Practice Questions

89. A patient with severe sepsis is receiving broad-spectrum antibiotics and is hypotensive despite fluid resuscitation. What urgent intervention might be initiated?

A. Administer a diuretic
B. Initiation of vasopressor support (e.g., norepinephrine) to maintain adequate MAP
C. Discontinuation of antibiotics
D. Administer oral fluids
nmdcat.online BS Nursing
Jun 6, 2026

88. A nurse is caring for a patient on mechanical ventilation. The patient’s peak inspiratory pressure (PIP) is consistently high. What is the critical initial nursing assessment?

A. Check the patient's temperature
B. Assess for patient-ventilator asynchrony, airway obstruction (e.g., secretions, bronchospasm), or kinks in tubing
C. Check the patient's blood pressure
D. Document the PIP
nmdcat.online BS Nursing
Jun 6, 2026

87. A patient with severe burns is exhibiting signs of circulatory collapse (hypotension, tachycardia, decreased urine output). What is the critical type of shock suspected?

A. Cardiogenic shock
B. Hypovolemic shock (due to fluid shifts and capillary leak)
C. Septic shock
D. Anaphylactic shock
nmdcat.online BS Nursing
Jun 6, 2026

86. A patient is receiving a continuous infusion of propofol for sedation. The nurse observes a new onset of hypertriglyceridemia and metabolic acidosis. What medicinal complication is urgent?

A. Propofol is not working
B. Propofol Infusion Syndrome (PRIS), requiring immediate discontinuation of propofol and supportive care
C. Hypoglycemia
D. Allergic reaction
nmdcat.online BS Nursing
Jun 6, 2026

85. A patient with a new onset stroke is admitted to the ICU. The nurse observes unilateral weakness and facial droop. What is the immediate nursing action?

A. Administer aspirin immediately
B. Perform rapid neurological assessment (NIHSS), determine last known well time, and prepare for CT scan of the brain
C. Administer oral fluids
D. Elevate head of bed to 90 degrees
nmdcat.online BS Nursing
Jun 6, 2026

84. A patient in cardiogenic shock is prescribed milrinone infusion. What is the primary therapeutic effect of milrinone in this situation?

A. Increase systemic vascular resistance
B. Increase myocardial contractility and cause vasodilation
C. Decrease heart rate
D. Decrease cardiac output
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

82. A nurse is managing a patient with an arterial line for continuous blood pressure monitoring. The nurse observes dampening of the arterial waveform. What is the technical troubleshooting step?

A. Increase the flush bag pressure
B. Check for air bubbles, kinks, or clot in the line, and flush the system
C. Decrease the flush bag pressure
D. Re-zero the transducer
nmdcat.online BS Nursing
Jun 6, 2026

80. A patient with severe traumatic brain injury has an ICP of 28 mmHg. The physician orders a bolus of mannitol. What is the critical nursing action after administering mannitol?

A. Administer more fluids
B. Monitor serum osmolality and electrolytes, and assess for fluid balance and urine output
C. Limit urine output
D. Administer a diuretic
nmdcat.online BS Nursing
Jun 6, 2026
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