MARYVILLE UNIVERSITY NUR 402 CLINICAL SYNTHESIS
QUIZ|QUESTIONS AND VERIFIED ANSWERS|GRADED
A+|2026 UPDATE
1. A patient with heart failure presents with shortness of breath. What is the priority nursing
action?
A. Administer IV fluids
B. Elevate the head of the bed
C. Encourage ambulation
D. Provide a high-sodium diet
Answer: B
Elevating the head reduces preload and improves breathing in heart failure patients.
2. A diabetic patient has a blood glucose of 2.8 mmol/L. What should the nurse do first?
A. Administer insulin
B. Give oral glucose
C. Start IV fluids
D. Call the doctor
Answer: B
Immediate correction of hypoglycemia is critical to prevent neurological damage.
3. Which symptom indicates worsening asthma?
A. Wheezing
B. Silent chest
C. Cough
D. Mild dyspnea
Answer: B
A silent chest indicates minimal airflow and is a life-threatening emergency.
,4. A patient is on warfarin. Which lab value is most important?
A. Hemoglobin
B. INR
C. Platelets
D. WBC
Answer: B
INR monitors anticoagulation effectiveness and bleeding risk.
5. What is the first sign of shock?
A. Hypotension
B. Tachycardia
C. Bradycardia
D. Cyanosis
Answer: B
Tachycardia is an early compensatory mechanism in shock.
6. A patient has chest pain radiating to the left arm. What is the priority?
A. ECG
B. Give food
C. Check temperature
D. Encourage rest
Answer: A
An ECG helps identify myocardial infarction immediately.
7. Which electrolyte imbalance causes arrhythmias?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Answer: B
Potassium imbalances directly affect cardiac conduction.
, 8. A patient with COPD should avoid:
A. Oxygen
B. High protein diet
C. Smoking
D. Rest
Answer: C
Smoking worsens lung damage and disease progression.
9. What is the best position for a dyspneic patient?
A. Supine
B. Prone
C. Fowler’s
D. Trendelenburg
Answer: C
Fowler’s position improves lung expansion.
10. A patient has a fever of 39°C. Priority intervention?
A. Warm blankets
B. Antipyretics
C. Encourage sleep
D. Restrict fluids
Answer: B
Antipyretics reduce fever and metabolic demand.
11. Sign of dehydration:
A. Edema
B. Dry mucous membranes
C. Bradycardia
D. Hypertension
Answer: B
Dry mucous membranes indicate fluid deficit.
QUIZ|QUESTIONS AND VERIFIED ANSWERS|GRADED
A+|2026 UPDATE
1. A patient with heart failure presents with shortness of breath. What is the priority nursing
action?
A. Administer IV fluids
B. Elevate the head of the bed
C. Encourage ambulation
D. Provide a high-sodium diet
Answer: B
Elevating the head reduces preload and improves breathing in heart failure patients.
2. A diabetic patient has a blood glucose of 2.8 mmol/L. What should the nurse do first?
A. Administer insulin
B. Give oral glucose
C. Start IV fluids
D. Call the doctor
Answer: B
Immediate correction of hypoglycemia is critical to prevent neurological damage.
3. Which symptom indicates worsening asthma?
A. Wheezing
B. Silent chest
C. Cough
D. Mild dyspnea
Answer: B
A silent chest indicates minimal airflow and is a life-threatening emergency.
,4. A patient is on warfarin. Which lab value is most important?
A. Hemoglobin
B. INR
C. Platelets
D. WBC
Answer: B
INR monitors anticoagulation effectiveness and bleeding risk.
5. What is the first sign of shock?
A. Hypotension
B. Tachycardia
C. Bradycardia
D. Cyanosis
Answer: B
Tachycardia is an early compensatory mechanism in shock.
6. A patient has chest pain radiating to the left arm. What is the priority?
A. ECG
B. Give food
C. Check temperature
D. Encourage rest
Answer: A
An ECG helps identify myocardial infarction immediately.
7. Which electrolyte imbalance causes arrhythmias?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Answer: B
Potassium imbalances directly affect cardiac conduction.
, 8. A patient with COPD should avoid:
A. Oxygen
B. High protein diet
C. Smoking
D. Rest
Answer: C
Smoking worsens lung damage and disease progression.
9. What is the best position for a dyspneic patient?
A. Supine
B. Prone
C. Fowler’s
D. Trendelenburg
Answer: C
Fowler’s position improves lung expansion.
10. A patient has a fever of 39°C. Priority intervention?
A. Warm blankets
B. Antipyretics
C. Encourage sleep
D. Restrict fluids
Answer: B
Antipyretics reduce fever and metabolic demand.
11. Sign of dehydration:
A. Edema
B. Dry mucous membranes
C. Bradycardia
D. Hypertension
Answer: B
Dry mucous membranes indicate fluid deficit.
