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Relias Progressive Care RN Assessment A Exam
(Latest 2025 / 2026): Most Comprehensive Qs & Ans -
to Pass the Exam, 100% Verified
- You want to assess for jugular vein distention (JVD). What
position would be BEST?Position patient on their back with head of bed at 30 to 45 degrees.
Answer : Position patient on their back with head of bed at 30
to 45 degrees
Feedback: Accurate. This position optimizes visibility of the
jugular veins, allowing assessment of distention against gravity, typically seen in heart failure or fluid overload.
- Your patient with triple cardiac bypass surgery is post-op day
- 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?Perform a bedside EKG
Answer : Perform a bedside EKG
Feedback: Accurate. Palpitations with a heart rate of 140 bpm
post-cardiac surgery suggest arrhythmia (e.g., atrial fibrillation); a bedside EKG is the next step to diagnose.
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- We have an expert-written solution to this problem! Your
patient has a history of renal insufficiency. What class of analgesics would MOST likely be contraindicated for them?Nonsteroidal anti-inflammatory medications
Answer : Nonsteroidal anti-inflammatory medications
Feedback: Accurate. NSAIDs (e.g., ibuprofen) reduce renal
blood flow and can worsen renal insufficiency by causing further kidney damage.
- Your patient is acutely ill. What route of medication
administration would likely be LEAST effective?Intramuscular
Answer : Intramuscular
Feedback: Accurate. In acutely ill patients (e.g., with shock),
poor perfusion reduces IM absorption; IV is preferred for rapid effect.
- 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?Epinephrine (Adrenaline) 1 mg IV
Answer : Epinephrine (Adrenaline) 1 mg IV
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Feedback: Accurate. Per ACLS guidelines, epinephrine 1 mg
IV every 3-5 minutes is standard in V-fib after initial defibrillation attempts.
- 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?I will not take ibuprofen (Motrin®) every day
Answer : I will not take ibuprofen (Motrin®) every day
Feedback: Accurate. Ibuprofen, an NSAID, increases bleeding
risk with anticoagulants (e.g., warfarin); avoiding it shows understanding.
- Your non-verbal patient is alert. What type of pain assessment
would be appropriate?• Visual pain scale • Verbal descriptive scale • Vital signs assessment to approximate pain • Behavioral pain scale (Wrong)
Answer : Behavioral pain scale
Feedback: Inaccurate. For a non-verbal but alert patient, a
visual pain scale (e.g., faces scale) is appropriate as they can point or indicate. Behavioral pain scale is for unconscious or
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non-communicative patients. “Wrong” label seems misplaced; correct Answer should be visual pain scale.
- 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?Apply manual pressure to the site and call for help.
Answer : Apply manual pressure to the site and call for help
Feedback: Accurate. A hematoma suggests bleeding; manual
pressure controls it while calling for help ensures rapid intervention.
- Your patient has new onset seizures. They ask you what they
should know about taking levetiracetam (Keppra®). What would be your BEST response?Common side effects are fatigue and depression
Answer : Common side effects are fatigue and depression
Feedback: Accurate. Levetiracetam commonly causes fatigue,
drowsiness, and mood changes like depression; this is key patient education.
- 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