Progressive Care RN A Exam 2025 Questions
and Answers
Which of the following medications is MOST commonly indicated for patients with CHF? -
ANS Ace inhibitors
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? -
ANS Dilated right pupil
What is the most common symptom of SIADH? - ANS Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you
attend to FIRST? - ANS A patient complaining of shortness of breathe on continuous BiPAP
with a BP of 189/109
Of the following patients, which one would you see FIRST? - ANS A 30 year suicidal female
that took an unknown number of alprazolam with an O2 saturation of 85%
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? - ANS Electrical
cardioversion
Which of the following supplemental medications is frequently ordered in conjunction with
furosemide? - ANS Potassium
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, Which of the following positions is the BEST way to assess for JVD? - ANS Position the patient
on his/her back with the head of bed 30-45 degrees
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? - ANS Hold the metoprolol because of the upcoming dialysis
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? - ANS Replace the chamber with a new one
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 condition is this patient most likely
experiencing? - ANS Hypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the
following would you do FIRST? - ANS Cover the insertion site immediately with Vaseline
gauze
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? -
ANS Stat head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should
you do FIRST? - ANS Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - ANS Apical pulse
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and Answers
Which of the following medications is MOST commonly indicated for patients with CHF? -
ANS Ace inhibitors
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? -
ANS Dilated right pupil
What is the most common symptom of SIADH? - ANS Fluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you
attend to FIRST? - ANS A patient complaining of shortness of breathe on continuous BiPAP
with a BP of 189/109
Of the following patients, which one would you see FIRST? - ANS A 30 year suicidal female
that took an unknown number of alprazolam with an O2 saturation of 85%
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? - ANS Electrical
cardioversion
Which of the following supplemental medications is frequently ordered in conjunction with
furosemide? - ANS Potassium
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Which of the following positions is the BEST way to assess for JVD? - ANS Position the patient
on his/her back with the head of bed 30-45 degrees
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? - ANS Hold the metoprolol because of the upcoming dialysis
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? - ANS Replace the chamber with a new one
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 condition is this patient most likely
experiencing? - ANS Hypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the
following would you do FIRST? - ANS Cover the insertion site immediately with Vaseline
gauze
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? -
ANS Stat head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should
you do FIRST? - ANS Prepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - ANS Apical pulse
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
