Progressive Care RN A Question and
answers verified to passed
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
answers verified to passed
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
