PROGRESSIVE CARE RN A QUESTIONS
AND ANSWERS
Which11of11the11following11medications11is11MOST11commonly11indicated11for11patients1
1with11CHF?11-11ans--✔✔Ace11inhibitors
A11patient11was11involved11in11a11motor11vehicle11accident11and11CAT11scan11results11r
eveal11a11right11sided11SDH.11What11would11be11an11expected11neurological11assessme
nt11finding11in11this11patient?11-11ans--✔✔Dilated11right11pupil
What11is11the11most11common11symptom11of11SIADH?11-11ans--✔✔Fluid11retention
Upon11arrival11to11the11unit,11you11receive11report11on11four11PCU11patients.11Which11pa
tient11should11you11attend11to11FIRST?11-11ans--
✔✔A11patient11complaining11of11shortness11of11breathe11on11continuous11BiPAP11with11
a11BP11of11189/109
Of11the11following11patients,11which11one11would11you11see11FIRST?11-11ans--
✔✔A113011year11suicidal11female11that11took11an11unknown11number11of11alprazolam11
with11an11O211saturation11of1185%
You11are11caring11for11a11patient11with11new11onset11atrial11fibrillation11with11a11blood11p
ressure11of1180/60.11Which11of11the11following11treatment11options11is11MOST11appropri
ate?11-11ans--✔✔Electrical11cardioversion
Which11of11the11following11supplemental11medications11is11frequently11ordered11in11conj
unction11with11furosemide?11-11ans--✔✔Potassium
Which11of11the11following11positions11is11the11BEST11way11to11assess11for11JVD?11-
11ans--✔✔Position11the11patient11on11his/her11back11with11the11head11of11bed1130-
4511degrees
, Your11patient11is11on11the11midday11schedule11for11hemodialysis.11He11has1110011mg11o
f11metoprolol11XL11ordered11for11this11morning11and11his11blood11pressure11if11150/98.11
Which11of11the11following11would11be11an11appropriate11action?11-11ans--
✔✔Hold11the11metoprolol11because11of11the11upcoming11dialysis
You11walk11into11your11patient's11room11and11notice11that11the11chest11tube11collection11
chamber11has11been11knocked11over11on11the11floor.11There11appears11to11be11drainag
e11dispersed11throughout11the11chambers.11What11should11you11do11NEXT?11-11ans--
✔✔Replace11the11chamber11with11a11new11one
Your11patient11is11complaining11of11nausea,11vomiting,11and11diarrhea.11His11blood11pre
ssure11is1189/55,11heart11rate11is1112211bpm,11and11the11temperature11is11100.811F.11W
hat11condition11is11this11patient11most11likely11experiencing?11-11ans--
✔✔Hypovolemic11shock
You11are11caring11for11a11patient11with11a11chest11tube11that11has11become11dislodged.1
1Which11of11the11following11would11you11do11FIRST?11-11ans--
✔✔Cover11the11insertion11site11immediately11with11Vaseline11gauze
A117811year11old11male11is11admitted11from11the11ED11for11syncope11with11ground11level
11fall.11You11note11his11heart11rate11is115011and11the11patient11is11confused.11His11daugh
ter11states11she11thinks11he11has11dementia11but11he11has11not11been11diagnosed11yet.1
1Blood11pressure11is11stable.11What11order11do11you11anticipate?11-11ans--
✔✔Stat11head11CT
A11patient11with11an11upper11GI11bleed11has11a11hgb11of116.111g/
dL.11Which11of11the11following11orders11should11you11do11FIRST?11-11ans--
✔✔Prepare11to11administer11211units11PRBCs
Which11of11the11following11should11be11checked11before11administering11digoxin?11-
11ans--✔✔Apical11pulse
A11patient11with11a11history11of11acute11seizure11activity11of11unknown11etiology11is11ad
mitted11to11the11PCU11from11the11ED.11Which11of11the11following11orders11would11you11
expect11to11receive11from11the11admitting11provider?11-11ans--
✔✔Levetiracetam11(Keppra)1150011mg11IV11every111211hours11and11seizure11precaution
s
You11are11caring11for11a11patient11post11left11pneumonectomy11with11a11chest11tube11in1
1place11for11drainage.11Which11of11the11following11is11a11priority11in11caring11for11this11pa
tient?11-11ans--✔✔Encourage11the11patient11to11cough11and11deep11breathe
You11are11caring11for11a11patient11with11an11order11for11"furosemide118011mg11BID".11W
hich11of11the11following11actions11is11the11MOST11appropriate?11-11ans--
✔✔Call11the11provider11to11clarify11the11order
AND ANSWERS
Which11of11the11following11medications11is11MOST11commonly11indicated11for11patients1
1with11CHF?11-11ans--✔✔Ace11inhibitors
A11patient11was11involved11in11a11motor11vehicle11accident11and11CAT11scan11results11r
eveal11a11right11sided11SDH.11What11would11be11an11expected11neurological11assessme
nt11finding11in11this11patient?11-11ans--✔✔Dilated11right11pupil
What11is11the11most11common11symptom11of11SIADH?11-11ans--✔✔Fluid11retention
Upon11arrival11to11the11unit,11you11receive11report11on11four11PCU11patients.11Which11pa
tient11should11you11attend11to11FIRST?11-11ans--
✔✔A11patient11complaining11of11shortness11of11breathe11on11continuous11BiPAP11with11
a11BP11of11189/109
Of11the11following11patients,11which11one11would11you11see11FIRST?11-11ans--
✔✔A113011year11suicidal11female11that11took11an11unknown11number11of11alprazolam11
with11an11O211saturation11of1185%
You11are11caring11for11a11patient11with11new11onset11atrial11fibrillation11with11a11blood11p
ressure11of1180/60.11Which11of11the11following11treatment11options11is11MOST11appropri
ate?11-11ans--✔✔Electrical11cardioversion
Which11of11the11following11supplemental11medications11is11frequently11ordered11in11conj
unction11with11furosemide?11-11ans--✔✔Potassium
Which11of11the11following11positions11is11the11BEST11way11to11assess11for11JVD?11-
11ans--✔✔Position11the11patient11on11his/her11back11with11the11head11of11bed1130-
4511degrees
, Your11patient11is11on11the11midday11schedule11for11hemodialysis.11He11has1110011mg11o
f11metoprolol11XL11ordered11for11this11morning11and11his11blood11pressure11if11150/98.11
Which11of11the11following11would11be11an11appropriate11action?11-11ans--
✔✔Hold11the11metoprolol11because11of11the11upcoming11dialysis
You11walk11into11your11patient's11room11and11notice11that11the11chest11tube11collection11
chamber11has11been11knocked11over11on11the11floor.11There11appears11to11be11drainag
e11dispersed11throughout11the11chambers.11What11should11you11do11NEXT?11-11ans--
✔✔Replace11the11chamber11with11a11new11one
Your11patient11is11complaining11of11nausea,11vomiting,11and11diarrhea.11His11blood11pre
ssure11is1189/55,11heart11rate11is1112211bpm,11and11the11temperature11is11100.811F.11W
hat11condition11is11this11patient11most11likely11experiencing?11-11ans--
✔✔Hypovolemic11shock
You11are11caring11for11a11patient11with11a11chest11tube11that11has11become11dislodged.1
1Which11of11the11following11would11you11do11FIRST?11-11ans--
✔✔Cover11the11insertion11site11immediately11with11Vaseline11gauze
A117811year11old11male11is11admitted11from11the11ED11for11syncope11with11ground11level
11fall.11You11note11his11heart11rate11is115011and11the11patient11is11confused.11His11daugh
ter11states11she11thinks11he11has11dementia11but11he11has11not11been11diagnosed11yet.1
1Blood11pressure11is11stable.11What11order11do11you11anticipate?11-11ans--
✔✔Stat11head11CT
A11patient11with11an11upper11GI11bleed11has11a11hgb11of116.111g/
dL.11Which11of11the11following11orders11should11you11do11FIRST?11-11ans--
✔✔Prepare11to11administer11211units11PRBCs
Which11of11the11following11should11be11checked11before11administering11digoxin?11-
11ans--✔✔Apical11pulse
A11patient11with11a11history11of11acute11seizure11activity11of11unknown11etiology11is11ad
mitted11to11the11PCU11from11the11ED.11Which11of11the11following11orders11would11you11
expect11to11receive11from11the11admitting11provider?11-11ans--
✔✔Levetiracetam11(Keppra)1150011mg11IV11every111211hours11and11seizure11precaution
s
You11are11caring11for11a11patient11post11left11pneumonectomy11with11a11chest11tube11in1
1place11for11drainage.11Which11of11the11following11is11a11priority11in11caring11for11this11pa
tient?11-11ans--✔✔Encourage11the11patient11to11cough11and11deep11breathe
You11are11caring11for11a11patient11with11an11order11for11"furosemide118011mg11BID".11W
hich11of11the11following11actions11is11the11MOST11appropriate?11-11ans--
✔✔Call11the11provider11to11clarify11the11order
