Exam (elaborations)
Progressive Care RN A: Verified Answers & Rationales
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Progressive Care RN A: Verified Answers & Rationales
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By: DrBidesh • 3 weeks ago
By: alex71 • 1 month ago
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1. A patient with a history of heart failure presents with sudden weightgain of 5 lbs in 2 days, peripheral edema, and jugular vein distention.
What is the nurse’s priority intervention?
A. Administer prescribed diuretics.
B. Restrict oral fluid intake.
C. Monitor intake and output.
D. Elevate the legs to reduce edema.
Answer and Rationale:
A. Administer prescribed diuretics.
Rationale: Diuretics help remove excess fluid and alleviate symptoms of
fluid overload.
2. A patient is receiving high-dose corticosteroids for acute
exacerbation of asthma. Which finding requires immediate action?
A. Blood glucose of 180 mg/dL
B. White blood cell count of 14,000/μL
C. Temperature of 101.5°F (38.6°C)
D. Heart rate of 92 bpm
Answer and Rationale:
C. Temperature of 101.5°F (38.6°C)
,Rationale: Corticosteroids suppress the immune response, increasing
the risk of infection. A fever may indicate a serious infection requiring
prompt evaluation.
3. A postoperative patient has a blood pressure of 88/58 mmHg, heart
rate of 122 bpm, and cold, clammy skin. What is the nurse’s priority?
A. Administer a prescribed vasopressor.
B. Start a fluid bolus as prescribed.
C. Notify the healthcare provider.
D. Monitor urine output.
Answer and Rationale:
B. Start a fluid bolus as prescribed.
Rationale: These are signs of hypovolemic shock, and fluid resuscitation
is the first-line treatment.
4. What is the priority assessment for a patient receiving a continuous
nitroglycerin infusion?
A. Heart rate
B. Blood pressure
C. Respiratory rate
D. Pain level
Answer and Rationale:
B. Blood pressure
, Rationale: Nitroglycerin can cause significant hypotension. Monitoring
blood pressure ensures patient safety and the effectiveness of the
therapy.
5. A patient with cirrhosis presents with confusion and lethargy. Which
intervention should the nurse implement first?
A. Administer lactulose as prescribed.
B. Restrict dietary protein intake.
C. Check ammonia levels.
D. Monitor for signs of infection.
Answer and Rationale:
A. Administer lactulose as prescribed.
Rationale: Lactulose reduces ammonia levels, addressing hepatic
encephalopathy and improving mental status.
6. A patient with an ischemic stroke is receiving thrombolytic therapy.
Which finding requires immediate intervention?
A. Headache
B. Blood pressure of 180/100 mmHg
C. New-onset confusion
D. Blood glucose of 150 mg/dL
Answer and Rationale:
C. New-onset confusion
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