Progressive Care RN A v1 Exam Latest Update 2023-2024 Questions and Verified Correct Answers Guaranteed Success A 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? - Correct Answer: 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? - Correct Answer: 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? - Correct Answer: 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? - Correct Answer: Initiate STEMI team
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? - Correct Answer: Hyperglycemia
A patient is admitted with a diagnosis of "rule out GI bleed." Which of the following lab
values supports confirmation of this diagnosis? - Correct Answer: 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: - Correct Answer: 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?
- Correct Answer: 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? - Correct Answer: 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? - Correct Answer: Prepare to administer 2 units PRBCs 1 / 2
A patient with new onset seizures is most likely to have which of the following in their
room? - Correct Answer: Padded side rails and suction at the bedside
An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She has a 22 gauge peripheral IV in her left hand and is due to void. She had morphine 8mg and Zofran 4mg in recovery, and is complaining of nausea. She has Phenergan 50mg ordered IV every 6 hours/PRN. What should you do FIRST? - Correct Answer: Start a new IV in the antecubital region or obtain an order for Phenergan IM.
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%
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? - Correct
Answer: 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? - Correct Answer: 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: - Correct Answer: 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? - Correct Answer: 25 mL
The trough for vancomycin is measured: - Correct Answer: 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 orders for STAT CBC, CMP, and coagulation test. Which of the following results would you expect to see after these labs are completed? - Correct Answer: WBC greater than
19,000
Unstable angina is characterized by which of the following? - Correct Answer: Chest pain, usually while at rest
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
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