PROGRESSIVE CARE RN A LATEST EXAM 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔Your patient has developed sepsis from an indwelling urinary catheter. What would
be your PRIORITY intervention? - ✔✔Remove catheter.
✔✔Your patient is in third degree heart block. What treatment would you MOST likely
expect to be implemented? - ✔✔Pacemaker
✔✔What are 2 nursing interventions to prevent venous thromboembolism? - ✔✔•
Adequate hydration and early mobilization.
• Hemodynamic monitoring and early mobilization. (Wrong)
• Adequate hydration and encouraging a steady amount of green leafy vegetables in
diet.
• Hemodynamic monitoring and encouraging a steady amount of green leafy vegetables
in diet.
✔✔Your patient is post left pneumonectomy. They have a chest tube in place for
drainage. What would be a PRIORITY in your care? - ✔✔Encourage patient to cough
and deep breathe
✔✔What is the reversal agent for benzodiazepines? - ✔✔Flumazenil (Romazicon)
✔✔Your patient is on a patient-controlled analgesia (PCA) pump infusing morphine.
They are not getting relief. What would be your FIRST intervention? - ✔✔Obtain order
from provider for an additional dose.
✔✔Which finding would assist in the diagnosis of deep vein thrombosis? - ✔✔Positive
D-dimer
✔✔What is the MOST common symptom of syndrome of inappropriate antidiuretic
hormone secretion (SIADH)? - ✔✔Fluid retention
✔✔Your patient has nephrotoxicity. At discharge what education would be MOST
important for you to provide? - ✔✔• Establish an exercise routine.
• Implement smoking cessation.
• Review your medications with the primary care provider.
• Create a meal plan to maintain kidney health. (Wrong)
✔✔Which patient would you ask about the language they would prefer to use for
communication purposes? - ✔✔A patient who is newly admitted
✔✔Upon arrival to the ED a patient's lab results indicate a BNP of 2000. They are
transferred to the PCU.
, What treatment plan would you expect from the attending provider? - ✔✔Furosemide
(Lasix®) 40 mg IV BID
✔✔Your patient reports chest pain. Which lab orders would you anticipate the provider
ordering? - ✔✔Troponin
✔✔A patient presents with blood pressure of 90/60, creatinine of 3.0, and decreased
urinary output. What is a possible cause for these findings? - ✔✔Acute kidney injury
✔✔You want to help your patient wean from the BiPap. You are collaborating with the
healthcare team.
What is a sign that your patient is fatiguing and you would communicate to the
respiratory therapy team? - ✔✔Increased PaCO2
✔✔What is an effective nursing intervention for reducing central line-associated
bloodstream infections (CLABSIs)? - ✔✔Perform a daily assessment of line necessity.
✔✔You are administering 1 unit of packed red blood cells (PRBC) to your patient. They
develop shortness of breath, tachycardia, and distended jugular veins in the first 15
minutes of PRBC administration. What type of transfusion reaction are they likely
experiencing? - ✔✔• Transfusion related hemolytic reaction (Wrong)
• Septic transfusion reaction
• Transfusion related fluid overload
• Anaphylaxis
✔✔When should the trough for vancomycin (Firvanq®) be measured? - ✔✔Immediately
before the next scheduled dose
✔✔What are PRIMARY goals in diabetic ketoacidosis therapy? - ✔✔Correct fluid deficit
and replace potassium.
✔✔Your patient is receiving an amiodarone (Pacerone®) drip. When would you reduce
the dose from 1 mg/mL to 0.5 mg/mL? - ✔✔After 6 hours
✔✔You walk into your patient's room. You notice that the chest tube collection chamber
has been knocked over onto its side. There appears to be drainage dispersed
throughout the chambers. What would you do NEXT? - ✔✔Replace chamber with a
new one.
✔✔Your patient is experiencing left-sided weakness from a meningioma. What would
be the MOST likely treatment for their brain tumor? - ✔✔Surgical resection
QUESTIONS AND SOLUTIONS RATED A+
✔✔Your patient has developed sepsis from an indwelling urinary catheter. What would
be your PRIORITY intervention? - ✔✔Remove catheter.
✔✔Your patient is in third degree heart block. What treatment would you MOST likely
expect to be implemented? - ✔✔Pacemaker
✔✔What are 2 nursing interventions to prevent venous thromboembolism? - ✔✔•
Adequate hydration and early mobilization.
• Hemodynamic monitoring and early mobilization. (Wrong)
• Adequate hydration and encouraging a steady amount of green leafy vegetables in
diet.
• Hemodynamic monitoring and encouraging a steady amount of green leafy vegetables
in diet.
✔✔Your patient is post left pneumonectomy. They have a chest tube in place for
drainage. What would be a PRIORITY in your care? - ✔✔Encourage patient to cough
and deep breathe
✔✔What is the reversal agent for benzodiazepines? - ✔✔Flumazenil (Romazicon)
✔✔Your patient is on a patient-controlled analgesia (PCA) pump infusing morphine.
They are not getting relief. What would be your FIRST intervention? - ✔✔Obtain order
from provider for an additional dose.
✔✔Which finding would assist in the diagnosis of deep vein thrombosis? - ✔✔Positive
D-dimer
✔✔What is the MOST common symptom of syndrome of inappropriate antidiuretic
hormone secretion (SIADH)? - ✔✔Fluid retention
✔✔Your patient has nephrotoxicity. At discharge what education would be MOST
important for you to provide? - ✔✔• Establish an exercise routine.
• Implement smoking cessation.
• Review your medications with the primary care provider.
• Create a meal plan to maintain kidney health. (Wrong)
✔✔Which patient would you ask about the language they would prefer to use for
communication purposes? - ✔✔A patient who is newly admitted
✔✔Upon arrival to the ED a patient's lab results indicate a BNP of 2000. They are
transferred to the PCU.
, What treatment plan would you expect from the attending provider? - ✔✔Furosemide
(Lasix®) 40 mg IV BID
✔✔Your patient reports chest pain. Which lab orders would you anticipate the provider
ordering? - ✔✔Troponin
✔✔A patient presents with blood pressure of 90/60, creatinine of 3.0, and decreased
urinary output. What is a possible cause for these findings? - ✔✔Acute kidney injury
✔✔You want to help your patient wean from the BiPap. You are collaborating with the
healthcare team.
What is a sign that your patient is fatiguing and you would communicate to the
respiratory therapy team? - ✔✔Increased PaCO2
✔✔What is an effective nursing intervention for reducing central line-associated
bloodstream infections (CLABSIs)? - ✔✔Perform a daily assessment of line necessity.
✔✔You are administering 1 unit of packed red blood cells (PRBC) to your patient. They
develop shortness of breath, tachycardia, and distended jugular veins in the first 15
minutes of PRBC administration. What type of transfusion reaction are they likely
experiencing? - ✔✔• Transfusion related hemolytic reaction (Wrong)
• Septic transfusion reaction
• Transfusion related fluid overload
• Anaphylaxis
✔✔When should the trough for vancomycin (Firvanq®) be measured? - ✔✔Immediately
before the next scheduled dose
✔✔What are PRIMARY goals in diabetic ketoacidosis therapy? - ✔✔Correct fluid deficit
and replace potassium.
✔✔Your patient is receiving an amiodarone (Pacerone®) drip. When would you reduce
the dose from 1 mg/mL to 0.5 mg/mL? - ✔✔After 6 hours
✔✔You walk into your patient's room. You notice that the chest tube collection chamber
has been knocked over onto its side. There appears to be drainage dispersed
throughout the chambers. What would you do NEXT? - ✔✔Replace chamber with a
new one.
✔✔Your patient is experiencing left-sided weakness from a meningioma. What would
be the MOST likely treatment for their brain tumor? - ✔✔Surgical resection
