PROGRESSIVE CARE RN A V1 ACTUAL EXAM
COMPLETE 180 QUESTIONS AND DETAILED
SOLUTIONS JUST RELEASED
Question:Which of the following medications is MOST commonly indicated for patients with
CHF? - CORRECT ANSWER✔✔Ace inhibitors
Question: 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? -
CORRECT ANSWER✔✔Dilated right pupil
Question: What is the most common symptom of SIADH? - CORRECT ANSWER✔✔Fluid
retention
Question: Upon arrival to the unit, you receive report on four PCU patients. Which patient
should you attend to FIRST? - CORRECT ANSWER✔✔A patient complaining of shortness of
breathe on continuous BiPAP with a BP of 189/109
Question: Of the following patients, which one would you see FIRST? - CORRECT ANSWER✔✔A
30 year suicidal female that took an unknown number of alprazolam with an O2 saturation of
85%
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Question: 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? - CORRECT
ANSWER✔✔Electrical cardioversion
Question: Which of the following supplemental medications is frequently ordered in
conjunction with furosemide? - CORRECT ANSWER✔✔Potassium
Question: Which of the following positions is the BEST way to assess for JVD? - CORRECT
ANSWER✔✔Position the patient on his/her back with the head of bed 30-45 degrees
Question: 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? - CORRECT ANSWER✔✔Hold the metoprolol because of the
upcoming dialysis
Question: 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? - CORRECT ANSWER✔✔Replace the chamber with a new
one
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Question: 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? - CORRECT ANSWER✔✔Hypovolemic shock
Question: You are caring for a patient with a chest tube that has become dislodged. Which of
the following would you do FIRST? - CORRECT ANSWER✔✔Cover the insertion site immediately
with Vaseline gauze
Question: 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? - CORRECT ANSWER✔✔Stat head CT
Question: A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders
should you do FIRST? - CORRECT ANSWER✔✔Prepare to administer 2 units PRBCs
Question: Which of the following should be checked before administering digoxin? - CORRECT
ANSWER✔✔Apical pulse
Question: 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? - CORRECT ANSWER✔✔Levetiracetam (Keppra) 500 mg IV every 12 hours
and seizure precautions
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