Practice Questions

192. A nurse is troubleshooting a continuous cardiac monitor showing frequent artifact. What is the technical troubleshooting step?

A. Ignore the artifact

B. Check lead placement, ensure good skin contact, clean skin, and replace electrodes ✓

C. Increase the volume

D. Turn off the monitor

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

191. A patient with severe acute pancreatitis has a sudden onset of increasing abdominal pain, distension, and signs of systemic inflammatory response (SIRS). What clinical complication is concerning?

A. Hypoglycemia

B. Pancreatic necrosis with potential for sepsis and organ failure ✓

C. Renal failure

D. Urinary tract infection

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

190. A patient post-cardiac arrest is intubated and sedated. The nurse observes sudden onset of bradycardia and hypotension. What medicinal concern is immediate if receiving a continuous infusion of dexmedetomidine?

A. Patient needs more sedation

B. Dexmedetomidine-induced bradycardia and hypotension, requiring physician notification and possible dose reduction ✓

C. Pain is not controlled

D. Allergic reaction

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

189. A patient is admitted to the ICU with status asthmaticus. The patient is exhibiting severe wheezing, use of accessory muscles, and decreased breath sounds. What is the urgent nursing intervention?

A. Administer oral corticosteroids

B. Administer bronchodilators (e.g., albuterol, ipratropium) via nebulizer, systemic corticosteroids, and oxygen ✓

C. Administer a diuretic

D. Encourage deep breathing exercises

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

188. A nurse is preparing to administer intravenous fluids to a patient in hypovolemic shock. What is the critical technical consideration for rapid fluid administration?

A. Use a small gauge IV catheter

B. Use a large bore (e.g., 18G or 16G) IV catheter or central line for rapid infusion ✓

C. Infuse slowly

D. Use a subcutaneous line

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

187. A patient with severe traumatic brain injury has an ICP of 20 mmHg. The nurse observes the patient is becoming increasingly agitated. What is the critical nursing action?

A. Increase environmental stimulation

B. Assess for pain, discomfort, or other causes of agitation, and administer analgesia/sedation as ordered to prevent further ICP elevation ✓

C. Apply physical restraints immediately

D. Administer a diuretic

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

186. 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 remains lethargic. 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

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

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

A. Patient is recovering

B. Persistent infection or inadequate antibiotic coverage, 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

184. A patient with acute kidney injury is receiving continuous renal replacement therapy (CRRT). The nurse observes the patient’s blood pressure is consistently stable. What medicinal consideration is critical for patient comfort?

A. Administer more diuretics

B. Titrate sedation and analgesia to ensure patient comfort and prevent anxiety/agitation ✓

C. Discontinue all pain medication

D. Administer more fluid

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

183. A patient with severe respiratory failure is on mechanical ventilation and has a plateau pressure of 30 cmH2O. What is the critical implication of this finding?

A. Patient is recovering

B. Risk of barotrauma and lung injury ✓

C. Low risk of lung injury

D. Patient is hyperventilating

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

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Practice Questions

192. A nurse is troubleshooting a continuous cardiac monitor showing frequent artifact. What is the technical troubleshooting step?

191. A patient with severe acute pancreatitis has a sudden onset of increasing abdominal pain, distension, and signs of systemic inflammatory response (SIRS). What clinical complication is concerning?

190. A patient post-cardiac arrest is intubated and sedated. The nurse observes sudden onset of bradycardia and hypotension. What medicinal concern is immediate if receiving a continuous infusion of dexmedetomidine?

189. A patient is admitted to the ICU with status asthmaticus. The patient is exhibiting severe wheezing, use of accessory muscles, and decreased breath sounds. What is the urgent nursing intervention?

188. A nurse is preparing to administer intravenous fluids to a patient in hypovolemic shock. What is the critical technical consideration for rapid fluid administration?

187. A patient with severe traumatic brain injury has an ICP of 20 mmHg. The nurse observes the patient is becoming increasingly agitated. What is the critical nursing action?

186. 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 remains lethargic. What medicinal adjustment is anticipated?

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

184. A patient with acute kidney injury is receiving continuous renal replacement therapy (CRRT). The nurse observes the patient’s blood pressure is consistently stable. What medicinal consideration is critical for patient comfort?

183. A patient with severe respiratory failure is on mechanical ventilation and has a plateau pressure of 30 cmH2O. What is the critical implication of this finding?

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