MCQs

6530 questions found

Practice Questions

171. A patient with a severe traumatic brain injury develops new onset of fixed and dilated pupils. What clinical implication is urgent?

A. Patient is recovering
B. Brain herniation, requiring immediate neurosurgical intervention
C. Patient is sleeping
D. Patient is agitated
nmdcat.online BS Nursing
Jun 6, 2026

170. A patient in critical care is receiving an infusion of vasopressin for refractory septic shock. The nurse observes new onset of angina-like chest pain. What medicinal concern is immediate?

A. Patient needs more vasopressin
B. Vasopressin-induced coronary vasoconstriction, requiring physician notification and potential discontinuation
C. Hypoglycemia
D. Allergic reaction
nmdcat.online BS Nursing
Jun 6, 2026

169. A patient is admitted to the ICU with a severe drug overdose. The patient is unresponsive, bradypneic, and hypotensive. What is the most urgent initial nursing intervention?

A. Administer oral fluids
B. Secure the airway, support ventilation, and administer antidote if available (e.g., naloxone)
C. Administer a diuretic
D. Call family members
nmdcat.online BS Nursing
Jun 6, 2026

168. A nurse is troubleshooting a mechanical ventilator alarm “apnea.” What is the technical troubleshooting step?

A. Ignore the alarm
B. Assess patient's respiratory effort, check for disconnection, and ensure appropriate ventilator settings
C. Increase the tidal volume
D. Decrease the respiratory rate
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

166. A patient is receiving a continuous infusion of norepinephrine. The nurse observes extravasation at the peripheral IV site (e.g., pallor, coolness, swelling). What is the immediate nursing action?

A. Continue the infusion
B. Stop the infusion immediately, aspirate residual drug, and administer phentolamine or terbutaline (antidote) locally if ordered
C. Increase the infusion rate
D. Apply warm compress
nmdcat.online BS Nursing
Jun 6, 2026

165. A patient with a severe traumatic brain injury has an ICP of 20 mmHg. The nurse observes the patient has a decreased level of consciousness. What is the critical nursing action?

A. Increase environmental stimulation
B. Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
C. Administer a sedative without assessment
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026

164. A patient in septic shock is receiving a continuous infusion of epinephrine. The nurse observes the patient’s heart rate is 150 bpm and they are developing arrhythmias. What medicinal concern is immediate?

A. Epinephrine is not working
B. Epinephrine-induced tachycardia and arrhythmias, requiring physician notification and possible dose reduction
C. Patient needs more fluid
D. Patient is allergic
nmdcat.online BS Nursing
Jun 6, 2026

163. A patient with severe respiratory failure is on mechanical ventilation. The nurse observes increasing anxiety and agitation. What critical nursing action?

A. Increase oxygen saturation immediately
B. Assess for underlying causes (e.g., hypoxemia, hypercapnia, pain, delirium), and administer appropriate sedation/analgesia
C. Restrain the patient
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026

162. A nurse is managing a patient with continuous renal replacement therapy (CRRT). The nurse observes the patient’s fluid removal rate is too high, leading to hypotension. What is the critical technical adjustment?

A. Increase the fluid removal rate
B. Decrease the fluid removal rate or administer fluid boluses
C. Increase the blood flow rate
D. Disconnect from CRRT
nmdcat.online BS Nursing
Jun 6, 2026

161. A patient in the ICU develops sudden onset of abdominal pain, distension, and bloody stools. What clinical emergency is suspected?

A. Appendicitis
B. Ischemic bowel or gastrointestinal bleed
C. Cholecystitis
D. Pancreatitis
nmdcat.online BS Nursing
Jun 6, 2026

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
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