MCQs

11212 questions found

Practice Questions

160. A patient with acute myocardial infarction is prescribed a beta-blocker (e.g., metoprolol). The nurse observes the patient’s heart rate is 45 bpm and blood pressure is 80/50 mmHg. What medicinal concern is immediate?

A. Patient needs more beta-blocker
B. Beta-blocker induced bradycardia and hypotension, requiring physician notification and possible hold/reduction of dose
C. Patient is anxious
D. Patient needs more fluids
nmdcat.online BS Nursing
Jun 6, 2026

159. A patient is admitted to the ICU with acute liver failure. The nurse observes the patient has a prolonged PT/INR and active bleeding. What urgent intervention is needed?

A. Administer antiplatelets
B. Administer fresh frozen plasma (FFP) or Vitamin K as ordered
C. Administer a diuretic
D. Administer albumin
nmdcat.online BS Nursing
Jun 6, 2026

158. A nurse is troubleshooting an infusion pump alarm “air in line.” What is the technical troubleshooting step?

A. Ignore the alarm
B. Prime the tubing to remove air bubbles, and ensure all connections are secure
C. Increase the infusion rate
D. Decrease the infusion rate
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

156. A patient is receiving a continuous infusion of norepinephrine for septic shock. The nurse observes new onset of severe tachycardia. What medicinal concern is immediate?

A. Insufficient norepinephrine dose
B. Norepinephrine-induced tachycardia, requiring physician notification and possible dose reduction
C. Bradycardia
D. Sedation
nmdcat.online BS Nursing
Jun 6, 2026

155. A patient with severe burns is exhibiting signs of hypovolemic shock. What is the critical type of IV fluid that should be rapidly administered?

A. Dextrose 5% in water
B. Isotonic crystalloids (e.g., Lactated Ringer's, Normal Saline)
C. Hypertonic saline
D. Hypotonic saline
nmdcat.online BS Nursing
Jun 6, 2026

153. A patient with acute kidney injury is anuric and developing signs of hyperkalemia. What urgent intervention might be initiated?

A. Administer potassium chloride
B. Administration of calcium gluconate, insulin/dextrose, or sodium polystyrene sulfonate (Kayexalate) as ordered
C. Administer a diuretic
D. Administer an antibiotic
nmdcat.online BS Nursing
Jun 6, 2026

152. A nurse is calibrating a transducer for hemodynamic monitoring. What is the technical purpose of zeroing the transducer?

A. To increase the readings
B. To eliminate the effect of atmospheric pressure on the measurements and ensure accuracy
C. To decrease the readings
D. To make the waveform flat
nmdcat.online BS Nursing
Jun 6, 2026

151. A patient with severe sepsis is receiving continuous infusion of broad-spectrum antibiotics. The nurse observes the patient’s white blood cell count is decreasing but the patient’s lactate level is still elevated. What is the critical clinical implication?

A. Patient is recovering well
B. Persistent tissue hypoperfusion or ongoing infection, requiring further assessment
C. Lactate is falsely elevated
D. Patient needs more fluid
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

147. A patient with a severe traumatic brain injury has an ICP of 20 mmHg. The nurse observes new onset of decerebrate posturing. What clinical implication is urgent?

A. Patient is restless
B. Severe brainstem dysfunction and poor prognosis
C. Patient is comfortable
D. Patient is recovering
nmdcat.online BS Nursing
Jun 6, 2026

146. A nurse is managing a patient with an intra-aortic balloon pump (IABP). The nurse observes the IABP balloon is augmenting too late on the arterial waveform. What is the technical implication of this timing error?

A. Decreased afterload reduction
B. Suboptimal diastolic augmentation and decreased coronary artery perfusion
C. Increased preload
D. Increased heart rate
nmdcat.online BS Nursing
Jun 6, 2026

145. A patient with acute kidney injury is receiving continuous renal replacement therapy (CRRT). The nurse observes the patient is becoming hypotensive. What critical nursing action?

A. Increase the CRRT blood flow
B. Assess for hypovolemia or bleeding, decrease CRRT fluid removal rate, or administer fluids/blood products as ordered
C. Stop CRRT without orders
D. Increase the CRRT fluid removal rate
nmdcat.online BS Nursing
Jun 6, 2026

144. A patient in septic shock is receiving broad-spectrum antibiotics. The nurse observes the patient’s WBC count is still elevated and trending upwards. What medicinal implication is critical?

A. Antibiotics are working
B. Inadequate antibiotic coverage or persistent source of infection, requiring further investigation
C. WBC is falsely elevated
D. Patient needs more fluid
nmdcat.online BS Nursing
Jun 6, 2026

143. A patient with severe respiratory failure is on mechanical ventilation and is becoming increasingly hypoxemic despite increasing oxygen. What urgent intervention might be considered?

A. Administer more sedation
B. Optimize ventilator settings (e.g., increase PEEP, adjust I:E ratio), consider proning, or ECMO
C. Disconnect from ventilator
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026

142. A nurse is caring for a patient with a central venous catheter (CVC). What is the critical technical consideration for preventing air embolism during CVC removal?

A. Remove rapidly
B. Place patient in Trendelenburg position, instruct to bear down (Valsalva), and apply occlusive dressing immediately after removal
C. Remove without dressing
D. Remove while patient is coughing
nmdcat.online BS Nursing
Jun 6, 2026

141. A patient in the ICU develops sudden onset of severe abdominal pain, distension, and absent bowel sounds. What clinical emergency is suspected?

A. Appendicitis
B. Ileus or bowel obstruction/perforation
C. Cholecystitis
D. Pancreatitis
nmdcat.online BS Nursing
Jun 6, 2026
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