Practice Questions

139. A patient with a severe gastrointestinal hemorrhage is actively bleeding and hypotensive. 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 endoscopy
C. Administer a diuretic
D. Offer a light meal
nmdcat.online BS Nursing
Jun 6, 2026

138. A patient is receiving a continuous infusion of insulin for DKA. The nurse observes the patient’s blood glucose is 80 mg/dL, but acidosis persists. What medicinal adjustment is anticipated?

A. Stop insulin drip
B. Continue insulin drip at a lower rate, and add dextrose to IV fluids to allow continued acidosis resolution
C. Increase insulin drip rate
D. Administer oral glucose
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

136. A nurse is preparing to transfer a critically ill patient from the ICU to another unit. What is the critical technical consideration for safe patient transfer?

A. Disconnect all lines
B. Ensure all critical infusions and equipment are securely transported, and communicate patient status/needs to receiving unit
C. Transfer without monitoring
D. Transfer without communication
nmdcat.online BS Nursing
Jun 6, 2026

135. A patient with severe burns develops progressive hypotension, tachycardia, and decreased urine output. What urgent intervention is needed?

A. Administer a diuretic
B. Aggressive fluid resuscitation with crystalloids and colloids
C. Administer antibiotics
D. Administer a vasoconstrictor
nmdcat.online BS Nursing
Jun 6, 2026

134. A patient with acute kidney injury is receiving continuous renal replacement therapy (CRRT). The nurse observes the patient’s serum sodium is rising rapidly. What medicinal adjustment might be made?

A. Increase sodium in replacement fluid
B. Adjust the sodium concentration in the CRRT replacement fluid to prevent hypernatremia
C. Decrease sodium in replacement fluid
D. Administer more fluid
nmdcat.online BS Nursing
Jun 6, 2026

133. A patient in septic shock is receiving continuous infusion of norepinephrine. The nurse observes increasing heart rate and arrhythmias. What clinical complication is potentially developing?

A. Fluid overload
B. Myocardial dysfunction or ischemia due to high vasopressor doses
C. Hypoglycemia
D. Hyperthermia
nmdcat.online BS Nursing
Jun 6, 2026

132. A nurse is performing a rapid neurological assessment on a patient with altered mental status. What is the critical component of the GCS assessment?

A. Patient's weight
B. Eye opening, verbal response, and motor response
C. Patient's favorite food
D. Patient's hobbies
nmdcat.online BS Nursing
Jun 6, 2026

131. A patient with a severe traumatic brain injury has an ICP of 20 mmHg. The nurse observes the patient has a decreased level of consciousness. What is the critical nursing action?

A. Increase environmental stimulation
B. Assess for neurological deterioration, notify physician, and prepare for interventions to lower ICP
C. Administer a sedative without assessment
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026
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