Progressive Care RN A
Which of the following medications is MOST commonly indicated for patients with CHF?
- ANS-Ace inhibitors
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
What is the most common symptom of SIADH? - ANS-Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should
you attend to FIRST? - ANS-A patient complaining of shortness of breathe on
continuous BiPAP with a BP of 189/109
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%
You are caring for a patient with new onset atrial fibrillation with a blood pressure of
80/60. Which of the following treatment options is MOST appropriate? - ANS-Electrical
cardioversion
Which of the following supplemental medications is frequently ordered in conjunction
with furosemide? - ANS-Potassium
Which of the following positions is the BEST way to assess for JVD? - ANS-Position the
patient on his/her back with the head of bed 30-45 degrees
Your patient is on the midday schedule for 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 appropriate action? - ANS-Hold the metoprolol because of the upcoming
dialysis
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 drainage dispersed throughout the
chambers. What should you do NEXT? - ANS-Replace the chamber with a new one
, Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is
89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is this
patient most likely experiencing? - ANS-Hypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the
following would you do FIRST? - ANS-Cover the insertion site immediately with Vaseline
gauze
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 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
Which of the following should be checked before administering digoxin? - ANS-Apical
pulse
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
You are caring for a patient post left pneumonectomy with a chest tube in place for
drainage. Which of the following is a priority in caring for this patient? - ANS-Encourage
the patient to cough and deep breathe
You are caring for a patient with an order for "furosemide 80 mg BID". Which of the
following actions is the MOST appropriate? - ANS-Call the provider to clarify the order
You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient goes
into cardiac arrest and the patient's daughter states "Do whatever you can to save my
dad." Which of the following is the BEST response? - ANS-Follow the patient's wishes
and honor the DNR
You are educating your patient about reducing sodium intake. You know that the patient
understands when they make the statement: - ANS-"I will avoid canned food because
it's salty"
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