MCQs

11212 questions found

Practice Questions

21. A patient with a severe traumatic brain injury has an ICP of 25 mmHg. What is the most urgent nursing intervention to manage ICP?

A. Increase the patient's stimulation
B. Maintain head of bed at 30 degrees, ensure neck alignment, and administer mannitol/hypertonic saline as ordered
C. Administer a sedative
D. Administer a fluid bolus
nmdcat.online BS Nursing
Jun 6, 2026

20. A patient in septic shock is unresponsive to fluid resuscitation and vasopressors. What medicinal intervention might be considered next, as ordered by the physician?

A. Discontinuation of all medications
B. Administration of hydrocortisone (stress-dose steroids)
C. Administration of a diuretic
D. Administration of an anticoagulant
nmdcat.online BS Nursing
Jun 6, 2026

19. A patient is on mechanical ventilation. The low exhaled tidal volume alarm sounds. What is the critical initial nursing assessment?

A. Assess for patient pain
B. Assess for a leak in the ventilator circuit, cuff leak, or patient disconnection
C. Check the patient's temperature
D. Document the alarm
nmdcat.online BS Nursing
Jun 6, 2026

17. A nurse is titrating a continuous infusion of nicardipine for a patient with hypertensive crisis. The patient’s blood pressure drops rapidly to 80/40 mmHg. What is the immediate nursing action?

A. Increase the nicardipine infusion rate
B. Decrease or hold the nicardipine infusion, administer a fluid bolus if ordered, and notify the physician
C. Administer a vasopressor
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026

16. A patient who underwent cardiac surgery is exhibiting signs of cardiac tamponade (e.g., muffled heart sounds, JVD, pulsus paradoxus). What is the most urgent intervention?

A. Administer IV fluids
B. Prepare for pericardiocentesis or surgical drainage
C. Administer a diuretic
D. Initiate CPR
nmdcat.online BS Nursing
Jun 6, 2026

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

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

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

13. A patient with a central venous catheter (CVC) develops sudden fever, chills, and redness at the insertion site. What is the critical nursing action?

A. Apply a warm compress to the site
B. Suspect central line-associated bloodstream infection (CLABSI), obtain blood cultures, and notify the physician
C. Administer a diuretic
D. Remove the CVC without orders
nmdcat.online BS Nursing
Jun 6, 2026

12. A patient on a continuous norepinephrine infusion for septic shock has developed mottled extremities and a faint radial pulse. What clinical complication is the nurse assessing for?

A. Fluid overload
B. Vasopressor-induced peripheral vasoconstriction and ischemia
C. Hypoglycemia
D. Hyperthermia
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

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
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

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

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

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

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
Page 346 of 591
Jump to:

🏆 Top Contributors

  • N

    nmdcat.online

    11210 MCQs

  • N

    NMDCAT.ONLINE

    1 MCQ

  • G

    GULABsb

    1 MCQ

Categories

View all →