Progressive Care RN A
2024 Exam Questions
and Complete Solutions
Graded A+
You want to assess for jugular vein distention (JVD). What position would be BEST? - Answer: Position
patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. 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? - Answer: Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them? - Answer: Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST effective? -
Answer: Intramuscular
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? - Answer: Epinephrine (Adrenaline) 1 mg IV
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? - Answer: I will not take
ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate? - Answer: • Visual
pain scale
, • Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
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? - Answer: Apply manual pressure
to the site and call for help.
Your patient has new onset seizures. They ask you what they should know about taking levetiracetam
(Keppra®). What would be your BEST response? - Answer: Common side effects are fatigue and
depression
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 decreased to less than 30 mL
in the past 4 hours. You suspect a post-surgery complication. After calling the physician you receive
orders for STAT CBC, CMP, and coagulation test. What results would you expect to see after these labs
are completed? - Answer: WBC greater than 19,000
What is an adequate amount of urine output? - Answer: 30 mL/hr
Your patient has left ventricular failure. What clinical manifestations would you expect to see? - Answer:
Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action? - Answer: Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the
end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions? -
Answer: No changes. These are high quality compressions.
What is required before making a report of elder abuse? - Answer: Suspicion of abuse
2024 Exam Questions
and Complete Solutions
Graded A+
You want to assess for jugular vein distention (JVD). What position would be BEST? - Answer: Position
patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. 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? - Answer: Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them? - Answer: Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST effective? -
Answer: Intramuscular
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? - Answer: Epinephrine (Adrenaline) 1 mg IV
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? - Answer: I will not take
ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate? - Answer: • Visual
pain scale
, • Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
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? - Answer: Apply manual pressure
to the site and call for help.
Your patient has new onset seizures. They ask you what they should know about taking levetiracetam
(Keppra®). What would be your BEST response? - Answer: Common side effects are fatigue and
depression
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 decreased to less than 30 mL
in the past 4 hours. You suspect a post-surgery complication. After calling the physician you receive
orders for STAT CBC, CMP, and coagulation test. What results would you expect to see after these labs
are completed? - Answer: WBC greater than 19,000
What is an adequate amount of urine output? - Answer: 30 mL/hr
Your patient has left ventricular failure. What clinical manifestations would you expect to see? - Answer:
Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action? - Answer: Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the
end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions? -
Answer: No changes. These are high quality compressions.
What is required before making a report of elder abuse? - Answer: Suspicion of abuse
