PROGRESSIVE CARE RN A V1 EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A

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
You are caring for a patient with a chest tube that has become dislodged. Which of the following
would you do FIRST? - <>Cover the insertion site immediately with Vaseline gauze
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? - <>Stat
head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should you do
FIRST? - <>Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - <>Apical
pulse
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? -
<>Levetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions
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? - <>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 degr