Exam (elaborations)
Progressive Care RN A
- Module
- SRU ELEC340 F
- Institution
- SRU ELEC340 F
Progressive Care RN A
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Progressive Care RN AA 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
The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The patient
has been transferred to PCU. What treatment plan would you anticipate from the
attending provider? - ANS-Furosemide 40 mg IV BID
The provider has ordered a 24-hour urine collection for your patient. The patient voids
275 cc, 2 hours after the order is given. This specimen should be: - ANS-Discarded,
then begin collection with the next void
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10 mg/hour.
The vial of diltiazem contains 5mg/mL. Which of the following is the correct volume to
add to the bag of D5W? - ANS-25 mL
The trough for vancomycin is measured: - ANS-Immediately before the next scheduled
dose
Then nursing assistant reports that your post-op day 2 CABG patient has a temp of
101.3 and BP of 82/56. The patient's output has decreased to < 30 cc in the past 4
hours. You suspect a post surgical complication. After calling the doctor, you receive the
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