NURS 4526 EXAM SCRIPT 2025/2026 QUESTIONS WITH
ANSWERS RATED A+
✔✔What drug is used to lower preload and afterload? - ✔✔Nitroglycerin.
✔✔What is the role of vasopressin in shock? - ✔✔Vasoconstriction to raise BP.
✔✔What is the purpose of central line placement? - ✔✔Administer vasopressors,
measure CVP.
✔✔What electrolyte must be replaced before correcting magnesium? - ✔✔Potassium.
✔✔What is the Glasgow Coma Scale motor score for obeying commands? - ✔✔6.
✔✔What is a sign of increased work of breathing? - ✔✔Use of accessory muscles.
✔✔What condition is treated with dantrolene? - ✔✔Malignant hyperthermia.
✔✔What are the signs of malignant hyperthermia? - ✔✔Hypercapnia, muscle rigidity,
hyperthermia.
✔✔What is the dose of dantrolene? - ✔✔2.5 mg/kg IV, repeat as needed.
✔✔What does PEWS stand for? - ✔✔Pediatric Early Warning Score.
✔✔What is the initial management of febrile seizures? - ✔✔Supportive care,
antipyretics.
✔✔What are red flag signs in paediatrics? - ✔✔Poor feeding, lethargy, inconsolable
crying.
✔✔What is the RR range for adults? - ✔✔12-20 breaths/min.
✔✔What is normal systolic BP for a 6-year-old? - ✔✔80 + (2 × age in years).
✔✔What is the first step in a deteriorating paediatric patient? - ✔✔Use ABCDE
approach.
✔✔What is one sign of distributive shock? - ✔✔Warm, flushed skin.
✔✔What is a key nursing action during synchronized cardioversion? - ✔✔Ensure
sedation if conscious.
, ✔✔What is the minimum urine output for adequate perfusion in adults? - ✔✔0.5
mL/kg/hr.
✔✔What is the minimum urine output for adequate perfusion in children? - ✔✔1
mL/kg/hr.
✔✔What are signs of perfusion in a shock patient? - ✔✔Cap refill, skin temp, mental
status.
✔✔What rhythm is atropine used for? - ✔✔Bradycardia.
✔✔What is the dose of atropine? - ✔✔0.5 mg IV every 3-5 minutes, max 3 mg.
✔✔What are signs of tension pneumothorax? - ✔✔Tracheal deviation, absent breath
sounds, hypotension.
✔✔What is the treatment for tension pneumothorax? - ✔✔Needle decompression.
✔✔What is Beck's triad for cardiac tamponade? - ✔✔JVD, hypotension, muffled heart
sounds.
✔✔What is the definition of MODS? - ✔✔Multiple organ dysfunction syndrome.
✔✔What is the criteria for SIRS in paediatrics? - ✔✔Abnormal temp, WBCs, HR, RR.
✔✔What score predicts severity in DKA? - ✔✔pH and serum bicarb.
✔✔What is the role of insulin in DKA treatment? - ✔✔Reduce glucose and stop ketone
production.
✔✔What is the complication of correcting glucose too fast? - ✔✔Cerebral edema.
✔✔What is a major nursing priority during DKA insulin therapy? - ✔✔Monitor glucose
and potassium hourly.
✔✔What is one reason to stop insulin in DKA? - ✔✔Severe hypokalemia.
✔✔What are signs of compensated shock? - ✔✔Tachycardia, normal BP, delayed cap
refill.
✔✔What condition requires avoiding over-oxygenation? - ✔✔Neonatal resuscitation.
✔✔What is the target SpO2 for neonates in first 10 minutes? - ✔✔65-95% depending
on minute of life.
ANSWERS RATED A+
✔✔What drug is used to lower preload and afterload? - ✔✔Nitroglycerin.
✔✔What is the role of vasopressin in shock? - ✔✔Vasoconstriction to raise BP.
✔✔What is the purpose of central line placement? - ✔✔Administer vasopressors,
measure CVP.
✔✔What electrolyte must be replaced before correcting magnesium? - ✔✔Potassium.
✔✔What is the Glasgow Coma Scale motor score for obeying commands? - ✔✔6.
✔✔What is a sign of increased work of breathing? - ✔✔Use of accessory muscles.
✔✔What condition is treated with dantrolene? - ✔✔Malignant hyperthermia.
✔✔What are the signs of malignant hyperthermia? - ✔✔Hypercapnia, muscle rigidity,
hyperthermia.
✔✔What is the dose of dantrolene? - ✔✔2.5 mg/kg IV, repeat as needed.
✔✔What does PEWS stand for? - ✔✔Pediatric Early Warning Score.
✔✔What is the initial management of febrile seizures? - ✔✔Supportive care,
antipyretics.
✔✔What are red flag signs in paediatrics? - ✔✔Poor feeding, lethargy, inconsolable
crying.
✔✔What is the RR range for adults? - ✔✔12-20 breaths/min.
✔✔What is normal systolic BP for a 6-year-old? - ✔✔80 + (2 × age in years).
✔✔What is the first step in a deteriorating paediatric patient? - ✔✔Use ABCDE
approach.
✔✔What is one sign of distributive shock? - ✔✔Warm, flushed skin.
✔✔What is a key nursing action during synchronized cardioversion? - ✔✔Ensure
sedation if conscious.
, ✔✔What is the minimum urine output for adequate perfusion in adults? - ✔✔0.5
mL/kg/hr.
✔✔What is the minimum urine output for adequate perfusion in children? - ✔✔1
mL/kg/hr.
✔✔What are signs of perfusion in a shock patient? - ✔✔Cap refill, skin temp, mental
status.
✔✔What rhythm is atropine used for? - ✔✔Bradycardia.
✔✔What is the dose of atropine? - ✔✔0.5 mg IV every 3-5 minutes, max 3 mg.
✔✔What are signs of tension pneumothorax? - ✔✔Tracheal deviation, absent breath
sounds, hypotension.
✔✔What is the treatment for tension pneumothorax? - ✔✔Needle decompression.
✔✔What is Beck's triad for cardiac tamponade? - ✔✔JVD, hypotension, muffled heart
sounds.
✔✔What is the definition of MODS? - ✔✔Multiple organ dysfunction syndrome.
✔✔What is the criteria for SIRS in paediatrics? - ✔✔Abnormal temp, WBCs, HR, RR.
✔✔What score predicts severity in DKA? - ✔✔pH and serum bicarb.
✔✔What is the role of insulin in DKA treatment? - ✔✔Reduce glucose and stop ketone
production.
✔✔What is the complication of correcting glucose too fast? - ✔✔Cerebral edema.
✔✔What is a major nursing priority during DKA insulin therapy? - ✔✔Monitor glucose
and potassium hourly.
✔✔What is one reason to stop insulin in DKA? - ✔✔Severe hypokalemia.
✔✔What are signs of compensated shock? - ✔✔Tachycardia, normal BP, delayed cap
refill.
✔✔What condition requires avoiding over-oxygenation? - ✔✔Neonatal resuscitation.
✔✔What is the target SpO2 for neonates in first 10 minutes? - ✔✔65-95% depending
on minute of life.
