Practice Questions

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
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