MCQs

6530 questions found

Practice Questions

131. 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

130. A patient with severe heart failure is prescribed a continuous dobutamine infusion. The nurse observes new onset of supraventricular tachycardia (SVT). What medicinal concern is immediate?

A. Insufficient dobutamine dose
B. Dobutamine-induced arrhythmias, requiring physician notification and possible dose adjustment
C. Hypokalemia
D. Hypoglycemia
nmdcat.online BS Nursing
Jun 6, 2026

128. A patient post-cardiac arrest is undergoing targeted temperature management (TTM). The nurse observes the patient’s temperature is rising above the target range. What is the urgent nursing intervention?

A. Remove cooling devices
B. Increase cooling interventions (e.g., adjust cooling blanket, administer cold IV fluids)
C. Administer warming blankets
D. Administer antipyretics only
nmdcat.online BS Nursing
Jun 6, 2026

127. A nurse is caring for a patient with a central venous catheter (CVC) that has a triple lumen. What is the critical technical consideration for administering incompatible medications?

A. Administer through the same lumen sequentially
B. Administer incompatible medications through separate lumens to prevent precipitation or inactivation
C. Administer through a peripheral IV only
D. Mix all medications together
nmdcat.online BS Nursing
Jun 6, 2026

125. A patient with a severe gastrointestinal hemorrhage is receiving a continuous infusion of proton pump inhibitor (PPI). What is the medicinal purpose of this infusion?

A. To increase stomach acid
B. To suppress gastric acid secretion and promote ulcer healing
C. To stimulate appetite
D. To reduce nausea
nmdcat.online BS Nursing
Jun 6, 2026

124. A patient in acute heart failure has severe dyspnea and crackles bilaterally. The nurse is preparing to administer furosemide IV. What is the medicinal purpose of furosemide in this situation?

A. To increase blood pressure
B. To reduce fluid overload and pulmonary edema
C. To increase heart rate
D. To sedate the patient
nmdcat.online BS Nursing
Jun 6, 2026

123. A patient with severe respiratory failure is on mechanical ventilation and receiving high levels of oxygen. The nurse observes new onset of confusion and somnolence. What critical respiratory concern is immediate?

A. Patient is agitated
B. CO2 narcosis in patients with chronic hypercapnia (e.g., COPD) due to excessive oxygen
C. Hypoglycemia
D. Patient is anxious
nmdcat.online BS Nursing
Jun 6, 2026

122. A nurse is troubleshooting a continuous cardiac monitor showing frequent artifact. What is the technical troubleshooting step?

A. Ignore the artifact
B. Check lead placement, ensure good skin contact, clean skin, and replace electrodes
C. Increase the volume
D. Turn off the monitor
nmdcat.online BS Nursing
Jun 6, 2026

121. A patient with severe acute pancreatitis has a sudden onset of increasing abdominal pain, distension, and signs of systemic inflammatory response (SIRS). What clinical complication is concerning?

A. Hypoglycemia
B. Pancreatic necrosis with potential for sepsis and organ failure
C. Renal failure
D. Urinary tract infection
nmdcat.online BS Nursing
Jun 6, 2026

120. A patient post-cardiac arrest is intubated and sedated. The nurse observes sudden onset of bradycardia and hypotension. What medicinal concern is immediate if receiving a continuous infusion of dexmedetomidine?

A. Patient needs more sedation
B. Dexmedetomidine-induced bradycardia and hypotension, requiring physician notification and possible dose reduction
C. Pain is not controlled
D. Allergic reaction
nmdcat.online BS Nursing
Jun 6, 2026

119. A patient is admitted to the ICU with status asthmaticus. The patient is exhibiting severe wheezing, use of accessory muscles, and decreased breath sounds. What is the urgent nursing intervention?

A. Administer oral corticosteroids
B. Administer bronchodilators (e.g., albuterol, ipratropium) via nebulizer, systemic corticosteroids, and oxygen
C. Administer a diuretic
D. Encourage deep breathing exercises
nmdcat.online BS Nursing
Jun 6, 2026

118. A nurse is preparing to administer intravenous fluids to a patient with severe dehydration. What is the technical consideration for rapid fluid administration?

A. Use a small gauge IV catheter
B. Use a large bore (e.g., 18G or 16G) IV catheter or central line for rapid infusion
C. Infuse slowly
D. Use a subcutaneous line
nmdcat.online BS Nursing
Jun 6, 2026

116. A patient with acute kidney injury has a serum creatinine of 4.5 mg/dL and a GFR of 15 mL/min. What medicinal consideration is critical for drug administration?

A. Give all medications at higher doses
B. Many medications require dose adjustment or avoidance due to renal excretion
C. No medication adjustment is needed
D. Give all medications orally
nmdcat.online BS Nursing
Jun 6, 2026

115. A patient with a tension pneumothorax suddenly becomes hypotensive and develops jugular vein distension. What is the immediate life-saving nursing intervention?

A. Administer IV fluids rapidly
B. Prepare for immediate needle decompression or chest tube insertion
C. Administer a diuretic
D. Initiate CPR
nmdcat.online BS Nursing
Jun 6, 2026

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

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