Practice Questions

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

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
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