Practice Questions

162. A nurse is managing a patient with continuous renal replacement therapy (CRRT). The nurse observes the patient’s fluid removal rate is too high, leading to hypotension. What is the critical technical adjustment?

A. Increase the fluid removal rate

B. Decrease the fluid removal rate or administer fluid boluses ✓

C. Increase the blood flow rate

D. Disconnect from CRRT

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

161. A patient in the ICU develops sudden onset of abdominal pain, distension, and bloody stools. What clinical emergency is suspected?

A. Appendicitis

B. Ischemic bowel or gastrointestinal bleed ✓

C. Cholecystitis

D. Pancreatitis

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

160. A patient with acute myocardial infarction is prescribed a beta-blocker (e.g., metoprolol). The nurse observes the patient’s heart rate is 45 bpm and blood pressure is 80/50 mmHg. What medicinal concern is immediate?

A. Patient needs more beta-blocker

B. Beta-blocker induced bradycardia and hypotension, requiring physician notification and possible hold/reduction of dose ✓

C. Patient is anxious

D. Patient needs more fluids

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

159. A patient is admitted to the ICU with acute liver failure. The nurse observes the patient has a prolonged PT/INR and active bleeding. What urgent intervention is needed?

A. Administer antiplatelets

B. Administer fresh frozen plasma (FFP) or Vitamin K as ordered ✓

C. Administer a diuretic

D. Administer albumin

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

158. A nurse is troubleshooting an infusion pump alarm “air in line.” What is the technical troubleshooting step?

A. Ignore the alarm

B. Prime the tubing to remove air bubbles, and ensure all connections are secure ✓

C. Increase the infusion rate

D. Decrease the infusion rate

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

157. A patient with a severe traumatic brain injury is unresponsive. The nurse observes increasing heart rate and temperature. What clinical complication is concerning?

A. Hypothermia

B. Central fever (neurogenic fever) or infection ✓

C. Hypoglycemia

D. Hypertension

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

156. A patient is receiving a continuous infusion of norepinephrine for septic shock. The nurse observes new onset of severe tachycardia. What medicinal concern is immediate?

A. Insufficient norepinephrine dose

B. Norepinephrine-induced tachycardia, requiring physician notification and possible dose reduction ✓

C. Bradycardia

D. Sedation

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

155. A patient with severe burns is exhibiting signs of hypovolemic shock. What is the critical type of IV fluid that should be rapidly administered?

A. Dextrose 5% in water

B. Isotonic crystalloids (e.g., Lactated Ringer's, Normal Saline) ✓

C. Hypertonic saline

D. Hypotonic saline

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

153. A patient with acute kidney injury is anuric and developing signs of hyperkalemia. What urgent intervention might be initiated?

A. Administer potassium chloride

B. Administration of calcium gluconate, insulin/dextrose, or sodium polystyrene sulfonate (Kayexalate) as ordered ✓

C. Administer a diuretic

D. Administer an antibiotic

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

152. A nurse is calibrating a transducer for hemodynamic monitoring. What is the technical purpose of zeroing the transducer?

A. To increase the readings

B. To eliminate the effect of atmospheric pressure on the measurements and ensure accuracy ✓

C. To decrease the readings

D. To make the waveform flat

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

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Practice Questions

162. A nurse is managing a patient with continuous renal replacement therapy (CRRT). The nurse observes the patient’s fluid removal rate is too high, leading to hypotension. What is the critical technical adjustment?

161. A patient in the ICU develops sudden onset of abdominal pain, distension, and bloody stools. What clinical emergency is suspected?

160. A patient with acute myocardial infarction is prescribed a beta-blocker (e.g., metoprolol). The nurse observes the patient’s heart rate is 45 bpm and blood pressure is 80/50 mmHg. What medicinal concern is immediate?

159. A patient is admitted to the ICU with acute liver failure. The nurse observes the patient has a prolonged PT/INR and active bleeding. What urgent intervention is needed?

158. A nurse is troubleshooting an infusion pump alarm “air in line.” What is the technical troubleshooting step?

157. A patient with a severe traumatic brain injury is unresponsive. The nurse observes increasing heart rate and temperature. What clinical complication is concerning?

156. A patient is receiving a continuous infusion of norepinephrine for septic shock. The nurse observes new onset of severe tachycardia. What medicinal concern is immediate?

155. A patient with severe burns is exhibiting signs of hypovolemic shock. What is the critical type of IV fluid that should be rapidly administered?

153. A patient with acute kidney injury is anuric and developing signs of hyperkalemia. What urgent intervention might be initiated?

152. A nurse is calibrating a transducer for hemodynamic monitoring. What is the technical purpose of zeroing the transducer?

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