PROGRESSIVE CARE RN A
EXAM WITH CORRECT
ANSWERS
Which of the following medications is MOST commonly indicated for patients with CHF?
-ANSAce inhibitors
A patient was involved in a motor vehicle accident and CAT scan results reveal a right
sided SDH. What would be an expected neurological assessment finding in this patient?
-ANSDilated right pupil
What is the most common symptom of SIADH? -ANSFluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should
you attend to FIRST? -ANSA patient complaining of shortness of breathe on continuous
BiPAP with a BP of 189/109
Of the following patients, which one would you see FIRST? -ANSA 30 year suicidal
female that took an unknown number of alprazolam with an O2 saturation of 85%
You are caring for a patient with new onset atrial fibrillation with a blood pressure of
80/60. Which of the following treatment options is MOST appropriate? -ANSElectrical
cardioversion
Which of the following supplemental medications is frequently ordered in conjunction
with furosemide? -ANSPotassium
Which of the following positions is the BEST way to assess for JVD? -ANSPosition the
patient on his/her back with the head of bed 30-45 degrees
Your patient is on the midday schedule for hemodialysis. He has 100 mg of metoprolol
XL ordered for this morning and his blood pressure if 150/98. Which of the following
would be an appropriate action? -ANSHold the metoprolol because of the upcoming
dialysis
You walk into your patient's room and notice that the chest tube collection chamber has
been knocked over on the floor. There appears to be drainage dispersed throughout the
chambers. What should you do NEXT? -ANSReplace the chamber with a new one
, Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is
89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is this
patient most likely experiencing? -ANSHypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the
following would you do FIRST? -ANSCover the insertion site immediately with Vaseline
gauze
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? -ANSStat 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? -ANSPrepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? -ANSApical
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? -ANSLevetiracetam (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? -ANSEncourage
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? -ANSCall 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? -ANSFollow the patient's wishes
and honor the DNR
You are educating your patient about reducing sodium intake. You know that the patient
understands when they make the statement: -ANS"I will avoid canned food because it's
salty"
The trough for vancomycin is measured: -ANSImmediately 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? -ANSCompetency
EXAM WITH CORRECT
ANSWERS
Which of the following medications is MOST commonly indicated for patients with CHF?
-ANSAce inhibitors
A patient was involved in a motor vehicle accident and CAT scan results reveal a right
sided SDH. What would be an expected neurological assessment finding in this patient?
-ANSDilated right pupil
What is the most common symptom of SIADH? -ANSFluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should
you attend to FIRST? -ANSA patient complaining of shortness of breathe on continuous
BiPAP with a BP of 189/109
Of the following patients, which one would you see FIRST? -ANSA 30 year suicidal
female that took an unknown number of alprazolam with an O2 saturation of 85%
You are caring for a patient with new onset atrial fibrillation with a blood pressure of
80/60. Which of the following treatment options is MOST appropriate? -ANSElectrical
cardioversion
Which of the following supplemental medications is frequently ordered in conjunction
with furosemide? -ANSPotassium
Which of the following positions is the BEST way to assess for JVD? -ANSPosition the
patient on his/her back with the head of bed 30-45 degrees
Your patient is on the midday schedule for hemodialysis. He has 100 mg of metoprolol
XL ordered for this morning and his blood pressure if 150/98. Which of the following
would be an appropriate action? -ANSHold the metoprolol because of the upcoming
dialysis
You walk into your patient's room and notice that the chest tube collection chamber has
been knocked over on the floor. There appears to be drainage dispersed throughout the
chambers. What should you do NEXT? -ANSReplace the chamber with a new one
, Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is
89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is this
patient most likely experiencing? -ANSHypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the
following would you do FIRST? -ANSCover the insertion site immediately with Vaseline
gauze
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? -ANSStat 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? -ANSPrepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? -ANSApical
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? -ANSLevetiracetam (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? -ANSEncourage
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? -ANSCall 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? -ANSFollow the patient's wishes
and honor the DNR
You are educating your patient about reducing sodium intake. You know that the patient
understands when they make the statement: -ANS"I will avoid canned food because it's
salty"
The trough for vancomycin is measured: -ANSImmediately 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? -ANSCompetency
