Practice Questions

151. A patient with severe sepsis is receiving continuous infusion of broad-spectrum antibiotics. The nurse observes the patient’s white blood cell count is decreasing but the patient’s lactate level is still elevated. What is the critical clinical implication?

A. Patient is recovering well

B. Persistent tissue hypoperfusion or ongoing infection, requiring further assessment ✓

C. Lactate is falsely elevated

D. Patient needs more fluid

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

149. A patient in critical care has a sudden onset of rapid, shallow breathing, and decreased breath sounds on one side. What clinical emergency is suspected?

A. Asthma exacerbation

B. Pneumothorax ✓

C. Myocardial infarction

D. Pulmonary embolism

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

148. A patient is receiving a continuous infusion of insulin for DKA. The nurse observes the patient’s blood glucose is rapidly decreasing, but the patient develops new onset of muscle weakness and ECG changes (flattened T waves). What medicinal concern is immediate?

A. Hyperglycemia

B. Hypokalemia, requiring immediate potassium replacement ✓

C. Hyperkalemia

D. Hypocalcemia

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

147. A patient with a severe traumatic brain injury has an ICP of 20 mmHg. The nurse observes new onset of decerebrate posturing. What clinical implication is urgent?

A. Patient is restless

B. Severe brainstem dysfunction and poor prognosis ✓

C. Patient is comfortable

D. Patient is recovering

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

146. A nurse is managing a patient with an intra-aortic balloon pump (IABP). The nurse observes the IABP balloon is augmenting too late on the arterial waveform. What is the technical implication of this timing error?

A. Decreased afterload reduction

B. Suboptimal diastolic augmentation and decreased coronary artery perfusion ✓

C. Increased preload

D. Increased heart rate

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

145. A patient with acute kidney injury is receiving continuous renal replacement therapy (CRRT). The nurse observes the patient is becoming hypotensive. What critical nursing action?

A. Increase the CRRT blood flow

B. Assess for hypovolemia or bleeding, decrease CRRT fluid removal rate, or administer fluids/blood products as ordered ✓

C. Stop CRRT without orders

D. Increase the CRRT fluid removal rate

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

144. A patient in septic shock is receiving broad-spectrum antibiotics. The nurse observes the patient’s WBC count is still elevated and trending upwards. What medicinal implication is critical?

A. Antibiotics are working

B. Inadequate antibiotic coverage or persistent source of infection, requiring further investigation ✓

C. WBC is falsely elevated

D. Patient needs more fluid

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

143. A patient with severe respiratory failure is on mechanical ventilation and is becoming increasingly hypoxemic despite increasing oxygen. What urgent intervention might be considered?

A. Administer more sedation

B. Optimize ventilator settings (e.g., increase PEEP, adjust I:E ratio), consider proning, or ECMO ✓

C. Disconnect from ventilator

D. Administer a diuretic

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

142. A nurse is caring for a patient with a central venous catheter (CVC). What is the critical technical consideration for preventing air embolism during CVC removal?

A. Remove rapidly

B. Place patient in Trendelenburg position, instruct to bear down (Valsalva), and apply occlusive dressing immediately after removal ✓

C. Remove without dressing

D. Remove while patient is coughing

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

141. A patient in the ICU develops sudden onset of severe abdominal pain, distension, and absent bowel sounds. What clinical emergency is suspected?

A. Appendicitis

B. Ileus or bowel obstruction/perforation ✓

C. Cholecystitis

D. Pancreatitis

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

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Practice Questions

151. A patient with severe sepsis is receiving continuous infusion of broad-spectrum antibiotics. The nurse observes the patient’s white blood cell count is decreasing but the patient’s lactate level is still elevated. What is the critical clinical implication?

149. A patient in critical care has a sudden onset of rapid, shallow breathing, and decreased breath sounds on one side. What clinical emergency is suspected?

148. A patient is receiving a continuous infusion of insulin for DKA. The nurse observes the patient’s blood glucose is rapidly decreasing, but the patient develops new onset of muscle weakness and ECG changes (flattened T waves). What medicinal concern is immediate?

147. A patient with a severe traumatic brain injury has an ICP of 20 mmHg. The nurse observes new onset of decerebrate posturing. What clinical implication is urgent?

146. A nurse is managing a patient with an intra-aortic balloon pump (IABP). The nurse observes the IABP balloon is augmenting too late on the arterial waveform. What is the technical implication of this timing error?

145. A patient with acute kidney injury is receiving continuous renal replacement therapy (CRRT). The nurse observes the patient is becoming hypotensive. What critical nursing action?

144. A patient in septic shock is receiving broad-spectrum antibiotics. The nurse observes the patient’s WBC count is still elevated and trending upwards. What medicinal implication is critical?

143. A patient with severe respiratory failure is on mechanical ventilation and is becoming increasingly hypoxemic despite increasing oxygen. What urgent intervention might be considered?

142. A nurse is caring for a patient with a central venous catheter (CVC). What is the critical technical consideration for preventing air embolism during CVC removal?

141. A patient in the ICU develops sudden onset of severe abdominal pain, distension, and absent bowel sounds. What clinical emergency is suspected?

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