PROGRESSIVE CARE RN A 2025
PROGRESSIVE CARE RN A 2025 LATEST UPDATE WITH
QUESTIONS AND VERIFIED ANSWERS
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
You are caring for a patient complaining of chest pain. Which of the following troponin I levels
requires provider notification? - ANSWER-0.5 ng/mL???
A patient with new onset seizures is most likely to have which of the following in their room? -
ANSWER-Padded side rails and suction at the bedside
You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into the
transfusion, the patient complains of lower back pain, shortness of breath, and chills. Which of
the following would you do FIRST? - ANSWER-Stop the transfusion
, PROGRESSIVE CARE RN A 2025
You receive a patient from the emergency department with a fever, cough for 3 weeks, night
chills, and fatigue. During the admission assessment the patient reports recent travel out of the
country. What should be your FIRST action? - ANSWER-Notify the provider, apply a mask to the
patient, and transfer to a negative pressure room
Unstable angina is characterized by which of the following? - ANSWER-Chest pain, usually while
at rest
The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The patient has
been transferred to PCU. What treatment plan would you anticipate from the attending
provider? - ANSWER-Furosemide 40 mg IV BID
Which of the following has been found to be linked to a diagnosis of endocarditis? - ANSWER-
Recent invasive dental procedures
Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been removed. The
patient suddenly complains of palpitations. His blood pressure is 130/76 and heart rate is 140
bpm. What would you do NEXT? - ANSWER-Immediately perform a bedside EKG
What abnormal heart sound would you expect to hear in a patient with mitral stenosis? -
ANSWER-Diastolic murmur
You are performing auscultation on your patient and note an absence of breath sounds in the
right lower lobe. Which of the following would you suspect? - ANSWER-Pneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? - ANSWER-Correct
fluid deficit and replace potassium
, PROGRESSIVE CARE RN A 2025
You receive an 84 year old patient from the ED with pneumonia. Antibiotics and steroids have
already been initiated by the provider. The patient complains of abdominal pain and has a large,
loose bowel movement and notifies you this is the third one. What should you do FIRST? -
ANSWER-Initiate contact isolation precautions for possible C. difficile
You have completed a blood transfusion and are unsure of how to dispose of the empty bag.
What should you do? - ANSWER-Locate the MSDS book to find policy and procedures
Which of the following is an early indication of a stroke? - ANSWER-Ptosis
Which of the following are clinical manifestations typically seen in a patient with left ventricular
failure? - ANSWER-Dyspnea/distant heart sounds/bilateral crackles???
A patient is admitted to the PCU with COPD exacerbation. Which of the following assessment
findings would you expect to find knowing that the patient has been taking prednisone 40 mg
PO once daily for 18 years? - ANSWER-Hyperglycemia
A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a
suicide attempt the previous shift and states "I want to die because I am being bullied at
school." Which of the following is the MOST important action? - ANSWER-Place the patient on
suicide precautions to prevent a second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10 mg/hour. The vial
of diltiazem contains 5mg/mL. Which of the following is the correct volume to add to the bag of
D5W? - ANSWER-25 mL
The provider has ordered a 24-hour urine collection for your patient. The patient voids 275 cc, 2
hours after the order is given. This specimen should be: - ANSWER-Discarded, then begin
collection with the next void
PROGRESSIVE CARE RN A 2025 LATEST UPDATE WITH
QUESTIONS AND VERIFIED ANSWERS
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
You are caring for a patient complaining of chest pain. Which of the following troponin I levels
requires provider notification? - ANSWER-0.5 ng/mL???
A patient with new onset seizures is most likely to have which of the following in their room? -
ANSWER-Padded side rails and suction at the bedside
You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into the
transfusion, the patient complains of lower back pain, shortness of breath, and chills. Which of
the following would you do FIRST? - ANSWER-Stop the transfusion
, PROGRESSIVE CARE RN A 2025
You receive a patient from the emergency department with a fever, cough for 3 weeks, night
chills, and fatigue. During the admission assessment the patient reports recent travel out of the
country. What should be your FIRST action? - ANSWER-Notify the provider, apply a mask to the
patient, and transfer to a negative pressure room
Unstable angina is characterized by which of the following? - ANSWER-Chest pain, usually while
at rest
The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The patient has
been transferred to PCU. What treatment plan would you anticipate from the attending
provider? - ANSWER-Furosemide 40 mg IV BID
Which of the following has been found to be linked to a diagnosis of endocarditis? - ANSWER-
Recent invasive dental procedures
Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been removed. The
patient suddenly complains of palpitations. His blood pressure is 130/76 and heart rate is 140
bpm. What would you do NEXT? - ANSWER-Immediately perform a bedside EKG
What abnormal heart sound would you expect to hear in a patient with mitral stenosis? -
ANSWER-Diastolic murmur
You are performing auscultation on your patient and note an absence of breath sounds in the
right lower lobe. Which of the following would you suspect? - ANSWER-Pneumothorax
Which of the following are primary goals in diabetic ketoacidosis therapy? - ANSWER-Correct
fluid deficit and replace potassium
, PROGRESSIVE CARE RN A 2025
You receive an 84 year old patient from the ED with pneumonia. Antibiotics and steroids have
already been initiated by the provider. The patient complains of abdominal pain and has a large,
loose bowel movement and notifies you this is the third one. What should you do FIRST? -
ANSWER-Initiate contact isolation precautions for possible C. difficile
You have completed a blood transfusion and are unsure of how to dispose of the empty bag.
What should you do? - ANSWER-Locate the MSDS book to find policy and procedures
Which of the following is an early indication of a stroke? - ANSWER-Ptosis
Which of the following are clinical manifestations typically seen in a patient with left ventricular
failure? - ANSWER-Dyspnea/distant heart sounds/bilateral crackles???
A patient is admitted to the PCU with COPD exacerbation. Which of the following assessment
findings would you expect to find knowing that the patient has been taking prednisone 40 mg
PO once daily for 18 years? - ANSWER-Hyperglycemia
A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a
suicide attempt the previous shift and states "I want to die because I am being bullied at
school." Which of the following is the MOST important action? - ANSWER-Place the patient on
suicide precautions to prevent a second suicide attempt
The provider has written an order for diltiazem 125 mg in 100 mL D5W at 10 mg/hour. The vial
of diltiazem contains 5mg/mL. Which of the following is the correct volume to add to the bag of
D5W? - ANSWER-25 mL
The provider has ordered a 24-hour urine collection for your patient. The patient voids 275 cc, 2
hours after the order is given. This specimen should be: - ANSWER-Discarded, then begin
collection with the next void
