Progressive Care RN A - Questions and
answers 2025
You .want .to .assess .for .jugular .vein .distention .(JVD). .What .position .would .be
.BEST? .- .ANS✓✓-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? .- .ANS✓✓-
Perform .a .bedside .EKG
Your .patient .has .a .history .of .renal .insufficiency. .What .class .of .analgesics
.would .MOST .likely .be .contraindicated .for .them? .- .ANS✓✓-Nonsteroidal .anti-
inflammatory .medications
Your .patient .is .acutely .ill. .What .route .of .medication .administration .would .likely
.be .LEAST .effective? .- .ANS✓✓-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? .- .ANS✓✓-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? .-
.ANS✓✓-I .will .not .take .ibuprofen .(Motrin®) .every .day
Your .non-verbal .patient .is .alert. .What .type .of .pain .assessment .would .be
.appropriate? .- .ANS✓✓-• .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? .- .ANS✓✓-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? .-
.ANS✓✓-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? .- .ANS✓✓-WBC .greater .than
.19,000
What .is .an .adequate .amount .of .urine .output? .- .ANS✓✓-30 .mL/hr
Your .patient .has .left .ventricular .failure. .What .clinical .manifestations .would .you
.expect .to .see? .- .ANS✓✓-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? .- .ANS✓✓-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? .- .ANS✓✓-No .changes. .These
.are .high .quality .compressions.
What .is .required .before .making .a .report .of .elder .abuse? .- .ANS✓✓-Suspicion
.of .abuse
You .receive .your .patient .with .pneumonia .from .the .ED. .Antibiotics .and .steroids
.have .been .initiated .by .the .provider. .The .patient .reports .abdominal .pain .and
.has .a .large .loose .bowel .movement. .They .inform .you .this .is .their .third .bowel
.movement .in .the .last .two .hours. .What .would .you .do .FIRST? .- .ANS✓✓-Initiate
.enteric .contact .isolation .precautions .for .possible .C. .diff
Your .patient .has .developed .sepsis .from .an .indwelling .urinary .catheter. .What
.would .be .your .PRIORITY .intervention? .- .ANS✓✓-Remove .catheter.
Your .patient .is .in .third .degree .heart .block. .What .treatment .would .you .MOST
.likely .expect .to .be .implemented? .- .ANS✓✓-Pacemaker
What .are .2 .nursing .interventions .to .prevent .venous .thromboembolism? .- .ANS✓
✓-• .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.
answers 2025
You .want .to .assess .for .jugular .vein .distention .(JVD). .What .position .would .be
.BEST? .- .ANS✓✓-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? .- .ANS✓✓-
Perform .a .bedside .EKG
Your .patient .has .a .history .of .renal .insufficiency. .What .class .of .analgesics
.would .MOST .likely .be .contraindicated .for .them? .- .ANS✓✓-Nonsteroidal .anti-
inflammatory .medications
Your .patient .is .acutely .ill. .What .route .of .medication .administration .would .likely
.be .LEAST .effective? .- .ANS✓✓-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? .- .ANS✓✓-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? .-
.ANS✓✓-I .will .not .take .ibuprofen .(Motrin®) .every .day
Your .non-verbal .patient .is .alert. .What .type .of .pain .assessment .would .be
.appropriate? .- .ANS✓✓-• .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? .- .ANS✓✓-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? .-
.ANS✓✓-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? .- .ANS✓✓-WBC .greater .than
.19,000
What .is .an .adequate .amount .of .urine .output? .- .ANS✓✓-30 .mL/hr
Your .patient .has .left .ventricular .failure. .What .clinical .manifestations .would .you
.expect .to .see? .- .ANS✓✓-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? .- .ANS✓✓-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? .- .ANS✓✓-No .changes. .These
.are .high .quality .compressions.
What .is .required .before .making .a .report .of .elder .abuse? .- .ANS✓✓-Suspicion
.of .abuse
You .receive .your .patient .with .pneumonia .from .the .ED. .Antibiotics .and .steroids
.have .been .initiated .by .the .provider. .The .patient .reports .abdominal .pain .and
.has .a .large .loose .bowel .movement. .They .inform .you .this .is .their .third .bowel
.movement .in .the .last .two .hours. .What .would .you .do .FIRST? .- .ANS✓✓-Initiate
.enteric .contact .isolation .precautions .for .possible .C. .diff
Your .patient .has .developed .sepsis .from .an .indwelling .urinary .catheter. .What
.would .be .your .PRIORITY .intervention? .- .ANS✓✓-Remove .catheter.
Your .patient .is .in .third .degree .heart .block. .What .treatment .would .you .MOST
.likely .expect .to .be .implemented? .- .ANS✓✓-Pacemaker
What .are .2 .nursing .interventions .to .prevent .venous .thromboembolism? .- .ANS✓
✓-• .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.
