2025 PROGRESSIVE CARE RN A EXAM
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. Which of the following medications is MOST commonly indicated for patients with CHF?
A. Beta blockers
B. Diuretics
C. Calcium channel blockers
D. ACE inhibitors
Answer: D
EXPLANATION: ACE inhibitors reduce afterload and preload, improving symptoms and survival in CHF
patients.
2. 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?
A. Left pupil constriction
B. Dilated right pupil
C. Right pupil constriction
D. Bilateral fixed pupils
Answer: B
EXPLANATION: A right-sided subdural hematoma often compresses cranial nerve III, resulting in a
dilated right pupil.
3. What is the most common symptom of SIADH?
A. Weight loss
B. Hypernatremia
C. Fluid retention
D. Polyuria
Answer: C
EXPLANATION: SIADH causes water retention due to excess ADH, leading to fluid overload and dilutional
hyponatremia.
, 4. Upon arrival to the unit, which PCU patient should you attend to FIRST?
A. A patient with stable vitals and awaiting lab results
B. A patient requesting a pain medication
C. A patient on BiPAP complaining of SOB with BP 189/109
D. A patient due for discharge
Answer: C
EXPLANATION: SOB with severe hypertension requires immediate attention to prevent respiratory or
cardiac compromise.
5. Which patient would you see FIRST?
A. A 30-year-old suicidal female with unknown alprazolam intake, O2 sat 85%
B. A patient with a sprained ankle
C. A patient post-op day 1 complaining of nausea
D. A patient due for routine dressing change
Answer: A
EXPLANATION: Suicide risk with respiratory compromise is a life-threatening emergency.
6. You are caring for a patient with new onset atrial fibrillation and BP 80/60. What is the MOST
appropriate treatment?
A. Diltiazem IV
B. Beta blocker IV
C. Electrical cardioversion
D. Amiodarone drip
Answer: C
EXPLANATION: Electrical cardioversion is indicated for unstable A-fib with hypotension to restore sinus
rhythm.
7. Which supplemental medication is frequently ordered with furosemide?
A. Magnesium
B. Sodium
C. Potassium
D. Iron
Answer: C
EXPLANATION: Furosemide causes potassium loss; supplementing potassium prevents hypokalemia.
8. What is the BEST way to assess for JVD?
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. Which of the following medications is MOST commonly indicated for patients with CHF?
A. Beta blockers
B. Diuretics
C. Calcium channel blockers
D. ACE inhibitors
Answer: D
EXPLANATION: ACE inhibitors reduce afterload and preload, improving symptoms and survival in CHF
patients.
2. 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?
A. Left pupil constriction
B. Dilated right pupil
C. Right pupil constriction
D. Bilateral fixed pupils
Answer: B
EXPLANATION: A right-sided subdural hematoma often compresses cranial nerve III, resulting in a
dilated right pupil.
3. What is the most common symptom of SIADH?
A. Weight loss
B. Hypernatremia
C. Fluid retention
D. Polyuria
Answer: C
EXPLANATION: SIADH causes water retention due to excess ADH, leading to fluid overload and dilutional
hyponatremia.
, 4. Upon arrival to the unit, which PCU patient should you attend to FIRST?
A. A patient with stable vitals and awaiting lab results
B. A patient requesting a pain medication
C. A patient on BiPAP complaining of SOB with BP 189/109
D. A patient due for discharge
Answer: C
EXPLANATION: SOB with severe hypertension requires immediate attention to prevent respiratory or
cardiac compromise.
5. Which patient would you see FIRST?
A. A 30-year-old suicidal female with unknown alprazolam intake, O2 sat 85%
B. A patient with a sprained ankle
C. A patient post-op day 1 complaining of nausea
D. A patient due for routine dressing change
Answer: A
EXPLANATION: Suicide risk with respiratory compromise is a life-threatening emergency.
6. You are caring for a patient with new onset atrial fibrillation and BP 80/60. What is the MOST
appropriate treatment?
A. Diltiazem IV
B. Beta blocker IV
C. Electrical cardioversion
D. Amiodarone drip
Answer: C
EXPLANATION: Electrical cardioversion is indicated for unstable A-fib with hypotension to restore sinus
rhythm.
7. Which supplemental medication is frequently ordered with furosemide?
A. Magnesium
B. Sodium
C. Potassium
D. Iron
Answer: C
EXPLANATION: Furosemide causes potassium loss; supplementing potassium prevents hypokalemia.
8. What is the BEST way to assess for JVD?
