PROGRESSIVE CARE RN A V1: EXAM
2025/2026 WITH CORRECT/ACCURATE
AND VERIFIED ANSWERS
Which of the following medications is MOST commonly indicated
for patients with CHF? - Correct Answer-Ace inhibitors
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
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.
A patient is on strict I&Os with an indwelling urinary catheter. 4
hours into your shift you notice that there is a total of 50 mL of
urine in the bag. You notify the provider because you recognize
that adequate urine output should be: - Correct Answer-30 mL/hr
A co-worker administered a narcotic earlier in the shift, but failed
to get a witness for the portion of medication that was wasted.
The co-worker asks that you sign off as the witness. What is the
, BEST response? - Correct Answer-Refuse to witness the waste and
ask the co-worker to notify the charge nurse
You are caring for a patient taking warfarin for atrial fibrillation.
The lab calls reporting that the patient has an INR of 6.4. What
medication do you anticipate being ordered by the provider? -
Correct Answer-Vitamin K
You are caring for a patient complaining of chest pain. Which of
the following troponin I levels requires provider notification? -
Correct Answer-0.5 ng/mL
A patient with new onset seizures is most likely to have which of
the following in their room? - Correct Answer-Padded side rails
and suction at the bedside
You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL.
Fifteen minutes into the transfusion, the patient complains of
lower back pain, shortness of breath, and chills. Which of the
following would you do FIRST? - Correct Answer-Stop the
transfusion
You receive a patient from the emergency department with a
fever, cough for 3 weeks, night chills, and fatigue. During the
admission assessment the patient reports recent travel out of the
country. What should be your FIRST action? - Correct Answer-
Notify the provider, apply a mask to the patient, and transfer to a
negative pressure room
Unstable angina is characterized by which of the following? -
Correct Answer-Chest pain, usually while at rest
2025/2026 WITH CORRECT/ACCURATE
AND VERIFIED ANSWERS
Which of the following medications is MOST commonly indicated
for patients with CHF? - Correct Answer-Ace inhibitors
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
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.
A patient is on strict I&Os with an indwelling urinary catheter. 4
hours into your shift you notice that there is a total of 50 mL of
urine in the bag. You notify the provider because you recognize
that adequate urine output should be: - Correct Answer-30 mL/hr
A co-worker administered a narcotic earlier in the shift, but failed
to get a witness for the portion of medication that was wasted.
The co-worker asks that you sign off as the witness. What is the
, BEST response? - Correct Answer-Refuse to witness the waste and
ask the co-worker to notify the charge nurse
You are caring for a patient taking warfarin for atrial fibrillation.
The lab calls reporting that the patient has an INR of 6.4. What
medication do you anticipate being ordered by the provider? -
Correct Answer-Vitamin K
You are caring for a patient complaining of chest pain. Which of
the following troponin I levels requires provider notification? -
Correct Answer-0.5 ng/mL
A patient with new onset seizures is most likely to have which of
the following in their room? - Correct Answer-Padded side rails
and suction at the bedside
You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL.
Fifteen minutes into the transfusion, the patient complains of
lower back pain, shortness of breath, and chills. Which of the
following would you do FIRST? - Correct Answer-Stop the
transfusion
You receive a patient from the emergency department with a
fever, cough for 3 weeks, night chills, and fatigue. During the
admission assessment the patient reports recent travel out of the
country. What should be your FIRST action? - Correct Answer-
Notify the provider, apply a mask to the patient, and transfer to a
negative pressure room
Unstable angina is characterized by which of the following? -
Correct Answer-Chest pain, usually while at rest
