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BS Nursing

5385 questions found

Practice Questions

15. A patient with severe acute respiratory distress syndrome (ARDS) is on a ventilator with high PEEP. The nurse observes increasing shortness of breath and decreased oxygen saturation. What is the immediate concern?

A. Patient is anxious
B. Barotrauma (e.g., pneumothorax) or ventilator-associated pneumonia
C. Sedation is too deep
D. Equipment malfunction
nmdcat.online BS Nursing
Jun 6, 2026

1. A 68-year-old patient is admitted to the ICU with severe sepsis. Hemodynamic monitoring shows CVP 2 mmHg, MAP 55 mmHg, and heart rate 120 bpm. Urine output is 15 mL/hr. What is the most urgent initial nursing intervention?

A. Administer a diuretic
B. Administer IV fluid bolus rapidly as ordered
C. Start broad-spectrum antibiotics immediately
D. Prepare for central line insertion
nmdcat.online BS Nursing
Jun 6, 2026

3. A nurse is managing a patient with an arterial line. The waveform suddenly flattens. What is the first technical troubleshooting step the nurse should perform?

A. Administer a vasodilator
B. Check for kinks in the tubing, air bubbles, or disconnection, and flush the line
C. Zero the transducer
D. Calibrate the monitor
nmdcat.online BS Nursing
Jun 6, 2026

4. A patient in cardiogenic shock is prescribed dobutamine infusion. What is the primary therapeutic effect of dobutamine in this situation?

A. Decrease myocardial contractility
B. Increase myocardial contractility and cardiac output
C. Increase systemic vascular resistance
D. Decrease heart rate
nmdcat.online BS Nursing
Jun 6, 2026

5. A 45-year-old patient is admitted with status epilepticus. The patient is actively seizing. What is the most critical initial nursing intervention?

A. Administer scheduled oral anti-epileptic medication
B. Protect the patient's airway, administer benzodiazepine (e.g., lorazepam) IV as ordered, and ensure safety
C. Apply restraints immediately
D. Document the seizure characteristics
nmdcat.online BS Nursing
Jun 6, 2026

6. A patient on mechanical ventilation has a high-pressure alarm sounding. The nurse observes the patient is coughing and biting the endotracheal tube. What is the most appropriate initial nursing action?

A. Increase the sedation
B. Assess for and clear airway obstruction (e.g., suction, reposition ETT, provide sedation if indicated)
C. Decrease the tidal volume
D. Disconnect the patient from the ventilator
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

8. A nurse is preparing to administer propofol to a mechanically ventilated patient. What is the critical nursing implication related to this medication?

A. It causes hyperglycemia
B. It can cause significant hypotension and respiratory depression, requiring continuous hemodynamic monitoring and airway support
C. It is an analgesic
D. It is an anticoagulant
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

10. A nurse is caring for a patient with increased intracranial pressure (ICP). The patient’s Glasgow Coma Scale (GCS) score has decreased from 10 to 7. What is the immediate nursing action?

A. Elevate the head of the bed to 10 degrees
B. Notify the physician immediately and prepare for interventions to lower ICP (e.g., hyperventilation, mannitol)
C. Administer a sedative
D. Increase fluid intake
nmdcat.online BS Nursing
Jun 6, 2026

11. A patient with acute kidney injury (AKI) has a potassium level of 6.8 mEq/L. What is the most urgent medicinal intervention to prevent life-threatening arrhythmias?

A. Administer sodium bicarbonate
B. Administer IV calcium gluconate/chloride as ordered (to stabilize myocardium), insulin/dextrose, or furosemide
C. Administer potassium chloride
D. Administer a potassium-sparing diuretic
nmdcat.online BS Nursing
Jun 6, 2026

196. A community health nurse is caring for a patient with newly diagnosed substance use disorder who is ambivalent about seeking treatment. What clinical nursing intervention is most appropriate?

A. Force them into treatment
B. Use motivational interviewing techniques to explore readiness for change, identify barriers, and provide resources without judgment
C. Tell them to figure it out alone
D. Only provide legal advice
nmdcat.online BS Nursing
Jun 6, 2026

197. A community health nurse is educating a patient about potential side effects of a new diuretic medication. The patient reports experiencing dizziness upon standing. What is the medicinal recommendation?

A. Stop taking the diuretic
B. Advise to rise slowly from sitting/lying position, ensure adequate hydration, and contact healthcare provider, as this can indicate orthostatic hypotension
C. Take more diuretic
D. Ignore the dizziness
nmdcat.online BS Nursing
Jun 6, 2026

198. A community health nurse identifies a high rate of chronic diseases in a community due to sedentary lifestyles. What is the critical public health nursing intervention?

A. Advise individuals to join gyms
B. Advocate for creation of safe walking paths, community exercise programs, and policies that promote physical activity in schools and workplaces
C. Blame individuals for inactivity
D. Only focus on nutrition education
nmdcat.online BS Nursing
Jun 6, 2026

199. A community experiences a sudden increase in cases of norovirus (stomach flu). What is the urgent intervention for the community health nurse?

A. Advise against eating cooked food
B. Educate on strict hand hygiene (especially after vomiting/diarrhea), proper cleaning/disinfection of contaminated surfaces, and isolation of sick individuals
C. Tell people to eat only raw food
D. Only focus on providing anti-diarrheals
nmdcat.online BS Nursing
Jun 6, 2026

200. A community health nurse is demonstrating proper technique for assessing a radial pulse. What is the technical aspect of this assessment?

A. Using the thumb to palpate the pulse
B. Using the pads of the index and middle fingers, applying gentle pressure, and counting for 30 or 60 seconds
C. Pressing firmly with the whole hand
D. Not counting the pulse at all
nmdcat.online BS Nursing
Jun 6, 2026

191. A community health nurse is caring for an elderly patient who is at risk for falls due to multiple medications. What clinical nursing intervention is most appropriate?

A. Tell them to stop taking medications
B. Review medication list for sedating or hypotensive drugs, educate on medication side effects, and collaborate with physician for medication reconciliation/adjustment
C. Advise them to walk less
D. Only focus on physical therapy
nmdcat.online BS Nursing
Jun 6, 2026

192. A community health nurse is educating a patient about a new prescription for an oral anticoagulant. The patient reports bleeding gums when brushing teeth. What is the medicinal recommendation?

A. Stop taking the anticoagulant
B. Advise contacting healthcare provider immediately, as this can indicate excessive anticoagulation, and discuss careful oral hygiene
C. Take more anticoagulant
D. Ignore the bleeding
nmdcat.online BS Nursing
Jun 6, 2026
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