PROGRESSIVE CARE RN EXAM
2025 QUESTIONS AND ANSWERS
LATEST UPDATE
Which |of |the |following |medications |is |MOST |commonly |indicated |for |patients |with
| CHF?
Ace |inhibitors
A |patient |was |involved |in |a |motor |vehicle |accident |and |CAT |scan |results |reveal |a
| right |sided |SDH. |What |would |be |an |expected |neurological |assessment |finding |in
| this |patient?
Dilated |right |pupil
What |is |the |most |common |symptom |of |SIADH?
Fluid |retention
Upon |arrival |to |the |unit, |you |receive |report |on |four |PCU |patients. |Which |patient
| should |you |attend |to |FIRST?
A |patient |complaining |of |shortness |of |breathe |on |continuous |BiPAP |with |a |BP |of |189/109
Of |the |following |patients, |which |one |would |you |see |FIRST?
A |30 |year |suicidal |female |that |took |an |unknown |number |of |alprazolam |with |an |O2
| saturation |of |85%
You |are |caring |for |a |patient |with |new |onset |atrial |fibrillation |with |a |blood |pressure |of
| 80/60. |Which |of |the |following |treatment |options |is |MOST |appropriate?
Electrical |cardioversion
Which |of |the |following |supplemental |medications |is |frequently |ordered |in
| conjunction |with |furosemide?
Potassium
Which |of |the |following |positions |is |the |BEST |way |to |assess |for |JVD?
Position |the |patient |on |his/her |back |with |the |head |of |bed |30-45 |degrees
,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 |degree |heart |block. |Which |of |the |following
| treatment |options |will |MOST |likely |be |implemented?
Pacemaker
You |are |assigned |a |patient |who |recently |traveled |outside |of |the |United |States. |He
| has |a |fever |of |101.9 |F |and |excessive |diarrhea. |You |suspect |he |may |have |been
| exposed |to |Ebola. |What |type |of |PPE |would |you |expect |to |use?
High |level |PPE
Which |of |the |following |patients |would |you |see |FIRST?
A |57 |year |old |male |complaining |of |worsening |chest |tightness
You |enter |a |patient's |room |and |notice |the |telemetry |box |on |the |bed |and |the |IV |on
| the |floor |connected |to |running |IV |fluids. |You |last |saw |the |patient |1 |hour |ago. |Who
| should |be |notified |immediately?
Charge |nurse
2025 QUESTIONS AND ANSWERS
LATEST UPDATE
Which |of |the |following |medications |is |MOST |commonly |indicated |for |patients |with
| CHF?
Ace |inhibitors
A |patient |was |involved |in |a |motor |vehicle |accident |and |CAT |scan |results |reveal |a
| right |sided |SDH. |What |would |be |an |expected |neurological |assessment |finding |in
| this |patient?
Dilated |right |pupil
What |is |the |most |common |symptom |of |SIADH?
Fluid |retention
Upon |arrival |to |the |unit, |you |receive |report |on |four |PCU |patients. |Which |patient
| should |you |attend |to |FIRST?
A |patient |complaining |of |shortness |of |breathe |on |continuous |BiPAP |with |a |BP |of |189/109
Of |the |following |patients, |which |one |would |you |see |FIRST?
A |30 |year |suicidal |female |that |took |an |unknown |number |of |alprazolam |with |an |O2
| saturation |of |85%
You |are |caring |for |a |patient |with |new |onset |atrial |fibrillation |with |a |blood |pressure |of
| 80/60. |Which |of |the |following |treatment |options |is |MOST |appropriate?
Electrical |cardioversion
Which |of |the |following |supplemental |medications |is |frequently |ordered |in
| conjunction |with |furosemide?
Potassium
Which |of |the |following |positions |is |the |BEST |way |to |assess |for |JVD?
Position |the |patient |on |his/her |back |with |the |head |of |bed |30-45 |degrees
,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 |degree |heart |block. |Which |of |the |following
| treatment |options |will |MOST |likely |be |implemented?
Pacemaker
You |are |assigned |a |patient |who |recently |traveled |outside |of |the |United |States. |He
| has |a |fever |of |101.9 |F |and |excessive |diarrhea. |You |suspect |he |may |have |been
| exposed |to |Ebola. |What |type |of |PPE |would |you |expect |to |use?
High |level |PPE
Which |of |the |following |patients |would |you |see |FIRST?
A |57 |year |old |male |complaining |of |worsening |chest |tightness
You |enter |a |patient's |room |and |notice |the |telemetry |box |on |the |bed |and |the |IV |on
| the |floor |connected |to |running |IV |fluids. |You |last |saw |the |patient |1 |hour |ago. |Who
| should |be |notified |immediately?
Charge |nurse
