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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:
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:
