Download Prophecy Progressive Care RN A V1 Questions & Answers 2025 Graded A+ and more Exams Clinical Medicine in PDF only on Docsity!
Which of the following medications is MOST commonly indicated for patients with CHF? Ace inhibitors 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? Dilated right pupil What is the most common symptom of SIADH? Fluid retention Upon arrival to the unit, you receive report on four PCU patients. Which patient should you attend to FIRST? A patient complaining of shortness of breathe on continuous BiPAP with a BP of 189/ Of the following patients, which one would you see FIRST? A 30 year suicidal female that took an unknown number of alprazolam with an O saturation of 85% 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? Electrical cardioversion
Prophecy Progressive Care RN A V
Questions & Answers 2025 Graded A+
Which of the following supplemental medications is frequently ordered in conjunction with furosemide? Potassium Which of the following positions is the BEST way to assess for JVD? Position the patient on his/her back with the head of bed 30 - 45 degrees 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? Hold the metoprolol because of the upcoming dialysis 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? Replace the chamber with a new one 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? Hypovolemic shock
Encourage the patient to cough and deep breathe You are caring for a patient with an order for “furosemide 80 mg BID”. Which of the following actions is the MOST appropriate? Call the provider to clarify the order You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient goes into cardiac arrest and the patient’s daughter states “Do whatever you can to save my dad.” Which of the following is the BEST response? Follow the patient’s wishes and honor the DNR You are educating your patient about reducing sodium intake. You know that the patient understands when they make the statement: “I will avoid canned food because it’s salty” The trough for vancomycin is measured: Immediately before the next scheduled dose You are delegating wound care to a LPN. The LPN states that she has never performed this type of wound care before. Which of the following components of delegation have you neglected? Competency
You are caring for a patient in third degree heart block. Which of the following treatment options will MOST likely be implemented? Pacemaker You are assigned a patient who recently traveled outside of the United States. He has a fever of 101.9 F and excessive diarrhea. You suspect he may have been exposed to Ebola. What type of PPE would you expect to use? High level PPE Which of the following patients would you see FIRST? A 57 year old male complaining of worsening chest tightness You enter a patient’s room and notice the telemetry box on the bed and the IV on the floor connected to running IV fluids. You last saw the patient 1 hour ago. Who should be notified immediately? 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? Initiate STEMI team
A patient with new onset seizures is most likely to have which of the following in their room? Padded side rails and suction at the bedside You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into the transfusion, the patient complains of lower back pain, shortness of breath, and chills. Which of the following would you do FIRST? Stop the transfusion You receive a patient from the emergency department with a fever, cough for 3 weeks, night chills, and fatigue. During the admission assessment the patient reports recent travel out of the country. What should be your FIRST action? Notify the provider, apply a mask to the patient, and transfer to a negative pressure room Unstable angina is characterized by which of the following? Chest pain, usually while at rest 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? Furosemide 40 mg IV BID Which of the following has been found to be linked to a diagnosis of endocarditis? Recent invasive dental procedures
Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been removed. The patient suddenly complains of palpitations. His blood pressure is 130/76 and heart rate is 140 bpm. What would you do NEXT? Immediately perform a bedside EKG What abnormal heart sound would you expect to hear in a patient with mitral stenosis? Diastolic murmur You are performing auscultation on your patient and note an absence of breath sounds in the right lower lobe. Which of the following would you suspect? Pneumothorax Which of the following are primary goals in diabetic ketoacidosis therapy? Correct fluid deficit and replace potassium You receive an 84 year old patient from the ED with pneumonia. Antibiotics and steroids have already been initiated by the provider. The patient complains of abdominal pain and has a large, loose bowel movement and notifies you this is the third one. What should you do FIRST? Initiate contact isolation precautions for possible C. difficile You have completed a blood transfusion and are unsure of how to dispose of the empty bag. What should you do?
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: Discarded, then begin collection with the next void What acid-base imbalance would you expect to see in a patient with an acute kidney injury? Metabolic acidosis Your 28 year old patient is being discharged on warfarin 5 mg every evening after being diagnosed with atrial fibrillation. Which of the following statements indicates a need for further teaching? “I cant wait to get back to riding on my horse.” You are caring for an 80 year old male with advanced COPD with an oxygen saturation level of 80%. Which of the following would you do to promote adequate oxygen exchange? Use a high-flow venturi mask to deliver oxygen as ordered You are caring for a patient that has returned from the cath lab post antioplasty. Upon assessment, you note a large hematoma at the sheath site. Which of the following would you do immediateley? Apply manual pressure to the site and call for help Which of the following findings assist in the diagnosis of deep vein thrombosis?
Positive D-dimer 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? Acute kidney injury You admit a patient to the PCU that was rear-ended in a motor vehicle accident. As they sit up in bed you notice bruising to the right flank area. What immediate action should be taken? Notify the provider of assessment findings and possible retroperitoneal bleeding A patient is admitted with a diagnosis of “rule out GI bleed.” Which of the following lab values supports confirmation of this diagnosis? Hgb of 5. You are taking care of a patient who is scheduled for ablation to treat atrial fibrillation. While obtaining consent , the patient asks multiple questions about the procedure. What is the BEST response? Request the provider come and discuss the procedure with the patient Your patient has an IVC filter placed two days ago and starts to complain of sharp pain in the chest, shortness of breath, anxiety, and heart palpitations. What should you do NEXT? Notify the provider and prepare for a CT scan
