Practice Questions

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
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