Progressive Care RN A
A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a
suicide attempt the previous shift and states "I want to die because I am being bullied at
school." Which of the following is the MOST important action? - ANS-Place the patient on
suicide precautions to prevent a second suicide attempt
\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?
- ANS-Stat head CT
\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? - ANS-Refuse to witness the waste and ask the co-worker to
notify the 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? - ANS-Administer O2 and morphine 2mg IV???
\A patient is admitted to the PCU with COPD exacerbation. Which of the following
assessment findings would you expect to find knowing that the patient has been taking
prednisone 40 mg PO once daily for 18 years? - ANS-Hyperglycemia
\A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab
values supports confirmation of this diagnosis? - ANS-Hgb of 5.2
\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: - ANS-30 mL/hr
\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? -
ANS-Dilated right pupil
\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? - ANS-Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions
\A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should
you do FIRST? - ANS-Prepare to administer 2 units PRBCs
\A patient with new onset seizures is most likely to have which of the following in their room?
- ANS-Padded side rails and suction at the bedside
\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? - ANS-Start a new IV line in the antecubital region or obtain an
order for Phenergan IM
\Of the following patients, which one would you see FIRST? - ANS-A 30 year suicidal female
that took an unknown number of alprazolam with an O2 saturation of 85%
\The patient is presenting with a blood pressure of 90/60, a creatinine of 3.0 and decreased
urinary output. What is a possible cause for these findings? - ANS-Acute kidney injury
A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a
suicide attempt the previous shift and states "I want to die because I am being bullied at
school." Which of the following is the MOST important action? - ANS-Place the patient on
suicide precautions to prevent a second suicide attempt
\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?
- ANS-Stat head CT
\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? - ANS-Refuse to witness the waste and ask the co-worker to
notify the 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? - ANS-Administer O2 and morphine 2mg IV???
\A patient is admitted to the PCU with COPD exacerbation. Which of the following
assessment findings would you expect to find knowing that the patient has been taking
prednisone 40 mg PO once daily for 18 years? - ANS-Hyperglycemia
\A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab
values supports confirmation of this diagnosis? - ANS-Hgb of 5.2
\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: - ANS-30 mL/hr
\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? -
ANS-Dilated right pupil
\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? - ANS-Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions
\A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should
you do FIRST? - ANS-Prepare to administer 2 units PRBCs
\A patient with new onset seizures is most likely to have which of the following in their room?
- ANS-Padded side rails and suction at the bedside
\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? - ANS-Start a new IV line in the antecubital region or obtain an
order for Phenergan IM
\Of the following patients, which one would you see FIRST? - ANS-A 30 year suicidal female
that took an unknown number of alprazolam with an O2 saturation of 85%
\The patient is presenting with a blood pressure of 90/60, a creatinine of 3.0 and decreased
urinary output. What is a possible cause for these findings? - ANS-Acute kidney injury
