Progressive Care RN A Test Questions and Answers
Which of the following medications is MOST
commonly indicated for patients with CHF? - Your patient is on the midday schedule for
- Ace inhibitors 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
A patient was involved in a motor vehicle appropriate action? - - Hold the metoprolol
accident and CAT scan results reveal a right because of the upcoming dialysis
sided SDH. What would be an expected
neurological assessment finding in this patient? -
- Dilated right pupil 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
What is the most common symptom of SIADH? - drainage dispersed throughout the chambers.
- Fluid retention What should you do NEXT? - - Replace the
chamber with a new one
Upon arrival to the unit, you receive report on
four PCU patients. Which patient should you Your patient is complaining of nausea, vomiting,
attend to FIRST? - - A patient complaining and diarrhea. His blood pressure is 89/55, heart
of shortness of breathe on continuous BiPAP rate is 122 bpm, and the temperature is 100.8 F.
with a BP of 189/109 What condition is this patient most likely
experiencing? - - Hypovolemic shock
Of the following patients, which one would you
see FIRST? - - A 30 year suicidal female You are caring for a patient with a chest tube that
that took an unknown number of alprazolam with has become dislodged. Which of the following
an O2 saturation of 85% would you do FIRST? - - Cover the
insertion site immediately with Vaseline gauze
You are caring for a patient with new onset atrial
fibrillation with a blood pressure of 80/60. Which A 78 year old male is admitted from the ED for
of the following treatment options is MOST syncope with ground level fall. You note his heart
appropriate? - - Electrical cardioversion 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
Which of the following supplemental medications stable. What order do you anticipate? - -
is frequently ordered in conjunction with Stat head CT
furosemide? - - Potassium
A patient with an upper GI bleed has a hgb of 6.1
Which of the following positions is the BEST way g/dL. Which of the following orders should you do
to assess for JVD? - - Position the patient FIRST? - - Prepare to administer 2 units
on his/her back with the head of bed 30-45 PRBCs
degrees
Which of the following should be checked before
1/5
, Progressive Care RN A Test Questions and Answers
administering digoxin? - - Apical pulse type of wound care before. Which of the following
components of delegation have you neglected? -
- Competency
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 You are caring for a patient in third degree heart
expect to receive from the admitting provider? - block. Which of the following treatment options
- Levetiracetam (Keppra) 500 mg IV every will MOST likely be implemented? - -
12 hours and seizure precautions Pacemaker
You are caring for a patient post left You are assigned a patient who recently traveled
pneumonectomy with a chest tube in place for outside of the United States. He has a fever of
drainage. Which of the following is a priority in 101.9 F and excessive diarrhea. You suspect he
caring for this patient? - - Encourage the may have been exposed to Ebola. What type of
patient to cough and deep breathe PPE would you expect to use? - - High
level PPE
You are caring for a patient with an order for
"furosemide 80 mg BID". Which of the following Which of the following patients would you see
actions is the MOST appropriate? - - Call FIRST? - - A 57 year old male complaining
the provider to clarify the order of worsening chest tightness
You are caring for a patient with a Do Not You enter a patient's room and notice the
Resuscitate (DNR) order. The patient goes into telemetry box on the bed and the IV on the floor
cardiac arrest and the patient's daughter states connected to running IV fluids. You last saw the
"Do whatever you can to save my dad." Which of patient 1 hour ago. Who should be notified
the following is the BEST response? - - immediately? - - Charge nurse
Follow the patient's wishes and honor the DNR
A patient is admitted for a NSTEMI and ST
You are educating your patient about reducing depression is noted in leads II, III, and AVF. Two
sodium intake. You know that the patient hours after admission you notice the patient now
understands when they make the statement: - has ST elevation in each of those leads. What
- "I will avoid canned food because it's should you do NEXT? - - Administer O2
salty" and morphine 2mg IV???
The trough for vancomycin is measured: - - An 18 year old female is admitted from PACU
Immediately before the next scheduled dose 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
You are delegating wound care to a LPN. The recovery, and is complaining of nausea. She has
LPN states that she has never performed this Phenergan 50 mg IV every 6 hours/PRN. What
2/5
Which of the following medications is MOST
commonly indicated for patients with CHF? - Your patient is on the midday schedule for
- Ace inhibitors 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
A patient was involved in a motor vehicle appropriate action? - - Hold the metoprolol
accident and CAT scan results reveal a right because of the upcoming dialysis
sided SDH. What would be an expected
neurological assessment finding in this patient? -
- Dilated right pupil 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
What is the most common symptom of SIADH? - drainage dispersed throughout the chambers.
- Fluid retention What should you do NEXT? - - Replace the
chamber with a new one
Upon arrival to the unit, you receive report on
four PCU patients. Which patient should you Your patient is complaining of nausea, vomiting,
attend to FIRST? - - A patient complaining and diarrhea. His blood pressure is 89/55, heart
of shortness of breathe on continuous BiPAP rate is 122 bpm, and the temperature is 100.8 F.
with a BP of 189/109 What condition is this patient most likely
experiencing? - - Hypovolemic shock
Of the following patients, which one would you
see FIRST? - - A 30 year suicidal female You are caring for a patient with a chest tube that
that took an unknown number of alprazolam with has become dislodged. Which of the following
an O2 saturation of 85% would you do FIRST? - - Cover the
insertion site immediately with Vaseline gauze
You are caring for a patient with new onset atrial
fibrillation with a blood pressure of 80/60. Which A 78 year old male is admitted from the ED for
of the following treatment options is MOST syncope with ground level fall. You note his heart
appropriate? - - Electrical cardioversion 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
Which of the following supplemental medications stable. What order do you anticipate? - -
is frequently ordered in conjunction with Stat head CT
furosemide? - - Potassium
A patient with an upper GI bleed has a hgb of 6.1
Which of the following positions is the BEST way g/dL. Which of the following orders should you do
to assess for JVD? - - Position the patient FIRST? - - Prepare to administer 2 units
on his/her back with the head of bed 30-45 PRBCs
degrees
Which of the following should be checked before
1/5
, Progressive Care RN A Test Questions and Answers
administering digoxin? - - Apical pulse type of wound care before. Which of the following
components of delegation have you neglected? -
- Competency
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 You are caring for a patient in third degree heart
expect to receive from the admitting provider? - block. Which of the following treatment options
- Levetiracetam (Keppra) 500 mg IV every will MOST likely be implemented? - -
12 hours and seizure precautions Pacemaker
You are caring for a patient post left You are assigned a patient who recently traveled
pneumonectomy with a chest tube in place for outside of the United States. He has a fever of
drainage. Which of the following is a priority in 101.9 F and excessive diarrhea. You suspect he
caring for this patient? - - Encourage the may have been exposed to Ebola. What type of
patient to cough and deep breathe PPE would you expect to use? - - High
level PPE
You are caring for a patient with an order for
"furosemide 80 mg BID". Which of the following Which of the following patients would you see
actions is the MOST appropriate? - - Call FIRST? - - A 57 year old male complaining
the provider to clarify the order of worsening chest tightness
You are caring for a patient with a Do Not You enter a patient's room and notice the
Resuscitate (DNR) order. The patient goes into telemetry box on the bed and the IV on the floor
cardiac arrest and the patient's daughter states connected to running IV fluids. You last saw the
"Do whatever you can to save my dad." Which of patient 1 hour ago. Who should be notified
the following is the BEST response? - - immediately? - - Charge nurse
Follow the patient's wishes and honor the DNR
A patient is admitted for a NSTEMI and ST
You are educating your patient about reducing depression is noted in leads II, III, and AVF. Two
sodium intake. You know that the patient hours after admission you notice the patient now
understands when they make the statement: - has ST elevation in each of those leads. What
- "I will avoid canned food because it's should you do NEXT? - - Administer O2
salty" and morphine 2mg IV???
The trough for vancomycin is measured: - - An 18 year old female is admitted from PACU
Immediately before the next scheduled dose 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
You are delegating wound care to a LPN. The recovery, and is complaining of nausea. She has
LPN states that she has never performed this Phenergan 50 mg IV every 6 hours/PRN. What
2/5
