PROGRESSIVE CARE RN A V1 FINAL STUDY EXAM TEST QUESTIONS
WITH SOLUTIONS GRADED A+2025/2026
✔✔Urine Output Assessment: - ✔✔Notify provider for output <30 mL/hr
✔✔Witnessing Medication Waste: - ✔✔Refuse if not present during waste
✔✔Patient on Warfarin with INR of 6.4 - ✔✔Anticipate order for Vitamin K
✔✔Troponin I levels requiring provider notification - ✔✔0.5 ng/mL
✔✔Patient with new onset seizures - ✔✔Padded side rails and suction in room
✔✔Transfusing PRBCs with hgb of 7.7 g/dL - ✔✔FIRST: Stop transfusion
✔✔Patient with fever, cough, recent travel - ✔✔FIRST: Notify provider, mask, negative
pressure room
✔✔Unstable angina characterized by - ✔✔Chest pain at rest
✔✔Patient with BNP of 2,000 in PCU - ✔✔Anticipate Furosemide 40 mg IV BID
✔✔Linked to endocarditis diagnosis - ✔✔Recent invasive dental procedures
✔✔Post-op day 3 after triple bypass - ✔✔NEXT: Perform bedside EKG for palpitations
✔✔Abnormal heart sound in mitral stenosis - ✔✔Diastolic murmur
✔✔Auscultation reveals absence of breath sounds in right lower lobe. What is
suspected? - ✔✔Pneumothorax
✔✔Primary goals in diabetic ketoacidosis therapy? - ✔✔Correct fluid deficit and replace
potassium
✔✔84-year-old patient with pneumonia complains of abdominal pain and loose bowel
movements. First action? - ✔✔Initiate contact isolation precautions for possible C.
difficile
✔✔Completed blood transfusion. How to dispose of empty bag? - ✔✔Locate the MSDS
book to find policy and procedures
✔✔Early indication of a stroke? - ✔✔Ptosis
, ✔✔Clinical manifestations in left ventricular failure patient? - ✔✔Dyspnea/peripheral
edema/JVD or Dyspnea/distant heart sounds/bilateral crackles???
✔✔Patient with COPD exacerbation on prednisone. Expected assessment finding? -
✔✔Hyperglycemia
✔✔16-year-old patient admitted for asthma exacerbation expresses suicidal thoughts.
Most important action? - ✔✔Place the patient on suicide precautions to prevent a
second suicide attempt
✔✔Diltiazem order: 125 mg in 100 mL D5W at 10 mg/hour. Vial contains 5mg/mL.
Correct volume to add to the bag of D5W? - ✔✔25 mL
✔✔Provider orders 24-hour urine collection. Patient voids 275 cc, 2 hours after order.
What to do with this specimen? - ✔✔Discard, then begin collection with the next void
✔✔Expected acid-base imbalance in acute kidney injury - ✔✔Metabolic acidosis
✔✔Discharge teaching on warfarin for atrial fibrillation - ✔✔Statement indicating need
for further teaching: 'I can't wait to get back to riding on my horse.'
✔✔Promoting oxygen exchange in COPD patient with low oxygen saturation - ✔✔Use
high-flow venturi mask to deliver oxygen as ordered
✔✔Immediate action for patient with hematoma post antioplasty - ✔✔Apply manual
pressure to the site and call for help
✔✔Diagnostic finding for deep vein thrombosis - ✔✔Positive D-dimer
✔✔Possible cause for low blood pressure, elevated creatinine, and decreased urinary
output - ✔✔Acute kidney injury
✔✔Action for patient with bruising in right flank area post motor vehicle accident -
✔✔Notify provider of assessment findings and possible retroperitoneal bleeding
✔✔Lab value supporting diagnosis of 'rule out GI bleed' - ✔✔Hgb of 5.2
✔✔Best response to patient's questions about ablation for atrial fibrillation - ✔✔Request
provider to discuss the procedure with the patient
✔✔Action for patient with IVC filter experiencing chest pain and shortness of breath -
✔✔Notify provider and prepare for a CT scan
WITH SOLUTIONS GRADED A+2025/2026
✔✔Urine Output Assessment: - ✔✔Notify provider for output <30 mL/hr
✔✔Witnessing Medication Waste: - ✔✔Refuse if not present during waste
✔✔Patient on Warfarin with INR of 6.4 - ✔✔Anticipate order for Vitamin K
✔✔Troponin I levels requiring provider notification - ✔✔0.5 ng/mL
✔✔Patient with new onset seizures - ✔✔Padded side rails and suction in room
✔✔Transfusing PRBCs with hgb of 7.7 g/dL - ✔✔FIRST: Stop transfusion
✔✔Patient with fever, cough, recent travel - ✔✔FIRST: Notify provider, mask, negative
pressure room
✔✔Unstable angina characterized by - ✔✔Chest pain at rest
✔✔Patient with BNP of 2,000 in PCU - ✔✔Anticipate Furosemide 40 mg IV BID
✔✔Linked to endocarditis diagnosis - ✔✔Recent invasive dental procedures
✔✔Post-op day 3 after triple bypass - ✔✔NEXT: Perform bedside EKG for palpitations
✔✔Abnormal heart sound in mitral stenosis - ✔✔Diastolic murmur
✔✔Auscultation reveals absence of breath sounds in right lower lobe. What is
suspected? - ✔✔Pneumothorax
✔✔Primary goals in diabetic ketoacidosis therapy? - ✔✔Correct fluid deficit and replace
potassium
✔✔84-year-old patient with pneumonia complains of abdominal pain and loose bowel
movements. First action? - ✔✔Initiate contact isolation precautions for possible C.
difficile
✔✔Completed blood transfusion. How to dispose of empty bag? - ✔✔Locate the MSDS
book to find policy and procedures
✔✔Early indication of a stroke? - ✔✔Ptosis
, ✔✔Clinical manifestations in left ventricular failure patient? - ✔✔Dyspnea/peripheral
edema/JVD or Dyspnea/distant heart sounds/bilateral crackles???
✔✔Patient with COPD exacerbation on prednisone. Expected assessment finding? -
✔✔Hyperglycemia
✔✔16-year-old patient admitted for asthma exacerbation expresses suicidal thoughts.
Most important action? - ✔✔Place the patient on suicide precautions to prevent a
second suicide attempt
✔✔Diltiazem order: 125 mg in 100 mL D5W at 10 mg/hour. Vial contains 5mg/mL.
Correct volume to add to the bag of D5W? - ✔✔25 mL
✔✔Provider orders 24-hour urine collection. Patient voids 275 cc, 2 hours after order.
What to do with this specimen? - ✔✔Discard, then begin collection with the next void
✔✔Expected acid-base imbalance in acute kidney injury - ✔✔Metabolic acidosis
✔✔Discharge teaching on warfarin for atrial fibrillation - ✔✔Statement indicating need
for further teaching: 'I can't wait to get back to riding on my horse.'
✔✔Promoting oxygen exchange in COPD patient with low oxygen saturation - ✔✔Use
high-flow venturi mask to deliver oxygen as ordered
✔✔Immediate action for patient with hematoma post antioplasty - ✔✔Apply manual
pressure to the site and call for help
✔✔Diagnostic finding for deep vein thrombosis - ✔✔Positive D-dimer
✔✔Possible cause for low blood pressure, elevated creatinine, and decreased urinary
output - ✔✔Acute kidney injury
✔✔Action for patient with bruising in right flank area post motor vehicle accident -
✔✔Notify provider of assessment findings and possible retroperitoneal bleeding
✔✔Lab value supporting diagnosis of 'rule out GI bleed' - ✔✔Hgb of 5.2
✔✔Best response to patient's questions about ablation for atrial fibrillation - ✔✔Request
provider to discuss the procedure with the patient
✔✔Action for patient with IVC filter experiencing chest pain and shortness of breath -
✔✔Notify provider and prepare for a CT scan
