Practice Questions

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

72. A patient with acute kidney injury is receiving continuous furosemide infusion. The nurse observes urine output of 10 mL/hr despite the infusion. What clinical implication is immediate?

A. Patient is over-hydrated
B. Furosemide resistance or worsening kidney injury, requiring physician notification and alternative strategies
C. Patient is dehydrated
D. Patient needs more sodium
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

70. A patient on mechanical ventilation is prescribed a continuous infusion of fentanyl for pain management. The nurse observes the patient’s respiratory rate has decreased to 8 breaths/min. What medicinal concern is immediate?

A. Insufficient pain control
B. Opioid-induced respiratory depression, requiring physician notification and possible dose reduction or naloxone administration
C. Pain is well controlled
D. Patient is anxious
nmdcat.online BS Nursing
Jun 6, 2026
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