Practice questions › Nursing › Nursing Professional Review: Clinical Practice and Care
Medical-Surgical Nursing MCQs
Nursing Professional Review: Clinical Practice and Care · Nursing · 26 practice questions
- Cardiopulmonary Disorders
- Electrolyte Imbalances
- DKA vs HHS
- ABG Interpretation
- Myocardial Infarction Management
- Stroke Management
- Burn Management - Parkland Formula
- Electrolyte Imbalances - Hyperkalemia
1. An elderly patient with type 2 diabetes is brought in severely dehydrated and confused, with a blood glucose of 850 mg/dL. Urine and serum ketones are minimal. Which condition does this presentation best represent?
- ALactic acidosis
- BRespiratory alkalosis
- CDiabetic ketoacidosis
- DHyperosmolar hyperglycemic state
Show answer
D. Hyperosmolar hyperglycemic state HHS is characterized by glucose above 600 mg/dL, severe dehydration, and minimal ketosis, in contrast to DKA which typically presents with significant ketosis at lower glucose levels.
2. A patient with a traumatic brain injury develops hypertension with a widened pulse pressure, bradycardia, and irregular respirations. This triad most strongly suggests which underlying process?
- ARaised intracranial pressure
- BDiabetic ketoacidosis
- CHypovolemic shock
- DAcute myocardial infarction
Show answer
A. Raised intracranial pressure Cushing's triad—hypertension with widened pulse pressure, bradycardia, and irregular respirations—is a classic sign of raised intracranial pressure.
3. A 70 kg patient sustains burns covering 40% of total body surface area. Using the Parkland formula, what is the total volume of fluid to be administered in the first 24 hours, and how should it be distributed?
- A5600 mL total, given evenly over 24 hours
- B11200 mL total, with half given in the last 16 hours
- C11200 mL total, with half given in the first 8 hours
- D5600 mL total, with half given in the first 8 hours
Show answer
C. 11200 mL total, with half given in the first 8 hours Parkland formula: 4 mL x 70 kg x 40% TBSA = 11200 mL over 24 hours, with half (5600 mL) given in the first 8 hours from the time of the burn.
Practise all 26 questions free
Every answer is marked the moment you tap it, with the reason. Your weak topics come back until you get them right.
Start free, no card needed