Progressive Care RN A Questions
2024/2025
1. A 16 year old patient was admitted to the unit for asthma exacerbation. The
patient has a suicide attempt the previous shift and states "I want to die because I
am being bullied at school." Which of the following is the MOST important
action? -- Correct Answer --Place the patient on suicide precautions to prevent a
second suicide attempt
2. 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
3. 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
4. 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 --
Administer O2 and morphine 2mg IV???
5. A patient is admitted to the PCU with COPD exacerbation. Which of the
following assessment findings would you expect to find knowing that the patient
, has been taking prednisone 40 mg PO once daily for 18 years? -- Correct Answer
--Hyperglycemia
6. A patient is admitted with a diagnosis of "rule out GI bleed." Which of the
following lab values supports confirmation of this diagnosis? -- Correct Answer --
Hgb of 5.2
7. 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
8. 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? -- Correct Answer --Dilated right pupil
9. 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
10. 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
11. 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
12. An 18 year old female is admitted from PACU after a cholecystectomy. She has a
22 gauge peripheral IV in her left hand and is due to void. She had morphine 8 mg
2024/2025
1. A 16 year old patient was admitted to the unit for asthma exacerbation. The
patient has a suicide attempt the previous shift and states "I want to die because I
am being bullied at school." Which of the following is the MOST important
action? -- Correct Answer --Place the patient on suicide precautions to prevent a
second suicide attempt
2. 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
3. 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
4. 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 --
Administer O2 and morphine 2mg IV???
5. A patient is admitted to the PCU with COPD exacerbation. Which of the
following assessment findings would you expect to find knowing that the patient
, has been taking prednisone 40 mg PO once daily for 18 years? -- Correct Answer
--Hyperglycemia
6. A patient is admitted with a diagnosis of "rule out GI bleed." Which of the
following lab values supports confirmation of this diagnosis? -- Correct Answer --
Hgb of 5.2
7. 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
8. 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? -- Correct Answer --Dilated right pupil
9. 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
10. 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
11. 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
12. An 18 year old female is admitted from PACU after a cholecystectomy. She has a
22 gauge peripheral IV in her left hand and is due to void. She had morphine 8 mg
