PROGRESSIVE CARE RN A V1 EXAM 2025 UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Most Common Medication for CHF - (ANSWER)Ace Inhibitors
Expected Finding with Right Sided SDH - (ANSWER)Dilated Right Pupil
Most Common Symptom of SIADH - (ANSWER)Fluid Retention
Priority Patient: Shortness of Breath on BiPAP with High BP - (ANSWER)Attend to patient with BP
189/109
Priority Patient: Suicidal Female with Low O2 Saturation - (ANSWER)Attend to patient with O2 saturation
of 85%
Treatment for Atrial Fibrillation with Low BP - (ANSWER)Electrical Cardioversion
Supplemental Medication with Furosemide - (ANSWER)Potassium
Best Position to Assess for JVD - (ANSWER)Position patient on back with head of bed 30-45 degrees
Action for Patient on Hemodialysis with High BP and Metoprolol Order - (ANSWER)Hold the metoprolol
Action for Chest Tube Collection Chamber on Floor - (ANSWER)Replace the chamber with a new one
Patient with nausea, vomiting, diarrhea, BP 89/55, HR 122 bpm, temp 100.8 F. Likely condition? -
(ANSWER)Hypovolemic shock
Caring for patient with dislodged chest tube. What to do FIRST? - (ANSWER)Cover insertion site with
Vaseline gauze
, PROGRESSIVE CARE RN A V1 EXAM 2025 UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
78-year-old male admitted for syncope with fall, HR 50, confused. Anticipate order? - (ANSWER)Stat
head CT
Patient with upper GI bleed, hgb 6.1 g/dL. What order FIRST? - (ANSWER)Prepare to administer 2 units
PRBCs
Check before administering digoxin? - (ANSWER)Apical pulse
Patient with acute seizure activity, order to expect? - (ANSWER)Levetiracetam (Keppra) 500 mg IV every
12 hours and seizure precautions
Caring for patient post left pneumonectomy with chest tube. Priority? - (ANSWER)Encourage coughing
and deep breathing
Patient with order for 'furosemide 80 mg BID'. What action is MOST appropriate? - (ANSWER)Call
provider to clarify order
Patient with DNR order goes into cardiac arrest. Daughter wants resuscitation. BEST response? -
(ANSWER)Follow patient's wishes and honor DNR
Educating patient on reducing sodium intake. Patient understands when they say: - (ANSWER)I will avoid
canned food because it's salty
Trough for Vancomycin: - (ANSWER)Measured immediately before the next scheduled dose
Delegating wound care to a LPN: - (ANSWER)Ensure competency before delegating
Patient in Third Degree Heart Block: - (ANSWER)Likely treatment: Pacemaker
SOLUTIONS.
Most Common Medication for CHF - (ANSWER)Ace Inhibitors
Expected Finding with Right Sided SDH - (ANSWER)Dilated Right Pupil
Most Common Symptom of SIADH - (ANSWER)Fluid Retention
Priority Patient: Shortness of Breath on BiPAP with High BP - (ANSWER)Attend to patient with BP
189/109
Priority Patient: Suicidal Female with Low O2 Saturation - (ANSWER)Attend to patient with O2 saturation
of 85%
Treatment for Atrial Fibrillation with Low BP - (ANSWER)Electrical Cardioversion
Supplemental Medication with Furosemide - (ANSWER)Potassium
Best Position to Assess for JVD - (ANSWER)Position patient on back with head of bed 30-45 degrees
Action for Patient on Hemodialysis with High BP and Metoprolol Order - (ANSWER)Hold the metoprolol
Action for Chest Tube Collection Chamber on Floor - (ANSWER)Replace the chamber with a new one
Patient with nausea, vomiting, diarrhea, BP 89/55, HR 122 bpm, temp 100.8 F. Likely condition? -
(ANSWER)Hypovolemic shock
Caring for patient with dislodged chest tube. What to do FIRST? - (ANSWER)Cover insertion site with
Vaseline gauze
, PROGRESSIVE CARE RN A V1 EXAM 2025 UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
78-year-old male admitted for syncope with fall, HR 50, confused. Anticipate order? - (ANSWER)Stat
head CT
Patient with upper GI bleed, hgb 6.1 g/dL. What order FIRST? - (ANSWER)Prepare to administer 2 units
PRBCs
Check before administering digoxin? - (ANSWER)Apical pulse
Patient with acute seizure activity, order to expect? - (ANSWER)Levetiracetam (Keppra) 500 mg IV every
12 hours and seizure precautions
Caring for patient post left pneumonectomy with chest tube. Priority? - (ANSWER)Encourage coughing
and deep breathing
Patient with order for 'furosemide 80 mg BID'. What action is MOST appropriate? - (ANSWER)Call
provider to clarify order
Patient with DNR order goes into cardiac arrest. Daughter wants resuscitation. BEST response? -
(ANSWER)Follow patient's wishes and honor DNR
Educating patient on reducing sodium intake. Patient understands when they say: - (ANSWER)I will avoid
canned food because it's salty
Trough for Vancomycin: - (ANSWER)Measured immediately before the next scheduled dose
Delegating wound care to a LPN: - (ANSWER)Ensure competency before delegating
Patient in Third Degree Heart Block: - (ANSWER)Likely treatment: Pacemaker
