Practice Questions

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

13. A patient with a central venous catheter (CVC) develops sudden fever, chills, and redness at the insertion site. What is the critical nursing action?

A. Apply a warm compress to the site
B. Suspect central line-associated bloodstream infection (CLABSI), obtain blood cultures, and notify the physician
C. Administer a diuretic
D. Remove the CVC without orders
nmdcat.online BS Nursing
Jun 6, 2026

12. A patient on a continuous norepinephrine infusion for septic shock has developed mottled extremities and a faint radial pulse. What clinical complication is the nurse assessing for?

A. Fluid overload
B. Vasopressor-induced peripheral vasoconstriction and ischemia
C. Hypoglycemia
D. Hyperthermia
nmdcat.online BS Nursing
Jun 6, 2026

11. A patient with acute kidney injury (AKI) has a potassium level of 6.8 mEq/L. What is the most urgent medicinal intervention to prevent life-threatening arrhythmias?

A. Administer sodium bicarbonate
B. Administer IV calcium gluconate/chloride as ordered (to stabilize myocardium), insulin/dextrose, or furosemide
C. Administer potassium chloride
D. Administer a potassium-sparing diuretic
nmdcat.online BS Nursing
Jun 6, 2026

10. A nurse is caring for a patient with increased intracranial pressure (ICP). The patient’s Glasgow Coma Scale (GCS) score has decreased from 10 to 7. What is the immediate nursing action?

A. Elevate the head of the bed to 10 degrees
B. Notify the physician immediately and prepare for interventions to lower ICP (e.g., hyperventilation, mannitol)
C. Administer a sedative
D. Increase fluid intake
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

8. A nurse is preparing to administer propofol to a mechanically ventilated patient. What is the critical nursing implication related to this medication?

A. It causes hyperglycemia
B. It can cause significant hypotension and respiratory depression, requiring continuous hemodynamic monitoring and airway support
C. It is an analgesic
D. It is an anticoagulant
nmdcat.online BS Nursing
Jun 6, 2026
Page 172 of 637
Jump to:

🏆 Top Contributors

  • N

    nmdcat.online

    6361 MCQs

  • N

    NMDCAT.ONLINE

    1 MCQ

  • G

    GULABsb

    1 MCQ

Categories

View all →