MCQs

6530 questions found

Practice Questions

92. A nurse is troubleshooting a continuous infusion pump alarm “downstream occlusion.” What is the technical troubleshooting step?

A. Increase the infusion rate
B. Check the IV tubing for kinks, clamps, or occlusions distal to the pump
C. Decrease the infusion rate
D. Disconnect the pump
nmdcat.online BS Nursing
Jun 6, 2026

90. A patient with acute myocardial infarction is prescribed aspirin and clopidogrel. What is the medicinal purpose of these medications?

A. To increase blood pressure
B. To prevent platelet aggregation and reduce risk of clot formation
C. To decrease heart rate
D. To dissolve existing clots
nmdcat.online BS Nursing
Jun 6, 2026

89. A patient with severe sepsis is receiving broad-spectrum antibiotics and is hypotensive despite fluid resuscitation. What urgent intervention might be initiated?

A. Administer a diuretic
B. Initiation of vasopressor support (e.g., norepinephrine) to maintain adequate MAP
C. Discontinuation of antibiotics
D. Administer oral fluids
nmdcat.online BS Nursing
Jun 6, 2026

88. A nurse is caring for a patient on mechanical ventilation. The patient’s peak inspiratory pressure (PIP) is consistently high. What is the critical initial nursing assessment?

A. Check the patient's temperature
B. Assess for patient-ventilator asynchrony, airway obstruction (e.g., secretions, bronchospasm), or kinks in tubing
C. Check the patient's blood pressure
D. Document the PIP
nmdcat.online BS Nursing
Jun 6, 2026

87. A patient with severe burns is exhibiting signs of circulatory collapse (hypotension, tachycardia, decreased urine output). What is the critical type of shock suspected?

A. Cardiogenic shock
B. Hypovolemic shock (due to fluid shifts and capillary leak)
C. Septic shock
D. Anaphylactic shock
nmdcat.online BS Nursing
Jun 6, 2026

86. A patient is receiving a continuous infusion of propofol for sedation. The nurse observes a new onset of hypertriglyceridemia and metabolic acidosis. What medicinal complication is urgent?

A. Propofol is not working
B. Propofol Infusion Syndrome (PRIS), requiring immediate discontinuation of propofol and supportive care
C. Hypoglycemia
D. Allergic reaction
nmdcat.online BS Nursing
Jun 6, 2026

85. A patient with a new onset stroke is admitted to the ICU. The nurse observes unilateral weakness and facial droop. What is the immediate nursing action?

A. Administer aspirin immediately
B. Perform rapid neurological assessment (NIHSS), determine last known well time, and prepare for CT scan of the brain
C. Administer oral fluids
D. Elevate head of bed to 90 degrees
nmdcat.online BS Nursing
Jun 6, 2026

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

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

82. A nurse is managing a patient with an arterial line for continuous blood pressure monitoring. The nurse observes dampening of the arterial waveform. What is the technical troubleshooting step?

A. Increase the flush bag pressure
B. Check for air bubbles, kinks, or clot in the line, and flush the system
C. Decrease the flush bag pressure
D. Re-zero the transducer
nmdcat.online BS Nursing
Jun 6, 2026

80. A patient with severe traumatic brain injury has an ICP of 28 mmHg. The physician orders a bolus of mannitol. What is the critical nursing action after administering mannitol?

A. Administer more fluids
B. Monitor serum osmolality and electrolytes, and assess for fluid balance and urine output
C. Limit urine output
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026

79. A nurse is preparing to perform endotracheal suctioning on a mechanically ventilated patient. What is the critical technical consideration to prevent hypoxemia?

A. Apply suction continuously during insertion
B. Pre-oxygenate the patient before suctioning, limit suctioning time to 10-15 seconds, and apply suction only on withdrawal
C. Suction for prolonged periods
D. Use a small catheter
nmdcat.online BS Nursing
Jun 6, 2026

78. A patient with severe pancreatitis has a sudden onset of hypotension, tachycardia, and a rigid abdomen. What clinical complication is most concerning?

A. Hypoglycemia
B. Pancreatic necrosis with hemorrhage or peritonitis
C. Renal failure
D. Hypocalcemia
nmdcat.online BS Nursing
Jun 6, 2026

77. A nurse is titrating a continuous infusion of norepinephrine for a patient in septic shock. The patient’s MAP is 60 mmHg. What is the medicinal goal for norepinephrine titration?

A. Achieve MAP < 50 mmHg
B. Achieve a target MAP of 65 mmHg or higher
C. Achieve MAP > 100 mmHg
D. Achieve a heart rate of 150 bpm
nmdcat.online BS Nursing
Jun 6, 2026

76. A patient in acute respiratory failure is receiving high-flow nasal cannula (HFNC) and is becoming increasingly agitated and hypoxemic. What urgent intervention might be indicated?

A. Increase HFNC flow rate
B. Prepare for intubation and mechanical ventilation
C. Administer a sedative only
D. Administer more HFNC oxygen
nmdcat.online BS Nursing
Jun 6, 2026

75. A patient with a severe gastrointestinal hemorrhage is actively bleeding with significant hematemesis. What is the most urgent initial nursing intervention?

A. Administer oral antacids
B. Establish large-bore IV access, administer IV fluids/blood products, and prepare for endoscopic intervention
C. Administer a diuretic
D. Give a light meal
nmdcat.online BS Nursing
Jun 6, 2026

73. A nurse is setting up a new intravenous infusion pump for a critical medication. What is the critical technical step to ensure medication safety?

A. Guess the infusion rate
B. Program the correct drug, concentration, and dose, and verify against order and second nurse
C. Override all safety alarms
D. Use a pump that is not calibrated
nmdcat.online BS Nursing
Jun 6, 2026
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