PROGRESSIVE CARE RN A EXAM TEST 2025 QUESTIONS AND
CORRECT ANSWERS| GRADED A+ | GUARANTEED PASS!!
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
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?
- answer-Initiate enteric contact isolation precautions for possible C. diff
CORRECT ANSWERS| GRADED A+ | GUARANTEED PASS!!
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
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?
- answer-Initiate enteric contact isolation precautions for possible C. diff
