Progressive Care RN A 2025 exam questions
with correct answers
You |want |to |assess |for |jugular |vein |distention |(JVD). |What |position |would |be |BEST? |- |VERIFIED |
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? |- |VERIFIED |ANSWER✔✔-Perform |a |bedside |EKG
Your |patient |has |a |history |of |renal |insufficiency. |What |class |of |analgesics |would |MOST |likely |be |
contraindicated |for |them? |- |VERIFIED |ANSWER✔✔-Nonsteroidal |anti-inflammatory |medications
Your |patient |is |acutely |ill. |What |route |of |medication |administration |would |likely |be |LEAST |effective? |- |
VERIFIED |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? |- |VERIFIED |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? |- |VERIFIED |
ANSWER✔✔-I |will |not |take |ibuprofen |(Motrin®) |every |day
Your |non-verbal |patient |is |alert. |What |type |of |pain |assessment |would |be |appropriate? |- |VERIFIED |
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? |- |VERIFIED |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? |- |VERIFIED |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? |- |VERIFIED |ANSWER✔✔-WBC |greater |than |19,000
What |is |an |adequate |amount |of |urine |output? |- |VERIFIED |ANSWER✔✔-30 |mL/hr
Your |patient |has |left |ventricular |failure. |What |clinical |manifestations |would |you |expect |to |see? |- |
VERIFIED |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? |- |VERIFIED |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? |-
|VERIFIED |ANSWER✔✔-No |changes. |These |are |high |quality |compressions.
What |is |required |before |making |a |report |of |elder |abuse? |- |VERIFIED |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? |- |
VERIFIED |ANSWER✔✔-Initiate |enteric |contact |isolation |precautions |for |possible |C. |diff
with correct answers
You |want |to |assess |for |jugular |vein |distention |(JVD). |What |position |would |be |BEST? |- |VERIFIED |
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? |- |VERIFIED |ANSWER✔✔-Perform |a |bedside |EKG
Your |patient |has |a |history |of |renal |insufficiency. |What |class |of |analgesics |would |MOST |likely |be |
contraindicated |for |them? |- |VERIFIED |ANSWER✔✔-Nonsteroidal |anti-inflammatory |medications
Your |patient |is |acutely |ill. |What |route |of |medication |administration |would |likely |be |LEAST |effective? |- |
VERIFIED |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? |- |VERIFIED |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? |- |VERIFIED |
ANSWER✔✔-I |will |not |take |ibuprofen |(Motrin®) |every |day
Your |non-verbal |patient |is |alert. |What |type |of |pain |assessment |would |be |appropriate? |- |VERIFIED |
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? |- |VERIFIED |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? |- |VERIFIED |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? |- |VERIFIED |ANSWER✔✔-WBC |greater |than |19,000
What |is |an |adequate |amount |of |urine |output? |- |VERIFIED |ANSWER✔✔-30 |mL/hr
Your |patient |has |left |ventricular |failure. |What |clinical |manifestations |would |you |expect |to |see? |- |
VERIFIED |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? |- |VERIFIED |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? |-
|VERIFIED |ANSWER✔✔-No |changes. |These |are |high |quality |compressions.
What |is |required |before |making |a |report |of |elder |abuse? |- |VERIFIED |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? |- |
VERIFIED |ANSWER✔✔-Initiate |enteric |contact |isolation |precautions |for |possible |C. |diff
