Progressive Care RN A Exam Questions And
Answers
1. Which of the following medications is MOST commonly indicated for patients with
CHF? - ANSWER: Ace inhibitors
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? - ANSWER: Dilated right pupil
3. What is the most common symptom of SIADH? - ANSWER: Fluid retention
4. Upon arrival to the unit, you receive report on four PCU patients. Which patient
should you attend to FIRST? - ANSWER: A patient complaining of shortness
of breathe on continuous BiPAP with a BP of 189/109
5. Of the following patients, which one would you see FIRST? - ANSWER: A 30
year suicidal female that took an unknown number of alprazolam with an O2
saturation of 85%
6. 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? -
ANSWER: Electrical cardioversion
7. Which of the following supplemental medications is frequently ordered in
conjunction with furosemide? - ANSWER: Potassium
8. Which of the following positions is the BEST way to assess for JVD? -
ANSWER: Position the patient on his/her back with the head of bed 30-45
degrees
9. 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? - ANSWER: Hold the
metoprolol because of the upcoming dialysis
10. 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? - ANSWER:
Replace the chamber with a new one
11. 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
, Progressive Care RN A Exam Questions And
Answers
condition is this patient most likely experiencing? - ANSWER: Hypovolemic
shock
12. You are caring for a patient with a chest tube that has become dislodged. Which
of the following would you do FIRST? - ANSWER: Cover the insertion site
immediately with Vaseline gauze
13. 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? - ANSWER: Stat head CT
14. A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following
orders should you do FIRST? - ANSWER: Prepare to administer 2 units
PRBCs
15. Which of the following should be checked before administering digoxin? -
ANSWER: Apical pulse
16. 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? - ANSWER: Levetiracetam (Keppra) 500
mg IV every 12 hours and seizure precautions
17. 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? -
ANSWER: Encourage the patient to cough and deep breathe
18. You are caring for a patient with an order for "furosemide 80 mg BID". Which of
the following actions is the MOST appropriate? - ANSWER: Call the provider
to clarify the order
19. 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? - ANSWER:
Follow the patient's wishes and honor the DNR
20. You are educating your patient about reducing sodium intake. You know that the
patient understands when they make the statement: - ANSWER: "I will avoid
canned food because it's salty"
Answers
1. Which of the following medications is MOST commonly indicated for patients with
CHF? - ANSWER: Ace inhibitors
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? - ANSWER: Dilated right pupil
3. What is the most common symptom of SIADH? - ANSWER: Fluid retention
4. Upon arrival to the unit, you receive report on four PCU patients. Which patient
should you attend to FIRST? - ANSWER: A patient complaining of shortness
of breathe on continuous BiPAP with a BP of 189/109
5. Of the following patients, which one would you see FIRST? - ANSWER: A 30
year suicidal female that took an unknown number of alprazolam with an O2
saturation of 85%
6. 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? -
ANSWER: Electrical cardioversion
7. Which of the following supplemental medications is frequently ordered in
conjunction with furosemide? - ANSWER: Potassium
8. Which of the following positions is the BEST way to assess for JVD? -
ANSWER: Position the patient on his/her back with the head of bed 30-45
degrees
9. 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? - ANSWER: Hold the
metoprolol because of the upcoming dialysis
10. 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? - ANSWER:
Replace the chamber with a new one
11. 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
, Progressive Care RN A Exam Questions And
Answers
condition is this patient most likely experiencing? - ANSWER: Hypovolemic
shock
12. You are caring for a patient with a chest tube that has become dislodged. Which
of the following would you do FIRST? - ANSWER: Cover the insertion site
immediately with Vaseline gauze
13. 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? - ANSWER: Stat head CT
14. A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following
orders should you do FIRST? - ANSWER: Prepare to administer 2 units
PRBCs
15. Which of the following should be checked before administering digoxin? -
ANSWER: Apical pulse
16. 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? - ANSWER: Levetiracetam (Keppra) 500
mg IV every 12 hours and seizure precautions
17. 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? -
ANSWER: Encourage the patient to cough and deep breathe
18. You are caring for a patient with an order for "furosemide 80 mg BID". Which of
the following actions is the MOST appropriate? - ANSWER: Call the provider
to clarify the order
19. 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? - ANSWER:
Follow the patient's wishes and honor the DNR
20. You are educating your patient about reducing sodium intake. You know that the
patient understands when they make the statement: - ANSWER: "I will avoid
canned food because it's salty"
