Explanations | 251 Updated Questions and Answers
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1. A patient presents with hyperkalemia. Which of the following interventions should the nurse
implement first to prevent cardiac complications?
Answer: Administer calcium gluconate
2. In a patient with chronic obstructive pulmonary disease (COPD), which of the following
assessments is most critical to evaluate respiratory function?
Answer: Oxygen saturation levels
3. During a physical examination, a nurse palpates a patient's abdomen and notes tenderness in the
right lower quadrant. What is the most appropriate action for the nurse to take next?
Answer: Notify the healthcare provider immediately
4. A nurse observes a client showing signs of dehydration. Which lab finding would most likely
confirm this condition?
Answer: Increased hematocrit
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5. When evaluating a patient's medication regimen, the nurse notes that the patient is taking
warfarin. Which of the following lab tests is essential to monitor the safety of this medication?
Answer: Prothrombin time (PT)/International Normalized Ratio (INR)
6. A nurse is assessing a patient with suspected heart failure. Which of the following findings would
most likely indicate worsening heart failure?
Answer: Increased peripheral edema
7. In the context of diabetes management, which of the following is the most appropriate nursing
intervention for a patient experiencing hypoglycemia?
Answer: Give 15 grams of fast-acting carbohydrates
8. A nurse is caring for a patient with a new diagnosis of type 2 diabetes. Which teaching point is
most important to include regarding nutrition?
Answer: Monitor portion sizes and carbohydrate intake