Practice Questions

130. A patient with severe heart failure is prescribed a continuous dobutamine infusion. The nurse observes new onset of supraventricular tachycardia (SVT). What medicinal concern is immediate?

A. Insufficient dobutamine dose

B. Dobutamine-induced arrhythmias, requiring physician notification and possible dose adjustment ✓

C. Hypokalemia

D. Hypoglycemia

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

129. A patient in the ICU develops sudden onset of right-sided weakness, slurred speech, and facial droop. What clinical emergency is suspected?

A. Seizure

B. Stroke ✓

C. Transient ischemic attack (TIA)

D. Migraine

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

128. A patient post-cardiac arrest is undergoing targeted temperature management (TTM). The nurse observes the patient’s temperature is rising above the target range. What is the urgent nursing intervention?

A. Remove cooling devices

B. Increase cooling interventions (e.g., adjust cooling blanket, administer cold IV fluids) ✓

C. Administer warming blankets

D. Administer antipyretics only

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

127. A nurse is caring for a patient with a central venous catheter (CVC) that has a triple lumen. What is the critical technical consideration for administering incompatible medications?

A. Administer through the same lumen sequentially

B. Administer incompatible medications through separate lumens to prevent precipitation or inactivation ✓

C. Administer through a peripheral IV only

D. Mix all medications together

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

126. A patient with severe sepsis has been unresponsive to fluid resuscitation and vasopressors. The nurse observes signs of disseminated intravascular coagulation (DIC), such as petechiae and bleeding from insertion sites. What clinical complication is the nurse assessing for?

A. Fluid overload

B. Widespread microvascular thrombosis and uncontrolled bleeding ✓

C. Hypoglycemia

D. Allergic reaction

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

125. A patient with a severe gastrointestinal hemorrhage is receiving a continuous infusion of proton pump inhibitor (PPI). What is the medicinal purpose of this infusion?

A. To increase stomach acid

B. To suppress gastric acid secretion and promote ulcer healing ✓

C. To stimulate appetite

D. To reduce nausea

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

124. A patient in acute heart failure has severe dyspnea and crackles bilaterally. The nurse is preparing to administer furosemide IV. What is the medicinal purpose of furosemide in this situation?

A. To increase blood pressure

B. To reduce fluid overload and pulmonary edema ✓

C. To increase heart rate

D. To sedate the patient

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

123. A patient with severe respiratory failure is on mechanical ventilation and receiving high levels of oxygen. The nurse observes new onset of confusion and somnolence. What critical respiratory concern is immediate?

A. Patient is agitated

B. CO2 narcosis in patients with chronic hypercapnia (e.g., COPD) due to excessive oxygen ✓

C. Hypoglycemia

D. Patient is anxious

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mintcream-chough-797767.hostingersite.com BS Nursing

Jun 6, 2026

122. 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

121. 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

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Practice Questions

130. A patient with severe heart failure is prescribed a continuous dobutamine infusion. The nurse observes new onset of supraventricular tachycardia (SVT). What medicinal concern is immediate?

129. A patient in the ICU develops sudden onset of right-sided weakness, slurred speech, and facial droop. What clinical emergency is suspected?

128. A patient post-cardiac arrest is undergoing targeted temperature management (TTM). The nurse observes the patient’s temperature is rising above the target range. What is the urgent nursing intervention?

127. A nurse is caring for a patient with a central venous catheter (CVC) that has a triple lumen. What is the critical technical consideration for administering incompatible medications?

126. A patient with severe sepsis has been unresponsive to fluid resuscitation and vasopressors. The nurse observes signs of disseminated intravascular coagulation (DIC), such as petechiae and bleeding from insertion sites. What clinical complication is the nurse assessing for?

125. A patient with a severe gastrointestinal hemorrhage is receiving a continuous infusion of proton pump inhibitor (PPI). What is the medicinal purpose of this infusion?

124. A patient in acute heart failure has severe dyspnea and crackles bilaterally. The nurse is preparing to administer furosemide IV. What is the medicinal purpose of furosemide in this situation?

123. A patient with severe respiratory failure is on mechanical ventilation and receiving high levels of oxygen. The nurse observes new onset of confusion and somnolence. What critical respiratory concern is immediate?

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

121. 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?

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