QUESTIONS AND VERIFIED
CORRECT ANSWERS LATEST
2026-2027
A patient arrives in the emergency department with facial and chest burns caused by a house
fire. Which actions should the nurse take first? - CORRECT ANSWER-Auscultate for breath
sounds
Which nursing action is a priority for a patient who has suffered a burn injury while working on
an electrical power line? - CORRECT ANSWER-Stabilize the cervical spine
The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy.
Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)? -
CORRECT ANSWER-document the amount of drainage every 8 hours.
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute
myocardial infarction (AMI). Which laboratory test is most specific for the nurse to monitor in
determining whether the patient has had an AMI? - CORRECT ANSWER-Cardiac-specific
troponin
Which electrocardiographic (ECG) change by a patient with chest pain is most important for the
nurse to report rapidly to the health care provider? - CORRECT ANSWER-St-segment elevation
Which assessment finding in a patient admitted with acute decompensated heart failure) ADHF)
requires the most immediate action by the nurse? - CORRECT ANSWER-O2 saturation of 88%
, After receiving change -of-shift report on a heart failure unit, which patient should the nurse
assess first? - CORRECT ANSWER-Patient who is taking digoxin and has a potassium level of 3.1
mEq/L.
A patient with supraventricular tachycardia who is alert and has a blood pressure of 110/66
mmHg is being prepared for cardioversion. Which action should the nurse take? - CORRECT
ANSWER-Give a sedative before cardioversion is implemented.
Which laboratory result for a patient with multifocal premature ventricular contractions (PVCs)
is most important for the nurse to communicate to the health care provider? - CORRECT
ANSWER-Serum potassium of 2.9 mEq/L.
A 70-year-old female client is being treated for diverticulitis. The nurse explains that there are
several complications associates with this disease. The nurse informs the patient that
diverticulitis is most common cause of what complication? - CORRECT ANSWER-Lower
gastrointestinal bleeding
A young adult patient is hospitalized with massive abdominal trauma from a motor vehicle crash
the patient asks the nurse about the purpose of receiving famotidine (Pepcid). What should the
nurse explain about the action of the medication? - CORRECT ANSWER-"It inhibits development
of stress ulcers."
A 72-yr-old male patient with dehydration caused by an exacerbation of ulcerative colitis is
receiving 5% dextrose in normal saline at 125 mL/hour. Which assessment finding by the nurse
is most important to report to the health care provider? - CORRECT ANSWER-Crackles are heard
halfway up the posterior chest.
After change-of-shift report, which should the nurse assess first? - CORRECT ANSWER-A 30-yr-
old female patient with a femoral hernia who has abdominal pain and vomiting.