Progressive Care RN A 2024
You want to assess for jugular vein distention (JVD). What position would be BEST? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Position patient on their back with head of bed at 30 to 45 degrees.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii removed. They suddenly report palpitations. Their blood pressure is 130/76 and heart
ii ii ii ii ii ii ii ii ii ii ii
ii rate is 140 bpm. What would you do NEXT? - Perform a bedside EKG
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Your patient has a history of renal insufficiency. What class of analgesics would MOST
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii likely be contraindicated for them? - Nonsteroidal anti-inflammatory medications
ii ii ii ii ii ii ii ii ii ii
Your patient is acutely ill. What route of medication administration would likely be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii LEAST effective? - Intramuscular ii ii ii ii ii
You are working with the code team to resuscitate a patient in ventricular fibrillation.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii Chest compressions are ongoing and the patient has been shocked twice. What
ii ii ii ii ii ii ii ii ii ii ii
ii emergency medication, if any, would you administer at this juncture? - Epinephrine
ii ii ii ii ii ii ii ii ii ii ii ii ii
ii (Adrenaline) 1 mg IV ii ii ii
Your patient is on anticoagulant medication. You are discharging them and provide
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
patient education.
ii ii
Which statement by your patient indicates an understanding of the education? - I will not
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
take ibuprofen (Motrin®) every day
ii ii ii ii ii
Your non-verbal patient is alert. What type of pain assessment would be appropriate? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
• Visual pain scale
ii ii ii ii ii
• Verbal descriptive scale
ii ii ii
• Vital signs assessment to approximate pain
ii ii ii ii ii ii
• Behavioral pain scale (Wrong)
ii ii ii ii
Your patient has returned from the cath lab post angioplasty. Upon assessment you
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii note a large hematoma at the sheath site. What would be your immediate action? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii Apply manual pressure to the site and call for help.
ii ii ii ii ii ii ii ii ii
Your patient has new onset seizures. They ask you what they should know about taking
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii levetiracetam (Keppra®). What would be your BEST response? - Common side effects ii ii ii ii ii ii ii ii ii ii ii ii ii
ii are fatigue and depression
ii ii ii
Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii reports that your patient has a temp of 101.3°F and blood pressure of 82/56. Their urine
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii output has decreased to less than 30 mL in the past 4 hours. You suspect a post-surgery
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii complication. After calling the physician you receive orders for STAT CBC, CMP, and ii ii ii ii ii ii ii ii ii ii ii ii
ii coagulation test. What results would you expect to see after these labs are completed? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii ii WBC greater than 19,000 ii ii ii
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, ii ii ii What is an adequate amount of urine output? - 30 mL/hr
ii ii ii ii ii ii ii ii ii ii ii ii
Your patient has left ventricular failure. What clinical manifestations would you expect
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii to see? - Dyspnea, distant heart sounds, bilateral crackles
ii ii ii ii ii ii ii ii ii ii
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii would be your MOST appropriate action? - Call provider to clarify the order.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Your patient is in cardiac arrest. Chest compressions are being performed.
ii ii ii ii ii ii ii ii ii ii ii ii ii
ii Capnography indicates the end-tidal CO2 is 18 mmg. What do the capnography results ii ii ii ii ii ii ii ii ii ii ii ii
ii indicate about the chest compressions? - No changes. These are high quality
ii ii ii ii ii ii ii ii ii ii ii ii ii
ii compressions.
ii ii ii What is required before making a report of elder abuse? - Suspicion of abuse
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
You receive your patient with pneumonia from the ED. Antibiotics and steroids have
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii been initiated by the provider. The patient reports abdominal pain and has a large loose
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii bowel movement. They inform you this is their third bowel movement in the last two
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii hours. What would you do FIRST? - Initiate enteric contact isolation precautions for
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii possible C. diff ii ii
Your patient has developed sepsis from an indwelling urinary catheter. What would be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii your PRIORITY intervention? - Remove catheter.
ii ii ii ii ii ii ii
Your patient is in third degree heart block. What treatment would you MOST likely
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii expect to be implemented? - Pacemaker ii ii ii ii ii ii ii
What are 2 nursing interventions to prevent venous thromboembolism? - • Adequate
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
hydration and early mobilization.
ii ii ii ii
• Hemodynamic monitoring and early mobilization. (Wrong)
ii ii ii ii ii ii
• Adequate hydration and encouraging a steady amount of green leafy vegetables in diet.
ii ii ii ii ii ii ii ii ii ii ii ii ii
• Hemodynamic monitoring and encouraging a steady amount of green leafy vegetables
ii ii ii ii ii ii ii ii ii ii ii
in diet.
ii ii
Your patient is post left pneumonectomy. They have a chest tube in place for drainage.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii What would be a PRIORITY in your care? - Encourage patient to cough and deep
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii breathe
ii ii ii What is the reversal agent for benzodiazepines? - Flumazenil (Romazicon)
ii ii ii ii ii ii ii ii ii ii ii
Your patient is on a patient-controlled analgesia (PCA) pump infusing morphine. They
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii are not getting relief. What would be your FIRST intervention? - Obtain order from
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii provider for an additional dose. ii ii ii ii
This study source was downloaded by 100000889304135 from nursinghero.com on 08-19-2024 08:09:27 GMT -05:00
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You want to assess for jugular vein distention (JVD). What position would be BEST? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Position patient on their back with head of bed at 30 to 45 degrees.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii removed. They suddenly report palpitations. Their blood pressure is 130/76 and heart
ii ii ii ii ii ii ii ii ii ii ii
ii rate is 140 bpm. What would you do NEXT? - Perform a bedside EKG
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Your patient has a history of renal insufficiency. What class of analgesics would MOST
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii likely be contraindicated for them? - Nonsteroidal anti-inflammatory medications
ii ii ii ii ii ii ii ii ii ii
Your patient is acutely ill. What route of medication administration would likely be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii LEAST effective? - Intramuscular ii ii ii ii ii
You are working with the code team to resuscitate a patient in ventricular fibrillation.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii Chest compressions are ongoing and the patient has been shocked twice. What
ii ii ii ii ii ii ii ii ii ii ii
ii emergency medication, if any, would you administer at this juncture? - Epinephrine
ii ii ii ii ii ii ii ii ii ii ii ii ii
ii (Adrenaline) 1 mg IV ii ii ii
Your patient is on anticoagulant medication. You are discharging them and provide
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
patient education.
ii ii
Which statement by your patient indicates an understanding of the education? - I will not
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
take ibuprofen (Motrin®) every day
ii ii ii ii ii
Your non-verbal patient is alert. What type of pain assessment would be appropriate? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
• Visual pain scale
ii ii ii ii ii
• Verbal descriptive scale
ii ii ii
• Vital signs assessment to approximate pain
ii ii ii ii ii ii
• Behavioral pain scale (Wrong)
ii ii ii ii
Your patient has returned from the cath lab post angioplasty. Upon assessment you
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii note a large hematoma at the sheath site. What would be your immediate action? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii Apply manual pressure to the site and call for help.
ii ii ii ii ii ii ii ii ii
Your patient has new onset seizures. They ask you what they should know about taking
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii levetiracetam (Keppra®). What would be your BEST response? - Common side effects ii ii ii ii ii ii ii ii ii ii ii ii ii
ii are fatigue and depression
ii ii ii
Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii reports that your patient has a temp of 101.3°F and blood pressure of 82/56. Their urine
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii output has decreased to less than 30 mL in the past 4 hours. You suspect a post-surgery
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii complication. After calling the physician you receive orders for STAT CBC, CMP, and ii ii ii ii ii ii ii ii ii ii ii ii
ii coagulation test. What results would you expect to see after these labs are completed? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii ii WBC greater than 19,000 ii ii ii
This study source was downloaded by 100000889304135 from nursinghero.com on 08-19-2024 08:09:27 GMT -05:00
https://www.nursinghero.com/study-files/16515583
, ii ii ii What is an adequate amount of urine output? - 30 mL/hr
ii ii ii ii ii ii ii ii ii ii ii ii
Your patient has left ventricular failure. What clinical manifestations would you expect
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii to see? - Dyspnea, distant heart sounds, bilateral crackles
ii ii ii ii ii ii ii ii ii ii
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii would be your MOST appropriate action? - Call provider to clarify the order.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Your patient is in cardiac arrest. Chest compressions are being performed.
ii ii ii ii ii ii ii ii ii ii ii ii ii
ii Capnography indicates the end-tidal CO2 is 18 mmg. What do the capnography results ii ii ii ii ii ii ii ii ii ii ii ii
ii indicate about the chest compressions? - No changes. These are high quality
ii ii ii ii ii ii ii ii ii ii ii ii ii
ii compressions.
ii ii ii What is required before making a report of elder abuse? - Suspicion of abuse
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
You receive your patient with pneumonia from the ED. Antibiotics and steroids have
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii been initiated by the provider. The patient reports abdominal pain and has a large loose
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii bowel movement. They inform you this is their third bowel movement in the last two
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii hours. What would you do FIRST? - Initiate enteric contact isolation precautions for
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii possible C. diff ii ii
Your patient has developed sepsis from an indwelling urinary catheter. What would be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii your PRIORITY intervention? - Remove catheter.
ii ii ii ii ii ii ii
Your patient is in third degree heart block. What treatment would you MOST likely
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii expect to be implemented? - Pacemaker ii ii ii ii ii ii ii
What are 2 nursing interventions to prevent venous thromboembolism? - • Adequate
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
hydration and early mobilization.
ii ii ii ii
• Hemodynamic monitoring and early mobilization. (Wrong)
ii ii ii ii ii ii
• Adequate hydration and encouraging a steady amount of green leafy vegetables in diet.
ii ii ii ii ii ii ii ii ii ii ii ii ii
• Hemodynamic monitoring and encouraging a steady amount of green leafy vegetables
ii ii ii ii ii ii ii ii ii ii ii
in diet.
ii ii
Your patient is post left pneumonectomy. They have a chest tube in place for drainage.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii What would be a PRIORITY in your care? - Encourage patient to cough and deep
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii breathe
ii ii ii What is the reversal agent for benzodiazepines? - Flumazenil (Romazicon)
ii ii ii ii ii ii ii ii ii ii ii
Your patient is on a patient-controlled analgesia (PCA) pump infusing morphine. They
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii are not getting relief. What would be your FIRST intervention? - Obtain order from
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii provider for an additional dose. ii ii ii ii
This study source was downloaded by 100000889304135 from nursinghero.com on 08-19-2024 08:09:27 GMT -05:00
https://www.nursinghero.com/study-files/16515583
