PROGRESSIVE CARE RN A V1 – ACTUAL EXAM PRACTICE QUESTIONS AND 100%
VERIFIED CORRECT ANSWERS | COMPLETE EXAM PREP TESTBANK | GUARANTEED PASS
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CORE DOMAINS
1. Cardiovascular and Hemodynamic Monitoring
2. Respiratory and Oxygenation Management
3. Neurological Assessment and Care
4. Endocrine and Metabolic Disorders
5. Renal and Gastrointestinal Management
6. Pharmacology and Medication Safety
7. Infection Control and Sepsis Management
8. Ethics, Legal Standards, and Professional Practice
TABLE OF CONTENTS
1. Introduction ........................................ 1
2. Cardiovascular and Hemodynamic Monitoring ......... 2
, 3. Respiratory and Oxygenation Management ............ 3
4. Neurological Assessment and Care ................... 4
5. Endocrine and Metabolic Disorders ................. 5
6. Renal and Gastrointestinal Management ............. 6
7. Pharmacology and Medication Safety ............... 7
8. Infection Control and Sepsis Management .......... 8
9. Ethics, Legal Standards, and Professional Practice 9
10. Answer Key Summary ............................... 10
INTRODUCTION
This assessment is designed to evaluate the knowledge and clinical judgment required of a
Progressive Care Registered Nurse. It focuses on the management of moderately unstable
patients who require close monitoring and advanced nursing interventions. The exam
includes multiple-choice and scenario-based questions that assess clinical reasoning,
prioritization, and application of evidence-based practices. Emphasis is placed on patient
safety, regulatory compliance, ethical decision-making, and interdisciplinary collaboration.
Candidates are expected to demonstrate competence in hemodynamic monitoring,
pharmacologic interventions, and early recognition of patient deterioration within
progressive care settings.
,SECTION 1: QUESTIONS 1–35
1. A patient with heart failure presents with worsening dyspnea and crackles. What is the
priority intervention?
A. Administer IV antibiotics
🔴 B. Administer IV diuretics
C. Encourage fluid intake
D. Position supine
🔵 Explanation: IV diuretics reduce fluid overload, improving pulmonary congestion
and dyspnea.
2. Which ECG finding indicates atrial fibrillation?
A. Regular rhythm with P waves
B. Wide QRS complexes
🔴 C. Irregular rhythm without P waves
D. ST elevation
🔵 Explanation: Atrial fibrillation is characterized by an irregularly irregular rhythm
and absence of distinct P waves.
3. A patient has oxygen saturation of 88% on room air. What is the initial action?
A. Start antibiotics
🔴 B. Apply supplemental oxygen
C. Call rapid response
, D. Obtain ABG first
🔵 Explanation: Oxygen should be administered immediately to correct hypoxemia.
4. Which lab value indicates worsening renal function?
A. Sodium 140 mEq/L
🔴 B. Creatinine 2.5 mg/dL
C. Potassium 4.0 mEq/L
D. Glucose 100 mg/dL
🔵 Explanation: Elevated creatinine reflects impaired kidney function.
5. A patient is at risk for pressure ulcers. What is the best preventive measure?
A. Limit mobility
🔴 B. Reposition every 2 hours
C. Increase sedation
D. Use heating pads
🔵 Explanation: Frequent repositioning reduces pressure and prevents tissue
breakdown.
6. Which medication is used for rapid rate control in atrial fibrillation?
A. Aspirin
🔴 B. Diltiazem
C. Warfarin
D. Furosemide
🔵 Explanation: Diltiazem is a calcium channel blocker used for rate control.
VERIFIED CORRECT ANSWERS | COMPLETE EXAM PREP TESTBANK | GUARANTEED PASS
| INSTANT DOWNLOAD PDF
CORE DOMAINS
1. Cardiovascular and Hemodynamic Monitoring
2. Respiratory and Oxygenation Management
3. Neurological Assessment and Care
4. Endocrine and Metabolic Disorders
5. Renal and Gastrointestinal Management
6. Pharmacology and Medication Safety
7. Infection Control and Sepsis Management
8. Ethics, Legal Standards, and Professional Practice
TABLE OF CONTENTS
1. Introduction ........................................ 1
2. Cardiovascular and Hemodynamic Monitoring ......... 2
, 3. Respiratory and Oxygenation Management ............ 3
4. Neurological Assessment and Care ................... 4
5. Endocrine and Metabolic Disorders ................. 5
6. Renal and Gastrointestinal Management ............. 6
7. Pharmacology and Medication Safety ............... 7
8. Infection Control and Sepsis Management .......... 8
9. Ethics, Legal Standards, and Professional Practice 9
10. Answer Key Summary ............................... 10
INTRODUCTION
This assessment is designed to evaluate the knowledge and clinical judgment required of a
Progressive Care Registered Nurse. It focuses on the management of moderately unstable
patients who require close monitoring and advanced nursing interventions. The exam
includes multiple-choice and scenario-based questions that assess clinical reasoning,
prioritization, and application of evidence-based practices. Emphasis is placed on patient
safety, regulatory compliance, ethical decision-making, and interdisciplinary collaboration.
Candidates are expected to demonstrate competence in hemodynamic monitoring,
pharmacologic interventions, and early recognition of patient deterioration within
progressive care settings.
,SECTION 1: QUESTIONS 1–35
1. A patient with heart failure presents with worsening dyspnea and crackles. What is the
priority intervention?
A. Administer IV antibiotics
🔴 B. Administer IV diuretics
C. Encourage fluid intake
D. Position supine
🔵 Explanation: IV diuretics reduce fluid overload, improving pulmonary congestion
and dyspnea.
2. Which ECG finding indicates atrial fibrillation?
A. Regular rhythm with P waves
B. Wide QRS complexes
🔴 C. Irregular rhythm without P waves
D. ST elevation
🔵 Explanation: Atrial fibrillation is characterized by an irregularly irregular rhythm
and absence of distinct P waves.
3. A patient has oxygen saturation of 88% on room air. What is the initial action?
A. Start antibiotics
🔴 B. Apply supplemental oxygen
C. Call rapid response
, D. Obtain ABG first
🔵 Explanation: Oxygen should be administered immediately to correct hypoxemia.
4. Which lab value indicates worsening renal function?
A. Sodium 140 mEq/L
🔴 B. Creatinine 2.5 mg/dL
C. Potassium 4.0 mEq/L
D. Glucose 100 mg/dL
🔵 Explanation: Elevated creatinine reflects impaired kidney function.
5. A patient is at risk for pressure ulcers. What is the best preventive measure?
A. Limit mobility
🔴 B. Reposition every 2 hours
C. Increase sedation
D. Use heating pads
🔵 Explanation: Frequent repositioning reduces pressure and prevents tissue
breakdown.
6. Which medication is used for rapid rate control in atrial fibrillation?
A. Aspirin
🔴 B. Diltiazem
C. Warfarin
D. Furosemide
🔵 Explanation: Diltiazem is a calcium channel blocker used for rate control.
