MCQs

6530 questions found

Practice Questions

52. A nurse is preparing to insert a nasogastric tube for a patient on mechanical ventilation. What is the critical technical consideration to prevent aspiration?

A. Insert tube rapidly
B. Elevate head of bed to 30-45 degrees, check tube placement before feeding, and administer prokinetics if ordered
C. Do not check placement
D. Administer feed immediately after insertion
nmdcat.online BS Nursing
Jun 6, 2026

50. A patient with severe heart failure is prescribed a continuous dobutamine infusion. The nurse observes increasing heart rate (from 80 to 130 bpm) and new onset chest pain. What medicinal concern is immediate?

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

49. A patient is on continuous renal replacement therapy (CRRT) and develops severe bleeding from the access site. What is the urgent nursing intervention?

A. Increase the blood flow rate
B. Apply direct pressure to the site, notify physician, and assess coagulation status
C. Administer more fluid
D. Stop CRRT without orders
nmdcat.online BS Nursing
Jun 6, 2026

48. A patient is experiencing asystole on the cardiac monitor. What is the immediate life-saving nursing intervention?

A. Defibrillation
B. Initiate CPR immediately and administer epinephrine as ordered
C. Synchronized cardioversion
D. Administer atropine
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

46. A nurse is preparing to administer packed red blood cells to a patient with acute hemorrhage. What is the critical initial nursing action prior to administration?

A. Warm the blood in a microwave
B. Verify patient identity and blood product according to hospital policy with a second licensed professional
C. Administer without consent
D. Infuse rapidly without monitoring
nmdcat.online BS Nursing
Jun 6, 2026

45. A patient on mechanical ventilation with ARDS has a plateau pressure of 35 cmH2O. What is the critical implication of this finding?

A. Patient is recovering
B. High risk of barotrauma and lung injury
C. Low risk of lung injury
D. Patient is hyperventilating
nmdcat.online BS Nursing
Jun 6, 2026

44. A patient with severe sepsis is receiving a continuous infusion of broad-spectrum antibiotics. The nurse observes a new rash, angioedema, and wheezing. What is the immediate nursing action?

A. Continue the infusion
B. Stop the antibiotic infusion immediately, assess airway/breathing, and prepare to administer epinephrine/antihistamines
C. Slow down the infusion rate
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026

43. A patient in status epilepticus has received several doses of benzodiazepines and is still seizing. What medicinal intervention might be considered next, as ordered by the physician?

A. Administer more benzodiazepines
B. Administration of a loading dose of fosphenytoin or levetiracetam
C. Administer a diuretic
D. Administer an opioid
nmdcat.online BS Nursing
Jun 6, 2026

42. A nurse is managing a patient with continuous arterial blood pressure monitoring. The arterial line transducer falls to the floor. What is the immediate technical action?

A. Leave it on the floor
B. Re-level the transducer to the phlebostatic axis and re-zero the system
C. Disconnect the line
D. Calibrate the monitor
nmdcat.online BS Nursing
Jun 6, 2026

41. A patient with acute pancreatitis develops severe abdominal pain and distension. What is the critical clinical complication to monitor for?

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

40. A patient with a traumatic brain injury has a ICP bolt placed. The nurse observes bleeding around the insertion site. What is the immediate nursing action?

A. Apply a warm compress
B. Apply sterile pressure dressing, reinforce, and notify physician
C. Administer an anti-coagulant
D. Remove the ICP bolt
nmdcat.online BS Nursing
Jun 6, 2026

39. A patient in septic shock is receiving aggressive fluid resuscitation. The nurse notes new crackles in the lungs and increasing shortness of breath. What is the critical nursing action?

A. Continue fluid resuscitation
B. Assess for fluid overload/pulmonary edema, notify physician, and consider decreasing fluid rate or administering diuretic
C. Administer more vasopressors
D. Increase oxygen flow rate
nmdcat.online BS Nursing
Jun 6, 2026

38. A nurse is monitoring a patient’s mixed venous oxygen saturation (SvO2) via a pulmonary artery catheter. The SvO2 drops from 70% to 45%. What clinical implication does this indicate?

A. Improved tissue oxygenation
B. Increased oxygen demand or decreased oxygen delivery (e.g., hypoxemia, low cardiac output, anemia)
C. Decreased metabolic rate
D. Fluid overload
nmdcat.online BS Nursing
Jun 6, 2026

37. A patient develops sudden onset of shortness of breath, chest pain, and hemoptysis after central line insertion. What is the urgent suspected complication?

A. Allergic reaction
B. Pulmonary embolism or pneumothorax
C. Myocardial infarction
D. Deep vein thrombosis
nmdcat.online BS Nursing
Jun 6, 2026

36. A patient is admitted with a suspected opioid overdose. The patient is unresponsive with respiratory rate of 4 breaths/min and pinpoint pupils. What is the immediate life-saving medicinal intervention?

A. Administer activated charcoal
B. Administer naloxone (Narcan) IV push
C. Administer a diuretic
D. Administer an antidepressant
nmdcat.online BS Nursing
Jun 6, 2026

35. A patient on mechanical ventilation is agitated and trying to pull out their endotracheal tube. What is the critical initial nursing action?

A. Immediately apply restraints
B. Assess the cause of agitation (e.g., pain, hypoxemia, delirium), and consider sedation or analgesia as ordered
C. Leave the patient unattended
D. Increase the ventilator settings
nmdcat.online BS Nursing
Jun 6, 2026

34. A patient with a traumatic brain injury has dilated and fixed pupils. What clinical finding does this signify?

A. Normal neurological function
B. Severe brainstem compression and imminent herniation
C. Mild concussion
D. Hypoglycemia
nmdcat.online BS Nursing
Jun 6, 2026

33. A patient is receiving a continuous infusion of norepinephrine for distributive shock. Their blood pressure is still low despite max dose. What medicinal adjustment might be considered?

A. Discontinuation of norepinephrine
B. Addition of a second vasopressor (e.g., vasopressin) or hydrocortisone
C. Increase the patient's fluid intake significantly
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026
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