PROGRESSIVE CARE RN A QUESTIONS (LATEST) UPDATE WITH CORRECT SOLUTIONS!! [2026 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
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
