PROGRESSIVE CARE RN A QUESTIONS
AND ANSWERS
Question : Which of the following medications is MOST
commonly indicated for patients with CHF?
CORRECT ANSWER: Ace inhibitors
Question : 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?
CORRECT ANSWER: Dilated right pupil
Question : What is the most common symptom of SIADH?
CORRECT ANSWER: Fluid retention
Question : Upon arrival to the unit, you receive report on four
PCU patients. Which patient should you attend to FIRST?
CORRECT ANSWER: A patient complaining of shortness
of breathe on continuous BiPAP with a BP of 189/109
Question : Of the following patients, which one would you
see FIRST?
CORRECT ANSWER: A 30 year suicidal female that took
an unknown number of alprazolam with an O2 saturation of 85%
Question : 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?
CORRECT ANSWER: Electrical cardioversion
Question : Which of the following supplemental medications
is frequently ordered in conjunction with furosemide?
CORRECT ANSWER: Potassium
Question : Which of the following positions is the BEST way
to assess for JVD?
CORRECT ANSWER: Position the patient on his/her back
with the head of bed 30-45 degrees
Question : 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?
CORRECT ANSWER: Hold the metoprolol because of the
upcoming dialysis
Question : 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?
CORRECT ANSWER: Replace the chamber with a new
one
Question : 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?
CORRECT ANSWER: Hypovolemic shock
Question : You are caring for a patient with a chest tube that
has become dislodged. Which of the following would you do
FIRST?
CORRECT ANSWER: Cover the insertion site
immediately with Vaseline gauze
Question : 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?
CORRECT ANSWER: Stat head CT
Question : A patient with an upper GI bleed has a hgb of 6.1
g/dL. Which of the following orders should you do FIRST?
CORRECT ANSWER: Prepare to administer 2 units
PRBCs
Question : Which of the following should be checked before
administering digoxin?
CORRECT ANSWER: Apical pulse
Question : 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?
CORRECT ANSWER: Levetiracetam (Keppra) 500 mg IV
every 12 hours and seizure precautions
Question : 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?
CORRECT ANSWER: Encourage the patient to cough and
deep breathe
Question : You are caring for a patient with an order for
"furosemide 80 mg BID". Which of the following actions is the MOST appropriate?
CORRECT ANSWER: Call the provider to clarify the order
Question : You are caring for a patient with a Do Not
Resuscitate (DNR) order. The patient goes into cardiac arrest