TEST BANK NGN HESI RN CRITICAL CARE – PRACTICE CASE SET (ORIGINAL).pdf

🩺
TEST BANK




NGN HESI RN CRITICAL CARE – PRACTICE
CASE SET (ORIGINAL)

🧠 CASE 1: SEPTIC SHOCK (Prioritization)
A 68-year-old patient is admitted with fever, confusion, BP 82/50, HR 128, RR 30.

1. What is the priority action?

A. Give antipyretic​
B. Start IV fluids​
C. Obtain urine sample​
D. Place on diet restriction​
Answer: B​
Rationale: Septic shock → immediate fluid resuscitation (circulation priority).

2. Which finding shows worsening shock?

A. Warm skin​
B. Increased urine output​
C. Decreasing BP​

,D. Normal mental status​
Answer: C




3. Expected lab finding in sepsis:

A. Low lactate​
B. High lactate​
C. High calcium​
D. Low WBC always​
Answer: B




🫁 CASE 2: ACUTE RESPIRATORY FAILURE
Patient with COPD becomes drowsy, O2 sat 84%, ABG shows CO₂ retention.

4. Priority action:

A. Increase oxygen to 100%​
B. Apply BiPAP​
C. Encourage fluids​
D. Give sedatives​
Answer: B




5. Why avoid high oxygen in COPD?

A. Causes hypoglycemia​
B. Can reduce respiratory drive​
C. Causes fever​
D. Increases BP​
Answer: B




6. Early sign of CO₂ retention:

A. Bradycardia​
B. Confusion​
C. Rash​

, D. Hypotension​
Answer: B




❤️ CASE 3: ACUTE MYOCARDIAL INFARCTION
Chest pain radiating to left arm, sweating, nausea.

7. First action:

A. Give aspirin​
B. Obtain ECG​
C. Start IV fluids​
D. Ask family history​
Answer: B




8. Priority medication:

A. Morphine​
B. Aspirin​
C. Antibiotics​
D. Insulin​
Answer: B




9. Cardiac marker elevated:

A. Creatinine​
B. Troponin​
C. Sodium​
D. Potassium​
Answer: B




🧠 CASE 4: STROKE (NEURO EMERGENCY)
Sudden facial droop, slurred speech, arm weakness.

10. First diagnostic test: