Practice Questions

182. A nurse is troubleshooting a central venous catheter (CVC) that is not flushing easily. What is the technical troubleshooting step?

A. Force the flush

B. Reposition the patient, instruct to cough, and assess for kinks or clot in the line; do not force flush ✓

C. Inject air into the line

D. Administer a strong flush

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

181. A patient in the ICU develops sudden onset of generalized muscle twitching, seizures, and a low calcium level. What clinical complication is suspected?

A. Hyperkalemia

B. Hypocalcemia ✓

C. Hypernatremia

D. Hypoglycemia

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

180. A patient with acute myocardial infarction is prescribed morphine IV. What is the medicinal purpose of morphine in this situation?

A. To increase heart rate

B. To relieve pain and reduce myocardial oxygen demand ✓

C. To dissolve clots

D. To increase blood pressure

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

179. A patient in cardiogenic shock is prescribed dobutamine infusion. The nurse observes the patient’s heart rate has increased significantly and they are complaining of chest pain. What medicinal concern is immediate?

A. Insufficient dobutamine dose

B. Dobutamine-induced tachycardia and increased myocardial oxygen demand, requiring physician notification and possible dose reduction ✓

C. Bradycardia

D. Hypoglycemia

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

178. A patient is admitted to the ICU with severe diabetic ketoacidosis (DKA). The patient is unresponsive and severely dehydrated. What is the most urgent initial nursing intervention?

A. Administer insulin only

B. Administer aggressive intravenous fluid resuscitation with normal saline ✓

C. Administer oral glucose

D. Administer a diuretic

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

177. A nurse is managing a patient with an arterial line for continuous blood pressure monitoring. The nurse observes significant bleeding from the arterial line insertion site. What is the immediate nursing action?

A. Apply a warm compress

B. Apply direct pressure to the site, notify physician, and assess for hematoma formation ✓

C. Remove the arterial line without pressure

D. Administer a diuretic

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

176. A patient with acute liver failure develops increasing jaundice, prolonged bleeding times, and altered mental status. What clinical complication is the nurse assessing for?

A. Hypoglycemia

B. Hepatic encephalopathy and coagulopathy ✓

C. Renal failure

D. Sepsis

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

175. A patient with severe respiratory failure is on mechanical ventilation and is very restless, trying to pull out their tubes. What is the critical nursing action?

A. Immediately apply restraints

B. Assess for underlying causes (e.g., pain, hypoxemia, delirium), and administer appropriate sedation/analgesia as ordered ✓

C. Leave patient unattended

D. Increase the ventilator settings

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

174. A patient with acute myocardial infarction is prescribed nitroglycerin sublingually. The nurse observes the patient’s blood pressure drops rapidly to 80/50 mmHg. What medicinal concern is immediate?

A. Nitroglycerin is not working

B. Nitroglycerin-induced hypotension, requiring patient to lie down, fluid bolus if ordered, and physician notification ✓

C. Hypertension

D. Headache is normal

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

173. A patient in septic shock is receiving aggressive fluid resuscitation and vasopressors. The nurse observes the patient’s urine output has dropped to 5 mL/hr. What is the critical clinical implication?

A. Patient is well hydrated

B. Worsening acute kidney injury or inadequate renal perfusion ✓

C. Patient is over-hydrated

D. Patient needs more fluids

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

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Practice Questions

182. A nurse is troubleshooting a central venous catheter (CVC) that is not flushing easily. What is the technical troubleshooting step?

181. A patient in the ICU develops sudden onset of generalized muscle twitching, seizures, and a low calcium level. What clinical complication is suspected?

180. A patient with acute myocardial infarction is prescribed morphine IV. What is the medicinal purpose of morphine in this situation?

179. A patient in cardiogenic shock is prescribed dobutamine infusion. The nurse observes the patient’s heart rate has increased significantly and they are complaining of chest pain. What medicinal concern is immediate?

178. A patient is admitted to the ICU with severe diabetic ketoacidosis (DKA). The patient is unresponsive and severely dehydrated. What is the most urgent initial nursing intervention?

177. A nurse is managing a patient with an arterial line for continuous blood pressure monitoring. The nurse observes significant bleeding from the arterial line insertion site. What is the immediate nursing action?

176. A patient with acute liver failure develops increasing jaundice, prolonged bleeding times, and altered mental status. What clinical complication is the nurse assessing for?

175. A patient with severe respiratory failure is on mechanical ventilation and is very restless, trying to pull out their tubes. What is the critical nursing action?

174. A patient with acute myocardial infarction is prescribed nitroglycerin sublingually. The nurse observes the patient’s blood pressure drops rapidly to 80/50 mmHg. What medicinal concern is immediate?

173. A patient in septic shock is receiving aggressive fluid resuscitation and vasopressors. The nurse observes the patient’s urine output has dropped to 5 mL/hr. What is the critical clinical implication?

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