Download Progressive Care RN A 2024 Questions and Answers and more Exams Nursing in PDF only on Docsity! PROGRESSIVE CARE RN A 2024 QUESTIONS AND ANSWERS NEW UPDATED 2024/2025 ANSWERS CORRECT VERIFIED/DETAILED BEST RATED A+ FOR SUCCESS Your patient is on anticoagulant medication. You are discharging them and provide patient education. Which statement by your patient indicates an understanding of the education? - CORRECT ANSWERS I will not take ibuprofen (Motrin®) every day Your non-verbal patient is alert. What type of pain assessment would be appropriate? - CORRECT ANSWERS • Visual pain scale • Verbal descriptive scale • Vital signs assessment to approximate pain • Behavioral pain scale (Wrong) Your patient has returned from the cath lab post angioplasty. Upon assessment you note a large hematoma at the sheath site. What would be your immediate action? - CORRECT ANSWERS Apply manual pressure to the site and call for help. Your patient has new onset seizures. They ask you what they should know about taking levetiracetam (Keppra®). What would be your BEST response? - CORRECT ANSWERS Common side effects are fatigue and depression Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant reports that your patient has a temp of 101.3°F and blood pressure of 82/56. Their urine output has decreased to less than 30 mL in the past 4 hours. You suspect a post-surgery complication. After calling the physician you receive orders for STAT CBC, CMP, and coagulation test. What results would you expect to see after these labs are completed? - CORRECT ANSWERS WBC greater than 19,000 What is an adequate amount of urine output? - CORRECT ANSWERS 30 mL/hr Your patient has left ventricular failure. What clinical manifestations would you expect to see? - CORRECT ANSWERS Dyspnea, distant heart sounds, bilateral crackles PROGRESSIVE CARE RN A 2024 QUESTIONS AND ANSWERS NEW UPDATED 2024/2025 ANSWERS CORRECT VERIFIED/DETAILED BEST RATED A+ FOR SUCCESS You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your MOST appropriate action? - CORRECT ANSWERS Call provider to clarify the order. Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions? - CORRECT ANSWERS No changes. These are high quality compressions. What is required before making a report of elder abuse? - CORRECT ANSWERS Suspicion of abuse You want to assess for jugular vein distention (JVD). What position would be BEST? - CORRECT ANSWERS Position 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 ANSWERS Perform a bedside EKG Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be contraindicated for them? - CORRECT ANSWERS Nonsteroidal anti-inflammatory medications Your patient is acutely ill. What route of medication administration would likely be LEAST effective? - CORRECT ANSWERS Intramuscular You are working with the code team to resuscitate a patient in ventricular fibrillation. Chest compressions are ongoing and the patient has been shocked twice. What emergency medication, if any, would you administer at this juncture? - CORRECT ANSWERS Epinephrine (Adrenaline) 1 mg IV You receive your patient with pneumonia from the ED. Antibiotics and steroids have been initiated by the provider. The patient reports abdominal pain and has a large loose bowel movement. They inform you this is their third bowel movement in the last two hours. What PROGRESSIVE CARE RN A 2024 QUESTIONS AND ANSWERS NEW UPDATED 2024/2025 ANSWERS CORRECT VERIFIED/DETAILED BEST RATED A+ FOR SUCCESS administration. What type of transfusion reaction are they likely experiencing? - CORRECT ANSWERS • Transfusion related hemolytic reaction (Wrong) • Septic transfusion reaction • Transfusion related fluid overload • Anaphylaxis When should the trough for vancomycin (Firvanq®) be measured? - CORRECT ANSWERS Immediately before the next scheduled dose What are PRIMARY goals in diabetic ketoacidosis therapy? - CORRECT ANSWERS Correct fluid deficit and replace potassium. Your patient is receiving an amiodarone (Pacerone®) drip. When would you reduce the dose from 1 mg/mL to 0.5 mg/mL? - CORRECT ANSWERS After 6 hours You walk into your patient's room. You notice that the chest tube collection chamber has been knocked over onto its side. There appears to be drainage dispersed throughout the chambers. What would you do NEXT? - CORRECT ANSWERS Replace chamber with a new one. Your patient is experiencing left-sided weakness from a meningioma. What would be the MOST likely treatment for their brain tumor? - CORRECT ANSWERS Surgical resection Your coworker mistakenly gives 2 units of insulin to a patient. The patient is stabilized and the provider is informed. What would be your NEXT step? - CORRECT ANSWERS Create an incident report Your patient had an IVC filter placed 2 days ago. They start to complain of sharp pain in the chest, shortness of breath, anxiety, and heart palpitations. What would you do NEXT? - CORRECT ANSWERS Notify provider and prepare for a CT scan. PROGRESSIVE CARE RN A 2024 QUESTIONS AND ANSWERS NEW UPDATED 2024/2025 ANSWERS CORRECT VERIFIED/DETAILED BEST RATED A+ FOR SUCCESS What ethical principle is the foundation of end-of-life care? - CORRECT ANSWERS Patient autonomy 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 ANSWERS Alcoholism 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 ANSWERS Prepare 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 ANSWERS Hold the metoprolol because of the upcoming dialysis. What would be your BEST method for dressing a venous stasis ulcer? - CORRECT ANSWERS Use gauze wrap covered by a compression bandage What would you check before administering digoxin (Lanoxin®)? - CORRECT ANSWERS Apical pulse What is the FIRST step of the PDSA quality improvement cycle? - CORRECT ANSWERS Plan 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 ANSWERS Accompany patient to their destination PROGRESSIVE CARE RN A 2024 QUESTIONS AND ANSWERS NEW UPDATED 2024/2025 ANSWERS CORRECT VERIFIED/DETAILED BEST RATED A+ FOR SUCCESS Your patient has a new onset of atrial fibrillation with a blood pressure of 80/60. What treatment would be MOST appropriate? - CORRECT ANSWERS Electrical 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 ANSWERS High flow oxygen Which statement by your patient would concern you the MOST that they are seriously considering suicide? - CORRECT ANSWERS I 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 ANSWERS Use 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 ANSWERS Diastolic 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 ANSWERS Stat head CT Your patient is newly diagnosed with asthma. What would be your MAIN goal when providing patient education? - CORRECT ANSWERS Self-management for symptom control