1
PROGRESSIVE CARE RN ALL VERSIONS 2025
LATEST EXAM WITH 65 QUESTIONS WITH DETAILED
ANSWERS LATEST UPDATE
You enter a patient's room and notice the telemetry box
on the bed and the IV on CORRECT ANSWER>> the floor
connected to running IV fluids. You last saw CORRECT ANSWER>> the patient 1
hour ago. Who should be notified immediately? -Charge nurse
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 CORRECT ANSWER>>
each of those leads. What should you do NEXT? - Administer
O2 and morphine 2mg IV???
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 and Zofran 4 mg in recovery, and is CORRECT ANSWER>> complaining of
nausea. She has Phenergan 50 mg IV every 6 hours/PRN. What should you do first? -Start a
new IV line 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 CORRECT ANSWER>>
off as the witness. What is the BEST response? - 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 CORRECT ANSWER>>
being ordered by the provider? - Vitamin K
You are caring for a patient complaining of chest pain. Which
of the following troponin I levels requires CORRECT ANSWER>> provider
notification? -0.5 ng/mL???
6
A patient with new onset seizures is most likely to have
which of the CORRECT ANSWER>> following in
their room? - 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
, The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The
patient has been transferred to PCU. What treatment plan
would you anticipate CORRECT ANSWER>>
from the attending provider? - Furosemide 40 mg IV BID
Which of the following has been found to be linked to a
CORRECT ANSWER>> diagnosis of endocarditis?
-Recent invasive dental procedures
Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been
removed. The patient suddenly complains of palpitations. His blood pressure is
130/76 and heart rate is 140 bpm. What would you do NEXT? - CORRECT
ANSWER>>Immediately perform a bedside EKG
What abnormal heart sound would you expect to hear
in a CORRECT ANSWER>> patient with mitral
stenosis? - Diastolic murmur
7
You are performing auscultation on your patient and note an absence of breath
sounds in the right lower lobe. Which of the following would you suspect?
CORRECT ANSWER>>Pneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? -
CORRECT ANSWER>>Correct fluid deficit and replace potassium
You receive an 84 year old patient from the ED with pneumonia. Antibiotics and
steroids have already been initiated by the provider. The patient complains of
abdominal pain and has a large, loose bowel movement
and notifies you this is CORRECT ANSWER>>
the third one. What should you do FIRST? - Initiate contact
isolation precautions for possible C. difficile
You have completed a blood transfusion and are
unsure of how to dispose of the CORRECT ANSWER>> empty bag. What should
you do? -Locate the MSDS book to find policy and
procedures
Which of the following is an early indication of a stroke? - CORRECT
ANSWER>>Ptosis
Which of the following are clinical manifestations typically
seen in a patient with CORRECT ANSWER>>
left ventricular failure? - Dyspnea/distant heart
sounds/bilateral crackles???
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
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?
8
CORRECT ANSWER>> -Place the patient on suicide precautions to prevent a
second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10
mg/hour. The vial of diltiazem contains 5mg/mL. Which
of the following is the CORRECT ANSWER>>
correct volume to add to the bag of D5W? - 25 mL
The provider has ordered a 24-hour urine collection for your patient. The patient
voids 275 cc, 2 hours after the order is given. This specimen should be: - CORRECT
ANSWER>>Discarded, then begin collection with the next void
What acid-base imbalance would you expect to see in a patient with an acute
PROGRESSIVE CARE RN ALL VERSIONS 2025
LATEST EXAM WITH 65 QUESTIONS WITH DETAILED
ANSWERS LATEST UPDATE
You enter a patient's room and notice the telemetry box
on the bed and the IV on CORRECT ANSWER>> the floor
connected to running IV fluids. You last saw CORRECT ANSWER>> the patient 1
hour ago. Who should be notified immediately? -Charge nurse
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 CORRECT ANSWER>>
each of those leads. What should you do NEXT? - Administer
O2 and morphine 2mg IV???
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 and Zofran 4 mg in recovery, and is CORRECT ANSWER>> complaining of
nausea. She has Phenergan 50 mg IV every 6 hours/PRN. What should you do first? -Start a
new IV line 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 CORRECT ANSWER>>
off as the witness. What is the BEST response? - 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 CORRECT ANSWER>>
being ordered by the provider? - Vitamin K
You are caring for a patient complaining of chest pain. Which
of the following troponin I levels requires CORRECT ANSWER>> provider
notification? -0.5 ng/mL???
6
A patient with new onset seizures is most likely to have
which of the CORRECT ANSWER>> following in
their room? - 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
, The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The
patient has been transferred to PCU. What treatment plan
would you anticipate CORRECT ANSWER>>
from the attending provider? - Furosemide 40 mg IV BID
Which of the following has been found to be linked to a
CORRECT ANSWER>> diagnosis of endocarditis?
-Recent invasive dental procedures
Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been
removed. The patient suddenly complains of palpitations. His blood pressure is
130/76 and heart rate is 140 bpm. What would you do NEXT? - CORRECT
ANSWER>>Immediately perform a bedside EKG
What abnormal heart sound would you expect to hear
in a CORRECT ANSWER>> patient with mitral
stenosis? - Diastolic murmur
7
You are performing auscultation on your patient and note an absence of breath
sounds in the right lower lobe. Which of the following would you suspect?
CORRECT ANSWER>>Pneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? -
CORRECT ANSWER>>Correct fluid deficit and replace potassium
You receive an 84 year old patient from the ED with pneumonia. Antibiotics and
steroids have already been initiated by the provider. The patient complains of
abdominal pain and has a large, loose bowel movement
and notifies you this is CORRECT ANSWER>>
the third one. What should you do FIRST? - Initiate contact
isolation precautions for possible C. difficile
You have completed a blood transfusion and are
unsure of how to dispose of the CORRECT ANSWER>> empty bag. What should
you do? -Locate the MSDS book to find policy and
procedures
Which of the following is an early indication of a stroke? - CORRECT
ANSWER>>Ptosis
Which of the following are clinical manifestations typically
seen in a patient with CORRECT ANSWER>>
left ventricular failure? - Dyspnea/distant heart
sounds/bilateral crackles???
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
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?
8
CORRECT ANSWER>> -Place the patient on suicide precautions to prevent a
second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10
mg/hour. The vial of diltiazem contains 5mg/mL. Which
of the following is the CORRECT ANSWER>>
correct volume to add to the bag of D5W? - 25 mL
The provider has ordered a 24-hour urine collection for your patient. The patient
voids 275 cc, 2 hours after the order is given. This specimen should be: - CORRECT
ANSWER>>Discarded, then begin collection with the next void
What acid-base imbalance would you expect to see in a patient with an acute
