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100% 2024 PROGRESSIVE CARE RN A EXAM WITH CORRECT ANSWERS
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100% 2024 PROGRESSIVE CARE RN A EXAM WITH CORRECT ANSWERS
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100% 2024 PROGRESSIVE CARERN A EXAM WITH CORRECT
ANSWERS
Your patient has a history of renal insufficiency. What class of analgesics
would MOST likely be contraindicated for them? - CORRECT-
ANSWERSNonsteroidal anti-inflammatory medications
What ethical principle is the foundation of end-of-life care? - CORRECT-
ANSWERSPatient autonomy
You want to assess for jugular vein distention (JVD). What position would be
BEST? - CORRECT-ANSWERSPosition 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? - CORRECT-
ANSWERSPerform a bedside EKG
What is the importance of proper cuff inflation for tracheostomy tubes? -
CORRECT-ANSWERS• To decrease the flow of supplemental oxygen. (Wrong)
• To facilitate mechanical ventilation.
• To prepare the patient for extubation.
• To allow the patient to speak.
What are the MOST common causes of acute onset pancreatitis? - CORRECT-
ANSWERSAlcoholism and gallstones
Your patient has an upper GI bleed. They have a hemoglobin of 6.1 g/dL.
What order would you perform
FIRST? - CORRECT-ANSWERSPrepare to administer 2 units PRBCs.
Your patient is on the midday schedule for hemodialysis. They have 100 mg
metoprolol XL (Toprol®) ordered for this morning. Their blood pressure is
150/98. What would be your MOST appropriate action? - CORRECT-
ANSWERSHold the metoprolol because of the upcoming dialysis.
, What would be your BEST method for dressing a venous stasis ulcer? -
CORRECT-ANSWERSUse gauze wrap covered by a compression bandage
What would you check before administering digoxin (Lanoxin®)? - CORRECT-
ANSWERSApical pulse
What is the FIRST step of the PDSA quality improvement cycle? - CORRECT-
ANSWERSPlan
Your patient has left ventricular heart failure and chest pain. The transport
team is ready to take them to their echocardiogram. What would be your
nursing PRIORITY for safe transportation? - CORRECT-ANSWERSAccompany
patient to their destination
Your patient has a new onset of atrial fibrillation with a blood pressure of
80/60. What treatment would be MOST appropriate? - CORRECT-
ANSWERSElectrical cardioversion
A patient is status post video-assisted thorascopic surgery (VATS) with
lobectomy. You are preparing to admit them. What equipment should be
placed in their room prior to their arrival? - CORRECT-ANSWERSHigh flow
oxygen
Which statement by your patient would concern you the MOST that they are
seriously considering suicide? - CORRECT-ANSWERSI have 10 pills set aside if
things get really bad.
Your patient has advanced COPD with an oxygen saturation level of 80%.
What would you do to promote adequate gas exchange? - CORRECT-
ANSWERSUse a venturi mask to delivery oxygen as ordered
What is an early hemodynamic change associated with stroke? - CORRECT-
ANSWERS• Bradycardia
• Widened pulse pressure
• Hypotension (Wrong)
• Hypertension
Your patient has mitral stenosis. What abnormal heart sound would you
expect to hear? - CORRECT-ANSWERSDiastolic murmur
Your patient is admitted from the ED for syncope for a ground level fall. You
note their heart rate is 50 and they are confused. Their child states they
think your patient has dementia but has not been diagnosed yet. Patient's
blood pressure is stable. What order do you expect? - CORRECT-
ANSWERSStat head CT
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