Prophecy Progressive Care RN B V3 Exam |
questions and correct answers | 2025
You want to assess for jugular vein distention (JVD). What position would be BEST? - SOLUTION -
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? - SOLUTION -Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them? - SOLUTION -Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST effective? -
SOLUTION -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? - SOLUTION -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? - SOLUTION -I will not
take ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate? - SOLUTION -•
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? - SOLUTION -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? - SOLUTION -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? - SOLUTION -WBC greater than 19,000
What is an adequate amount of urine output? - SOLUTION -30 mL/hr
, Your patient has left ventricular failure. What clinical manifestations would you expect to see? -
SOLUTION -Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action? - SOLUTION -Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the
end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions? -
SOLUTION -No changes. These are high quality compressions.
What is required before making a report of elder abuse? - SOLUTION -Suspicion of abuse
You receive your patient with pneumonia from the ED. Antibiotics and steroids have been initiated by
the provider. The patient reports abdominal pain and has a large loose bowel movement. They
inform you this is their third bowel movement in the last two hours. What would you do FIRST? -
SOLUTION -Initiate enteric contact isolation precautions for possible C. diff
Your patient has developed sepsis from an indwelling urinary catheter. What would be your PRIORITY
intervention? - SOLUTION -Remove catheter.
Your patient is in third degree heart block. What treatment would you MOST likely expect to be
implemented? - SOLUTION -Pacemaker
What are 2 nursing interventions to prevent venous thromboembolism? - SOLUTION -• Adequate
hydration and early mobilization.
• Hemodynamic monitoring and early mobilization. (Wrong)
• Adequate hydration and encouraging a steady amount of green leafy vegetables in diet.
• Hemodynamic monitoring and encouraging a steady amount of green leafy vegetables in diet.
Your patient is post left pneumonectomy. They have a chest tube in place for drainage. What would
be a PRIORITY in your care? - SOLUTION -Encourage patient to cough and deep breathe
What is the reversal agent for benzodiazepines? - SOLUTION -Flumazenil (Romazicon)
Your patient is on a patient-controlled analgesia (PCA) pump infusing morphine. They are not getting
relief. What would be your FIRST intervention? - SOLUTION -Obtain order from provider for an
additional dose.
Which finding would assist in the diagnosis of deep vein thrombosis? - SOLUTION -Positive D-dimer
What is the MOST common symptom of syndrome of inappropriate antidiuretic hormone secretion
(SIADH)? - SOLUTION -Fluid retention
Your patient has nephrotoxicity. At discharge what education would be MOST important for you to
provide? - SOLUTION -• Establish an exercise routine.
• Implement smoking cessation.
• Review your medications with the primary care provider.
• Create a meal plan to maintain kidney health. (Wrong)
Which patient would you ask about the language they would prefer to use for communication
purposes? - SOLUTION -A patient who is newly admitted
questions and correct answers | 2025
You want to assess for jugular vein distention (JVD). What position would be BEST? - SOLUTION -
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? - SOLUTION -Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them? - SOLUTION -Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST effective? -
SOLUTION -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? - SOLUTION -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? - SOLUTION -I will not
take ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate? - SOLUTION -•
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? - SOLUTION -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? - SOLUTION -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? - SOLUTION -WBC greater than 19,000
What is an adequate amount of urine output? - SOLUTION -30 mL/hr
, Your patient has left ventricular failure. What clinical manifestations would you expect to see? -
SOLUTION -Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action? - SOLUTION -Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the
end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions? -
SOLUTION -No changes. These are high quality compressions.
What is required before making a report of elder abuse? - SOLUTION -Suspicion of abuse
You receive your patient with pneumonia from the ED. Antibiotics and steroids have been initiated by
the provider. The patient reports abdominal pain and has a large loose bowel movement. They
inform you this is their third bowel movement in the last two hours. What would you do FIRST? -
SOLUTION -Initiate enteric contact isolation precautions for possible C. diff
Your patient has developed sepsis from an indwelling urinary catheter. What would be your PRIORITY
intervention? - SOLUTION -Remove catheter.
Your patient is in third degree heart block. What treatment would you MOST likely expect to be
implemented? - SOLUTION -Pacemaker
What are 2 nursing interventions to prevent venous thromboembolism? - SOLUTION -• Adequate
hydration and early mobilization.
• Hemodynamic monitoring and early mobilization. (Wrong)
• Adequate hydration and encouraging a steady amount of green leafy vegetables in diet.
• Hemodynamic monitoring and encouraging a steady amount of green leafy vegetables in diet.
Your patient is post left pneumonectomy. They have a chest tube in place for drainage. What would
be a PRIORITY in your care? - SOLUTION -Encourage patient to cough and deep breathe
What is the reversal agent for benzodiazepines? - SOLUTION -Flumazenil (Romazicon)
Your patient is on a patient-controlled analgesia (PCA) pump infusing morphine. They are not getting
relief. What would be your FIRST intervention? - SOLUTION -Obtain order from provider for an
additional dose.
Which finding would assist in the diagnosis of deep vein thrombosis? - SOLUTION -Positive D-dimer
What is the MOST common symptom of syndrome of inappropriate antidiuretic hormone secretion
(SIADH)? - SOLUTION -Fluid retention
Your patient has nephrotoxicity. At discharge what education would be MOST important for you to
provide? - SOLUTION -• Establish an exercise routine.
• Implement smoking cessation.
• Review your medications with the primary care provider.
• Create a meal plan to maintain kidney health. (Wrong)
Which patient would you ask about the language they would prefer to use for communication
purposes? - SOLUTION -A patient who is newly admitted
