1. What is the priority intervention for a patient experiencing acute chest pain?
o Answer: Administer oxygen and assess vital signs.
2. A nurse is caring for a patient with pneumonia. Which of the following findings should
the nurse report immediately?
o Answer: Blood-tinged sputum.
3. A patient is diagnosed with heart failure. Which of the following is an expected
finding?
o Answer: Shortness of breath and edema.
4. Which assessment finding is most concerning for a patient with a history of
hypertension?
o Answer: Sudden onset of severe headache.
5. A client with chronic obstructive pulmonary disease (COPD) is at risk for respiratory
acidosis. Which of the following is an early sign of this condition?
o Answer: Confusion and lethargy.
6. A nurse is caring for a patient who has a leg wound and is at risk for infection. Which
of the following signs should the nurse monitor for in assessing infection?
o Answer: Redness, warmth, and purulent drainage.
7. A patient has a history of deep vein thrombosis (DVT). What is the most important
nursing intervention for this patient?
o Answer: Encourage the use of compression stockings and elevate the legs.
8. What is the most important nursing intervention for a patient experiencing a stroke?
o Answer: Ensure a patent airway and monitor neurological status.
9. A nurse is caring for a patient with diabetic ketoacidosis. Which of the following
interventions is most important?
o Answer: Administer intravenous insulin and fluids.
10. The nurse is assessing a patient who is post-operative from a total hip replacement.
Which of the following complications should the nurse prioritize?
, o Answer: Deep vein thrombosis (DVT).
Pharmacology
11. Which medication class is commonly prescribed to manage hypertension?
o Answer: Angiotensin-converting enzyme (ACE) inhibitors.
12. A nurse is administering furosemide to a patient. Which electrolyte imbalance is most
important to monitor?
o Answer: Hypokalemia.
13. What is the most important side effect to monitor for when a patient is prescribed
warfarin?
o Answer: Bleeding.
14. A nurse is administering morphine to a patient in pain. What is the priority nursing
intervention?
o Answer: Assess the patient's respiratory rate and level of consciousness.
15. Which of the following medications is used to treat anaphylactic shock?
o Answer: Epinephrine.
16. A patient with a history of seizures is prescribed phenytoin. Which of the following
should the nurse monitor for?
o Answer: Gingival hyperplasia.
17. A nurse is preparing to administer a prescribed dose of insulin. Which of the following
actions is correct?
o Answer: Verify the insulin dose with another nurse before administration.
18. Which drug is commonly prescribed to patients with Type 2 diabetes to increase
insulin sensitivity?
o Answer: Metformin.
19. A nurse is administering an antibiotic. What is the priority assessment before giving
the medication?
o Answer: Assess for any allergies to antibiotics.
, 20. A nurse is caring for a patient who is prescribed a beta-blocker. What is the primary
therapeutic effect of this medication?
o Answer: Lowering blood pressure.
Maternal and Child Health
21. Which of the following signs indicates a possible complication in the third trimester of
pregnancy?
o Answer: Sudden swelling of the hands or face.
22. What is the priority intervention for a newborn with jaundice?
o Answer: Ensure adequate hydration and promote breastfeeding.
23. A nurse is caring for a woman in labor with a breech presentation. What is the most
important nursing action?
o Answer: Prepare for a cesarean section delivery.
24. A nurse is assessing a newborn for signs of hypoglycemia. Which of the following
should the nurse look for?
o Answer: Tremors and irritability.
25. A patient is experiencing preeclampsia. Which of the following signs requires
immediate action?
o Answer: Severe headache and visual disturbances.
26. A nurse is caring for a postpartum patient who had a cesarean section. What is the
priority assessment?
o Answer: Assess the incision site for signs of infection.
27. What is the most important nursing intervention when caring for a neonate after
birth?
o Answer: Dry the baby and provide warmth.
28. Which of the following is an expected finding in a neonate born at 32 weeks gestation?
o Answer: Difficulty regulating body temperature.
29. A woman is 8 weeks pregnant and is experiencing nausea and vomiting. What is the
most likely cause of these symptoms?