PROGRESSIVE CARE RN A V1 EXAM 2025 UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
You want to assess for jugular vein distention (JVD). What position would be BEST? - (answer)Position
patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been removed. They
suddenly report palpitations. Their blood pressure is 130/76 and heart rate is 140 bpm. What would you
do NEXT? - (answer)Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them? - (answer)Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST effective? -
(answer)Intramuscular
You are working with the code team to resuscitate a patient in ventricular fibrillation. Chest
compressions are ongoing and the patient has been shocked twice. What emergency medication, if any,
would you administer at this juncture? - (answer)Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging them and provide patient education.
Which statement by your patient indicates an understanding of the education? - (answer)I will not take
ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate? - (answer)• Visual
pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty. Upon assessment you note a large
hematoma at the sheath site. What would be your immediate action? - (answer)Apply manual pressure
to the site and call for help.
, PROGRESSIVE CARE RN A V1 EXAM 2025 UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Your patient has new onset seizures. They ask you what they should know about taking levetiracetam
(Keppra®). What would be your BEST response? - (answer)Common side effects are fatigue and
depression
Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant reports that your patient
has a temp of 101.3°F and blood pressure of 82/56. Their urine output has decreased to less than 30 mL
in the past 4 hours. You suspect a post-surgery complication. After calling the physician you receive
orders for STAT CBC, CMP, and coagulation test. What results would you expect to see after these labs
are completed? - (answer)WBC greater than 19,000
What is an adequate amount of urine output? - (answer)30 mL/hr
Your patient has left ventricular failure. What clinical manifestations would you expect to see? -
(answer)Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action? - (answer)Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the
end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions? -
(answer)No changes. These are high quality compressions.
What is required before making a report of elder abuse? - (answer)Suspicion of abuse
You receive your patient with pneumonia from the ED. Antibiotics and steroids have been initiated by
the provider. The patient reports abdominal pain and has a large loose bowel movement. They inform
you this is their third bowel movement in the last two hours. What would you do FIRST? -
(answer)Initiate enteric contact isolation precautions for possible C. diff
SOLUTIONS.
You want to assess for jugular vein distention (JVD). What position would be BEST? - (answer)Position
patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been removed. They
suddenly report palpitations. Their blood pressure is 130/76 and heart rate is 140 bpm. What would you
do NEXT? - (answer)Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them? - (answer)Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST effective? -
(answer)Intramuscular
You are working with the code team to resuscitate a patient in ventricular fibrillation. Chest
compressions are ongoing and the patient has been shocked twice. What emergency medication, if any,
would you administer at this juncture? - (answer)Epinephrine (Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging them and provide patient education.
Which statement by your patient indicates an understanding of the education? - (answer)I will not take
ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate? - (answer)• Visual
pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty. Upon assessment you note a large
hematoma at the sheath site. What would be your immediate action? - (answer)Apply manual pressure
to the site and call for help.
, PROGRESSIVE CARE RN A V1 EXAM 2025 UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
Your patient has new onset seizures. They ask you what they should know about taking levetiracetam
(Keppra®). What would be your BEST response? - (answer)Common side effects are fatigue and
depression
Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant reports that your patient
has a temp of 101.3°F and blood pressure of 82/56. Their urine output has decreased to less than 30 mL
in the past 4 hours. You suspect a post-surgery complication. After calling the physician you receive
orders for STAT CBC, CMP, and coagulation test. What results would you expect to see after these labs
are completed? - (answer)WBC greater than 19,000
What is an adequate amount of urine output? - (answer)30 mL/hr
Your patient has left ventricular failure. What clinical manifestations would you expect to see? -
(answer)Dyspnea, distant heart sounds, bilateral crackles
You are caring for your patient with an order for furosemide (Lasix®) 80 mg BID. What would be your
MOST appropriate action? - (answer)Call provider to clarify the order.
Your patient is in cardiac arrest. Chest compressions are being performed. Capnography indicates the
end-tidal CO2 is 18 mmg. What do the capnography results indicate about the chest compressions? -
(answer)No changes. These are high quality compressions.
What is required before making a report of elder abuse? - (answer)Suspicion of abuse
You receive your patient with pneumonia from the ED. Antibiotics and steroids have been initiated by
the provider. The patient reports abdominal pain and has a large loose bowel movement. They inform
you this is their third bowel movement in the last two hours. What would you do FIRST? -
(answer)Initiate enteric contact isolation precautions for possible C. diff
