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Progressive Care RN (PCU) Certification Study Guide 2025: 100+ Practice Questions & Verified Answers

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Ace Your Progressive Care RN (PCU) Certification with Confidence! This 2025 edition study guide is your ultimate resource for mastering the Progressive Care Nursing (PCU) exam. Packed with 100+ high-yield practice questions and 100% verified answers, this guide is meticulously designed to mirror the latest AACN PCCN exam format. Whether you're prepping for the AACN PCCN certification or reinforcing your critical care knowledge, this document ensures you’re exam-ready with: Real-world clinical scenarios (e.g., NSTEMI, COPD exacerbation, DVT, sepsis) Detailed rationales for each answer to solidify understanding Priority-action drills to sharpen your decision-making skills Lab values, EKG interpretations, and pharmacology highlights Bonus tips for tackling tricky NCLEX-style questions Perfect for: PCU nurses, CCRN candidates, and RNs transitioning to critical care.

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PROGRESSIVE CARE RN A STUDY GUIDE 2025 QUESTIONS
AND 100% VERIFIED ANSWERS| GRADED A+ | GUARANTEED
PASS!!



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?
- answer-Place the patient on suicide precautions to prevent a second suicide
attempt

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

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?
- answer-Refuse to witness the waste and ask the co-worker to notify the 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
each of those leads. What should you do NEXT?
- answer-Administer O2 and morphine 2mg IV???

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?
- answer-Hyperglycemia

A patient is admitted with a diagnosis of "rule out GI bleed." Which of the
following lab values supports confirmation of this diagnosis?
- answer-Hgb of 5.2

, 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:
- answer-30 mL/hr

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

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

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

A patient with new onset seizures is most likely to have which of the following in
their room?
- answer-Padded side rails and suction at the bedside

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 complaining of nausea. She has Phenergan 50
mg IV every 6 hours/PRN. What should you do first?
- answer-Start a new IV line in the antecubital region or obtain an order for
Phenergan IM

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%

The patient is presenting with a blood pressure of 90/60, a creatinine of 3.0 and
decreased urinary output. What is a possible cause for these findings?
- answer-Acute kidney injury

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