NCCCO TELESCOPIC BOOM CRANE – FIXED
CAB (TSS) PRACTICE EXAM ACTUAL 250
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES
Here are 250 multiple-choice questions across various subjects, complete with
rationales, numbered sequentially from 1 to 250.
Nursing & Healthcare (1-20)
1. A patient with a history of angina reports chest pain that is unrelieved by rest
and sublingual nitroglycerin. What is the nurse's priority action?
a) Administer a second dose of nitroglycerin in 5 minutes
b) Apply oxygen via nasal cannula
c) Obtain a 12-lead electrocardiogram (ECG)
d) Notify the healthcare provider immediately
Answer: d) Notify the healthcare provider immediately
Rationale: Chest pain unrelieved by rest and nitroglycerin may indicate an acute
myocardial infarction (MI). This is a medical emergency, and the provider must be
notified immediately for further orders, as the patient may require more advanced
interventions.
2. A patient is prescribed Digoxin and Furosemide. Which lab value is most
important for the nurse to monitor?
a) Sodium level
b) Potassium level
,c) Calcium level
d) Magnesium level
Answer: b) Potassium level
Rationale: Furosemide is a loop diuretic that can cause hypokalemia. Low potassium
levels increase the risk of digoxin toxicity, which can lead to life-threatening cardiac
dysrhythmias.
3. A post-operative patient has a prescription for Morphine sulfate 4 mg IV push.
Before administering, the nurse assesses the patient's respiratory rate as 10
breaths/min. What should the nurse do?
a) Administer the Morphine as prescribed
b) Hold the medication and reassess in 30 minutes
c) Hold the medication and notify the healthcare provider
d) Administer half the dose (2 mg)
Answer: c) Hold the medication and notify the healthcare provider
Rationale: A respiratory rate of less than 12 breaths/min is a sign of respiratory
depression, a significant side effect of opioids. The nurse should hold the medication
and notify the provider. Administering the drug could further depress respirations.
4. A patient with a new tracheostomy is experiencing dyspnea and cyanosis. The
nurse's first action should be to:
a) Suction the tracheostomy
b) Call a code blue
c) Check the oxygen saturation
d) Remove the inner cannula
Answer: a) Suction the tracheostomy
Rationale: The most common cause of acute respiratory distress in a patient with a
new tracheostomy is a mucus plug. Suctioning is the immediate intervention to clear
the airway.
,5. The nurse is preparing to administer an enteral feeding through a nasogastric
(NG) tube. The best method to verify placement before feeding is:
a) Auscultating for an air bolus over the stomach
b) Measuring the pH of aspirated gastric fluid
c) Checking the tube's external marking
d) Obtaining a chest x-ray
Answer: d) Obtaining a chest x-ray
Rationale: While pH testing and auscultation are commonly used, an x-ray is the
gold standard for confirming NG tube placement. It provides definitive proof that
the tube is in the stomach and not the lungs.
6. A patient is receiving a blood transfusion and develops chills, back pain, and
hypotension. The nurse's priority action is to:
a) Slow the infusion rate
b) Administer an antihistamine
c) Stop the transfusion
d) Increase the infusion rate of normal saline
Answer: c) Stop the transfusion
Rationale: These symptoms indicate a possible acute hemolytic transfusion reaction.
The nurse must stop the transfusion immediately to prevent further complications,
maintain IV access with normal saline, and notify the provider.
7. A diabetic patient is found to have a blood glucose of 45 mg/dL and is alert
and oriented. Which action should the nurse take first?
a) Administer 50% dextrose IV push
b) Give the patient 4 oz of orange juice
c) Inject 1 mg of glucagon subcutaneously
d) Recheck the blood glucose in 15 minutes
, Answer: b) Give the patient 4 oz of orange juice
Rationale: For a conscious patient with hypoglycemia, the initial treatment is 15-20
grams of fast-acting oral carbohydrates (like orange juice). IV dextrose is used if
the patient is unconscious. Glucagon is a second-line treatment.
8. A patient on a heparin drip has an aPTT level of 98 seconds (normal: 25-35
seconds). The nurse should anticipate which action?
a) Increase the infusion rate
b) Decrease the infusion rate
c) Administer Vitamin K
d) Administer Protamine sulfate
Answer: b) Decrease the infusion rate
Rationale: The goal aPTT for a patient on heparin is 1.5 to 2.5 times the normal
value (approximately 60-80 seconds). An aPTT of 98 is above the therapeutic
range, indicating a high risk for bleeding. The infusion rate should be decreased.
Protamine sulfate is an antidote given in severe bleeding, and Vitamin K is for
warfarin.
9. A patient complains of a severe headache, neck stiffness, and photophobia.
What is the priority nursing intervention?
a) Administer analgesics
b) Dim the lights
c) Implement seizure precautions
d) Perform a neurological assessment
Answer: b) Dim the lights
Rationale: The symptoms suggest meningitis. Photophobia is a common symptom.
While assessment is important, providing comfort by dimming the lights is an
immediate action to reduce pain. The provider should be notified. A lumbar
puncture is the diagnostic test but is not a nursing intervention.
CAB (TSS) PRACTICE EXAM ACTUAL 250
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES
Here are 250 multiple-choice questions across various subjects, complete with
rationales, numbered sequentially from 1 to 250.
Nursing & Healthcare (1-20)
1. A patient with a history of angina reports chest pain that is unrelieved by rest
and sublingual nitroglycerin. What is the nurse's priority action?
a) Administer a second dose of nitroglycerin in 5 minutes
b) Apply oxygen via nasal cannula
c) Obtain a 12-lead electrocardiogram (ECG)
d) Notify the healthcare provider immediately
Answer: d) Notify the healthcare provider immediately
Rationale: Chest pain unrelieved by rest and nitroglycerin may indicate an acute
myocardial infarction (MI). This is a medical emergency, and the provider must be
notified immediately for further orders, as the patient may require more advanced
interventions.
2. A patient is prescribed Digoxin and Furosemide. Which lab value is most
important for the nurse to monitor?
a) Sodium level
b) Potassium level
,c) Calcium level
d) Magnesium level
Answer: b) Potassium level
Rationale: Furosemide is a loop diuretic that can cause hypokalemia. Low potassium
levels increase the risk of digoxin toxicity, which can lead to life-threatening cardiac
dysrhythmias.
3. A post-operative patient has a prescription for Morphine sulfate 4 mg IV push.
Before administering, the nurse assesses the patient's respiratory rate as 10
breaths/min. What should the nurse do?
a) Administer the Morphine as prescribed
b) Hold the medication and reassess in 30 minutes
c) Hold the medication and notify the healthcare provider
d) Administer half the dose (2 mg)
Answer: c) Hold the medication and notify the healthcare provider
Rationale: A respiratory rate of less than 12 breaths/min is a sign of respiratory
depression, a significant side effect of opioids. The nurse should hold the medication
and notify the provider. Administering the drug could further depress respirations.
4. A patient with a new tracheostomy is experiencing dyspnea and cyanosis. The
nurse's first action should be to:
a) Suction the tracheostomy
b) Call a code blue
c) Check the oxygen saturation
d) Remove the inner cannula
Answer: a) Suction the tracheostomy
Rationale: The most common cause of acute respiratory distress in a patient with a
new tracheostomy is a mucus plug. Suctioning is the immediate intervention to clear
the airway.
,5. The nurse is preparing to administer an enteral feeding through a nasogastric
(NG) tube. The best method to verify placement before feeding is:
a) Auscultating for an air bolus over the stomach
b) Measuring the pH of aspirated gastric fluid
c) Checking the tube's external marking
d) Obtaining a chest x-ray
Answer: d) Obtaining a chest x-ray
Rationale: While pH testing and auscultation are commonly used, an x-ray is the
gold standard for confirming NG tube placement. It provides definitive proof that
the tube is in the stomach and not the lungs.
6. A patient is receiving a blood transfusion and develops chills, back pain, and
hypotension. The nurse's priority action is to:
a) Slow the infusion rate
b) Administer an antihistamine
c) Stop the transfusion
d) Increase the infusion rate of normal saline
Answer: c) Stop the transfusion
Rationale: These symptoms indicate a possible acute hemolytic transfusion reaction.
The nurse must stop the transfusion immediately to prevent further complications,
maintain IV access with normal saline, and notify the provider.
7. A diabetic patient is found to have a blood glucose of 45 mg/dL and is alert
and oriented. Which action should the nurse take first?
a) Administer 50% dextrose IV push
b) Give the patient 4 oz of orange juice
c) Inject 1 mg of glucagon subcutaneously
d) Recheck the blood glucose in 15 minutes
, Answer: b) Give the patient 4 oz of orange juice
Rationale: For a conscious patient with hypoglycemia, the initial treatment is 15-20
grams of fast-acting oral carbohydrates (like orange juice). IV dextrose is used if
the patient is unconscious. Glucagon is a second-line treatment.
8. A patient on a heparin drip has an aPTT level of 98 seconds (normal: 25-35
seconds). The nurse should anticipate which action?
a) Increase the infusion rate
b) Decrease the infusion rate
c) Administer Vitamin K
d) Administer Protamine sulfate
Answer: b) Decrease the infusion rate
Rationale: The goal aPTT for a patient on heparin is 1.5 to 2.5 times the normal
value (approximately 60-80 seconds). An aPTT of 98 is above the therapeutic
range, indicating a high risk for bleeding. The infusion rate should be decreased.
Protamine sulfate is an antidote given in severe bleeding, and Vitamin K is for
warfarin.
9. A patient complains of a severe headache, neck stiffness, and photophobia.
What is the priority nursing intervention?
a) Administer analgesics
b) Dim the lights
c) Implement seizure precautions
d) Perform a neurological assessment
Answer: b) Dim the lights
Rationale: The symptoms suggest meningitis. Photophobia is a common symptom.
While assessment is important, providing comfort by dimming the lights is an
immediate action to reduce pain. The provider should be notified. A lumbar
puncture is the diagnostic test but is not a nursing intervention.
