Concepts & Clinical Decision-Making | Newest 2026/2027| Graded A+
### 1.
A nurse receives report on four patients. Who should be seen first?
A. Patient with stable COPD on oxygen
B. Patient with chest pain and diaphoresis
C. Patient requesting pain medication in 30 minutes
D. Patient scheduled for discharge teaching
**Answer: B**
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### 2.
A client suddenly becomes confused and restless. What is the nurse’s
first action?
A. Check oxygen saturation
B. Notify provider
C. Document findings
D. Increase IV fluids
,**Answer: A**
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### 3.
Which patient requires immediate intervention?
A. Post-op day 2 with mild pain
B. Patient with BP 88/50 and cold clammy skin
C. Patient requesting breakfast
D. Patient with controlled diabetes
**Answer: B**
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### 4.
A nurse observes unequal pupils in a head injury patient. What is
priority?
A. Document findings
B. Prepare for CT scan
C. Assess airway and vitals
D. Administer pain medication
,**Answer: C**
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### 5.
A client reports sudden shortness of breath. What is first action?
A. Auscultate lungs
B. Apply oxygen
C. Call provider
D. Start IV fluids
**Answer: B**
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## 💊 PHARMACOLOGY & SAFETY
### 6.
Before giving digoxin, the nurse checks apical pulse at 52 bpm. What
should the nurse do?
A. Give medication
, B. Hold medication and notify provider
C. Recheck in 30 minutes
D. Document and monitor
**Answer: B**
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### 7.
A patient on heparin has bleeding gums. What is priority?
A. Continue infusion
B. Stop medication and notify provider
C. Give aspirin
D. Increase dose
**Answer: B**
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### 8.
Which medication requires the most monitoring?
A. Acetaminophen