Exam (elaborations)

RELIAS PROGRESSIVE CARE RN EXAM LATEST AND COMPLETE VERSION WITH VERIFIED SOLUTIONS ALREADY GRADED A+

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Relias progressive Care

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Relias Progressive Care

"A 78 year old male is admitted from the ED for syncope with ground level fall. You note his heart rate is 50 and the patient is confused. His daughter states she thinks he has dementia but he has not been diagnosed yet. Blood pressure is stable. What order do you anticipate? - CORRECT ANSWER=> ...

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Institution Relias progressive Care
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RELIAS PROGRESSIVE CARE RN EXAM
LATEST AND COMPLETE VERSION
WITH VERIFIED SOLUTIONS ALREADY
GRADED A+
"A 78 year old male is admitted from the ED for syncope with ground level fall. You note his
heart rate is 50 and the patient is confused. His daughter states she thinks he has dementia but
he has not been diagnosed yet. Blood pressure is stable. What order do you anticipate? -
CORRECT ANSWER=> Stat head CT"

"A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should
you do FIRST? - CORRECT ANSWER=> Prepare to administer 2 units PRBCs"

"Which of the following should be checked before administering digoxin? - CORRECT ANSWER=>
Apical pulse"

"A patient with a history of acute seizure activity of unknown etiology is admitted to the PCU
from the ED. Which of the following orders would you expect to receive from the admitting
provider? - CORRECT ANSWER=> Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure
precautions"

"You are caring for a patient post left pneumonectomy with a chest tube in place for drainage.
Which of the following is a priority in caring for this patient? - CORRECT ANSWER=> Encourage
the patient to cough and deep breathe"

"You are caring for a patient with an order for "furosemide 80 mg BID". Which of the following
actions is the MOST appropriate? - CORRECT ANSWER=> Call the provider to clarify the order"

"You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient goes into
cardiac arrest and the patient's daughter states "Do whatever you can to save my dad." Which
of the following is the BEST response? - CORRECT ANSWER=> Follow the patient's wishes and
honor the DNR"

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,"You are educating your patient about reducing sodium intake. You know that the patient
understands when they make the statement: - CORRECT ANSWER=> "I will avoid canned food
because it's salty""

"The trough for vancomycin is measured: - CORRECT ANSWER=> Immediately before the next
scheduled dose"

"You are delegating wound care to a LPN. The LPN states that she has never performed this type
of wound care before. Which of the following components of delegation have you neglected? -
CORRECT ANSWER=> Competency"

"You are caring for a patient in third degree heart block. Which of the following treatment
options will MOST likely be implemented? - CORRECT ANSWER=> Pacemaker"

"You are assigned a patient who recently traveled outside of the United States. He has a fever of
101.9 F and excessive diarrhea. You suspect he may have been exposed to Ebola. What type of
PPE would you expect to use? - CORRECT ANSWER=> High level PPE"

"Which of the following patients would you see FIRST? - CORRECT ANSWER=> A 57 year old male
complaining of worsening chest tightness"

"You enter a patient's room and notice the telemetry box on the bed and the IV on the floor
connected to running IV fluids. You last saw the patient 1 hour ago. Who should be notified
immediately? - CORRECT ANSWER=> Charge nurse"

"A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF. Two
hours after admission you notice the patient now has ST elevation in each of those leads. What
should you do NEXT? - CORRECT ANSWER=> Administer O2 and morphine 2mg IV???"

"An 18 year old female is admitted from PACU after a cholecystectomy. She has a 22 gauge
peripheral IV in her left hand and is due to void. She had morphine 8 mg and Zofran 4 mg in
recovery, and is complaining of nausea. She has Phenergan 50 mg IV every 6 hours/PRN. What
should you do first? - CORRECT ANSWER=> Start a new IV line in the antecubital region or obtain
an order for Phenergan IM"

"A patient is on strict I&Os with an indwelling urinary catheter. 4 hours into your shift you notice
that there is a total of 50 mL of urine in the bag. You notify the provider because you recognize
that adequate urine output should be: - CORRECT ANSWER=> 30 mL/hr"

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, "A co-worker administered a narcotic earlier in the shift, but failed to get a witness for the
portion of medication that was wasted. The co-worker asks that you sign off as the witness.
What is the BEST response? - CORRECT ANSWER=> Refuse to witness the waste and ask the co-
worker to notify the charge nurse"

"You are caring for a patient taking warfarin for atrial fibrillation. The lab calls reporting that the
patient has an INR of 6.4. What medication do you anticipate being ordered by the provider? -
CORRECT ANSWER=> Vitamin K"

"You are caring for a patient complaining of chest pain. Which of the following troponin I levels
requires provider notification? - CORRECT ANSWER=> 0.5 ng/mL???"

"A patient with new onset seizures is most likely to have which of the following in their room? -
CORRECT ANSWER=> Padded side rails and suction at the bedside"

"You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into the
transfusion, the patient complains of lower back pain, shortness of breath, and chills. Which of
the following would you do FIRST? - CORRECT ANSWER=> Stop the transfusion"

"You receive a patient from the emergency department with a fever, cough for 3 weeks, night
chills, and fatigue. During the admission assessment the patient reports recent travel out of the
country. What should be your FIRST action? - CORRECT ANSWER=> Notify the provider, apply a
mask to the patient, and transfer to a negative pressure room"

"Unstable angina is characterized by which of the following? - CORRECT ANSWER=> Chest pain,
usually while at rest"

"The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The patient has
been transferred to PCU. What treatment plan would you anticipate from the attending
provider? - CORRECT ANSWER=> Furosemide 40 mg IV BID"

"Which of the following has been found to be linked to a diagnosis of endocarditis? - CORRECT
ANSWER=> Recent invasive dental procedures"

"Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been removed. The
patient suddenly complains of palpitations. His blood pressure is 130/76 and heart rate is 140
bpm. What would you do NEXT? - CORRECT ANSWER=> Immediately perform a bedside EKG"

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Exam (elaborations)

RELIAS PROGRESSIVE CARE RN EXAM LATEST AND COMPLETE VERSION WITH VERIFIED SOLUTIONS ALREADY GRADED A+

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