to a prognosis of endocarditis? -
ANS-Recent invasive dental approaches
Which of the following is an early indication of a stroke? - ANS-Ptosis
Which of the following medications is MOST generally indicated for patients with CHF? -
ANS-Ace inhibitors
Which of the subsequent sufferers would you spot FIRST? - ANS-A fifty seven 12 months
vintage male complaining of worsening chest tightness
