Free CSC Practice Test Questions

A 48-year-old female patient with a history of peptic ulcer disease is recovering from a recent pericardial window procedure. She begins to experience epigastric pain and melena. Which of the following interventions should the nurse anticipate to address the most likely complication?

A 72-year-old female is 48 hours postoperative from a mitral valve replacement. She suddenly becomes disoriented and exhibits altered level of consciousness. Neurological examination reveals intact motor function, no focal deficits, and normal cranial nerve function. Which of the following interventions is most appropriate to address this patient's condition?

A 66-year-old male patient is in the ICU 24 hours following open heart surgery. The nurse observes that the patient is experiencing sudden onset of jugular venous distension, muffled heart sounds, and hypotension. The nurse suspects the presence of cardiac tamponade. Which of the following interventions is most appropriate to address this condition?

A 55-year-old male patient, 48 hours post-transcatheter mitral valve replacement, is experiencing persistent pulmonary hypertension despite receiving standard medical therapy. Which of the following advanced interventions should the nurse anticipate to reduce the pulmonary artery pressures effectively?

A 55-year-old female patient presents to the emergency department with chest pain and has been diagnosed with an acute ST-elevation myocardial infarction (STEMI). The hospital does not have primary percutaneous coronary intervention (PCI) capabilities, and the patient is unable to be transferred to a PCI-capable facility within 120 minutes. The physician orders thrombolytic therapy. Which of the following contraindications would most likely prevent the administration of thrombolytics in this scenario?

A 45-year-old female patient is admitted to the cardiac ICU after an acute myocardial infarction. The patient is hypotensive with a blood pressure of 84/50 mm Hg and heart rate of 110 bpm. Jugular venous distension is observed. The nurse's assessment notes muffled heart tones. Which of the following is the most appropriate immediate intervention?

A 62-year-old male patient, 36 hours post-thoracic surgery, exhibits marked hypotension (BP 70/40 mm Hg), tachycardia (HR 124 bpm), and absent bowel sounds. The nurse suspects hypovolemic shock due to potential intra-abdominal bleeding. Which of the following actions should the nurse prioritize to address the suspected condition?

A 59-year-old male patient, three days post-op from coronary artery bypass grafting (CABG), presents with persistent fever, tachycardia, and hypotension despite antibiotic therapy. He has elevated white blood cell count and metabolic acidosis. Which of the following interventions should the nurse prioritize to address the suspected Multisystem Organ Dysfunction Syndrome (MODS)?

A 70-year-old male patient is 48 hours post-op from a cardiac surgery involving coronary artery bypass grafting with cardiopulmonary bypass. He is currently anticoagulated with continuous infusion of heparin, as per protocol. The nurse notes a sudden increase in mediastinal drainage and a drop in hemoglobin levels. Which of the following should the nurse anticipate to manage this complication effectively?

A 56-year-old male patient, 24 hours post-CABG, develops confusion, diaphoresis, and tremors. Stat laboratory results reveal a serum glucose level of 42 mg/dL. What is the most appropriate immediate intervention to address this complication?

A 50-year-old male patient is admitted to the ICU following an open repair of a popliteal aneurysm. Several hours postoperatively, he reports worsening pain in his operated leg despite pain medication. On examination, his leg appears tense and swollen, and pedal pulses are weak. The nurse suspects acute compartment syndrome. What is the most appropriate immediate action?

A 50-year-old male patient is in the ICU 24 hours post-open heart surgery. He shows signs of persistent hypotension (BP 85/55 mm Hg), tachycardia (HR 120 bpm), and decreased urine output. He is currently receiving norepinephrine and vasopressin to manage his hypotension. Despite this, his condition has not improved significantly. Which of the following actions should the nurse anticipate to optimize hemodynamics?