Page 1 of 21
PROGRESSIVE CARE RN A V1 LATEST UPDATE
THIS YEAR ALL 150 QUESTIONS AND CORRECT
ANSWERS
Question: You are caring for a patient with a chest tube that has become dislodged. Which of
the following would you do FIRST? - CORRECT ANSWER✔✔Cover the insertion site immediately
with Vaseline gauze
Question: 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? - CORRECT ANSWER✔✔Stat head CT
Question: A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders
should you do FIRST? - CORRECT ANSWER✔✔Prepare to administer 2 units PRBCs
Question: Which of the following should be checked before administering digoxin? - CORRECT
ANSWER✔✔Apical pulse
Question: 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? - CORRECT ANSWER✔✔Levetiracetam (Keppra) 500 mg IV every 12 hours
and seizure precautions
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Question: 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? - CORRECT
ANSWER✔✔Encourage the patient to cough and deep breathe
Question: You are caring for a patient with an order for "furosemide 80 mg BID". Which of the
following actions is the MOST appropriate? - CORRECT ANSWER✔✔Call the provider to clarify
the order
Question: 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? - CORRECT ANSWER✔✔Follow the patient's
wishes and honor the DNR
Question: You are educating your patient about reducing sodium intake. You know that the
patient understands when they make the statement: - CORRECT ANSWER✔✔"I will avoid
canned food because it's salty"
Question: The trough for vancomycin is measured: - CORRECT ANSWER✔✔Immediately before
the next scheduled dose
Question: 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? - CORRECT ANSWER✔✔Competency
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Question: You are caring for a patient in third degree heart block. Which of the following
treatment options will MOST likely be implemented? - CORRECT ANSWER✔✔Pacemaker
Question: 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? - CORRECT ANSWER✔✔High level PPE
Question: Which of the following patients would you see FIRST? - CORRECT ANSWER✔✔A 57
year old male complaining of worsening chest tightness
Question: 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? - CORRECT ANSWER✔✔Charge nurse
Question: A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF.
Two hours after admission you notice the patient now has ST elevation in each of those leads.
What should you do NEXT? - CORRECT ANSWER✔✔Initiate STEMI team
Question: An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She has
a 22 gauge peripheral IV in her left hand and is due to void. She had morphine 8mg and Zofran
4mg in recovery, and is complaining of nausea. She has Phenergan 50mg ordered IV every 6
hours/PRN. What should you do FIRST? - CORRECT ANSWER✔✔Start a new IV in the antecubital
region or obtain an order for Phenergan IM.
PROGRESSIVE CARE RN A V1 LATEST UPDATE
THIS YEAR ALL 150 QUESTIONS AND CORRECT
ANSWERS
Question: You are caring for a patient with a chest tube that has become dislodged. Which of
the following would you do FIRST? - CORRECT ANSWER✔✔Cover the insertion site immediately
with Vaseline gauze
Question: 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? - CORRECT ANSWER✔✔Stat head CT
Question: A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders
should you do FIRST? - CORRECT ANSWER✔✔Prepare to administer 2 units PRBCs
Question: Which of the following should be checked before administering digoxin? - CORRECT
ANSWER✔✔Apical pulse
Question: 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? - CORRECT ANSWER✔✔Levetiracetam (Keppra) 500 mg IV every 12 hours
and seizure precautions
, Page 2 of 21
Question: 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? - CORRECT
ANSWER✔✔Encourage the patient to cough and deep breathe
Question: You are caring for a patient with an order for "furosemide 80 mg BID". Which of the
following actions is the MOST appropriate? - CORRECT ANSWER✔✔Call the provider to clarify
the order
Question: 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? - CORRECT ANSWER✔✔Follow the patient's
wishes and honor the DNR
Question: You are educating your patient about reducing sodium intake. You know that the
patient understands when they make the statement: - CORRECT ANSWER✔✔"I will avoid
canned food because it's salty"
Question: The trough for vancomycin is measured: - CORRECT ANSWER✔✔Immediately before
the next scheduled dose
Question: 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? - CORRECT ANSWER✔✔Competency
, Page 3 of 21
Question: You are caring for a patient in third degree heart block. Which of the following
treatment options will MOST likely be implemented? - CORRECT ANSWER✔✔Pacemaker
Question: 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? - CORRECT ANSWER✔✔High level PPE
Question: Which of the following patients would you see FIRST? - CORRECT ANSWER✔✔A 57
year old male complaining of worsening chest tightness
Question: 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? - CORRECT ANSWER✔✔Charge nurse
Question: A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and AVF.
Two hours after admission you notice the patient now has ST elevation in each of those leads.
What should you do NEXT? - CORRECT ANSWER✔✔Initiate STEMI team
Question: An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She has
a 22 gauge peripheral IV in her left hand and is due to void. She had morphine 8mg and Zofran
4mg in recovery, and is complaining of nausea. She has Phenergan 50mg ordered IV every 6
hours/PRN. What should you do FIRST? - CORRECT ANSWER✔✔Start a new IV in the antecubital
region or obtain an order for Phenergan IM.