MCQs

6530 questions found

Practice Questions

32. A nurse is managing a patient with continuous renal replacement therapy (CRRT). The access line suddenly clots. What is the immediate technical nursing intervention?

A. Increase the blood flow rate
B. Flush the access line according to protocol, and notify the nephrologist/intensivist
C. Administer a diuretic
D. Disconnect the patient from CRRT
nmdcat.online BS Nursing
Jun 6, 2026

31. A patient with acute myocardial infarction develops sudden, severe chest pain radiating to the back, and new onset systolic murmur. What urgent complication is suspected?

A. Pericarditis
B. Aortic dissection or papillary muscle rupture with mitral regurgitation
C. Pneumonia
D. Deep vein thrombosis
nmdcat.online BS Nursing
Jun 6, 2026

30. A nurse is monitoring a patient’s pulmonary artery catheter. The nurse observes a sudden, sustained wedge pressure reading of 30 mmHg. What clinical condition does this indicate?

A. Hypovolemia
B. Severe left ventricular dysfunction and pulmonary edema
C. Right ventricular failure
D. Pulmonary embolism
nmdcat.online BS Nursing
Jun 6, 2026

29. A patient is admitted to the ICU with a diagnosis of DKA. Their blood glucose is 600 mg/dL, pH 7.10, and bicarbonate 10 mEq/L. What is the immediate nursing intervention?

A. Administer oral glucose
B. Administer intravenous insulin drip as ordered, along with fluid resuscitation
C. Administer oral bicarbonate
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026

28. A nurse is performing a rapid neurological assessment on a patient with suspected stroke. What is the most urgent assessment parameter to determine time of symptom onset?

A. Current blood pressure
B. Last known well time from patient or family
C. Patient's favorite food
D. Previous medical history
nmdcat.online BS Nursing
Jun 6, 2026

27. A patient with severe burns develops progressive hoarseness, stridor, and black sputum. What is the critical respiratory concern?

A. Bronchitis
B. Inhalation injury and impending airway obstruction
C. Allergic reaction
D. Pneumonia
nmdcat.online BS Nursing
Jun 6, 2026

26. A patient is receiving a continuous infusion of heparin for pulmonary embolism. Their aPTT is subtherapeutic. What is the medicinal adjustment the nurse anticipates?

A. Discontinue heparin
B. Increase the heparin infusion rate as per protocol/order
C. Decrease the heparin infusion rate
D. Administer protamine sulfate
nmdcat.online BS Nursing
Jun 6, 2026

25. A patient post-cardiac arrest has been resuscitated and is now hypotensive. What is the most urgent initial nursing intervention?

A. Administer epinephrine IV push
B. Administer IV fluid bolus, assess for underlying cause, and initiate vasopressor support if needed
C. Administer a diuretic
D. Initiate CPR
nmdcat.online BS Nursing
Jun 6, 2026

24. A patient in acute respiratory failure is being prepared for intubation. What clinical assessment indicates the most immediate need for intubation?

A. Patient is sleeping quietly
B. Rapidly worsening respiratory distress, declining oxygen saturation despite supplemental oxygen, and altered mental status
C. Mild cough
D. Stable vital signs
nmdcat.online BS Nursing
Jun 6, 2026

23. A nurse is preparing to administer an intravenous push medication through a central line. What is the critical technical step to prevent air embolism?

A. Flush the line with saline only after administration
B. Clamp the central line lumen before opening the cap or disconnecting syringes, and ensure no air is in the syringe
C. Push medication rapidly
D. Inject air into the line to ensure patency
nmdcat.online BS Nursing
Jun 6, 2026

22. A patient on mechanical ventilation is asynchronous with the ventilator, fighting the breath. What is the immediate action?

A. Increase the respiratory rate
B. Assess for pain, anxiety, secretion buildup, or inadequate sedation, and troubleshoot ventilator settings
C. Decrease the tidal volume
D. Disconnect the patient from the ventilator
nmdcat.online BS Nursing
Jun 6, 2026

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
Page 99 of 344
Jump to:

🏆 Top Contributors

  • N

    nmdcat.online

    6528 MCQs

  • N

    NMDCAT.ONLINE

    1 MCQ

  • G

    GULABsb

    1 MCQ

Categories

View all →