PROGRESSIVE CARE RN A 2026 ACTUAL
EXAM SCRIPT FULL QUESTIONS AND VERIFIED
SOLUTIONS
◉ You are caring for a patient in third degree heart block. Which of
the following treatment options will MOST likely be implemented?
Answer: Pacemaker
◉ You are assigned a patient who recently traveled outside of the
United States. He has a fever of 101.9 F and excessive diarrhea. You
suspect he may have been exposed to Ebola. What type of PPE would
you expect to use? Answer: High level PPE
◉ Which of the following patients would you see FIRST? Answer: A
57 year old male complaining of worsening chest tightness
◉ You enter a patient's room and notice the telemetry box on the
bed and the IV on the floor connected to running IV fluids. You last
saw the patient 1 hour ago. Who should be notified immediately?
Answer: 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???
◉ 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
◉ 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 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
◉ 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 being ordered by the provider?
Answer: Vitamin K
EXAM SCRIPT FULL QUESTIONS AND VERIFIED
SOLUTIONS
◉ You are caring for a patient in third degree heart block. Which of
the following treatment options will MOST likely be implemented?
Answer: Pacemaker
◉ You are assigned a patient who recently traveled outside of the
United States. He has a fever of 101.9 F and excessive diarrhea. You
suspect he may have been exposed to Ebola. What type of PPE would
you expect to use? Answer: High level PPE
◉ Which of the following patients would you see FIRST? Answer: A
57 year old male complaining of worsening chest tightness
◉ You enter a patient's room and notice the telemetry box on the
bed and the IV on the floor connected to running IV fluids. You last
saw the patient 1 hour ago. Who should be notified immediately?
Answer: 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???
◉ 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
◉ 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 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
◉ 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 being ordered by the provider?
Answer: Vitamin K
