NURS 4106: 7-Day Catch-Up Plan –
Original Topic Test ||Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Section A: Patient Prioritization & Initial Assessment (Questions 1–15)
1. On Day 1 of the catch-up plan, which patient should the nurse assess first?
A) Patient with chronic back pain requesting PRN analgesia
B) Patient with new-onset confusion and oxygen saturation of 88%
C) Patient with a scheduled wound dressing change
D) Patient requesting discharge education
Rationale: New confusion with hypoxia indicates possible respiratory failure or
sepsis; this is a life-threatening priority (ABCs + neurological change).
2. A patient missed 3 days of antibiotics for pneumonia. What is the priority
action on Day 1?
A) Restart antibiotics immediately
B) Obtain sputum culture and notify provider
C) Administer antipyretics
D) Increase oral fluids
Rationale: Resuming antibiotics blindly without reassessing sensitivity or current
infection status may be ineffective; culture and provider notification guide targeted
therapy.
3. Which lab value requires immediate action during the initial catch-up
assessment?
A) Potassium 3.5 mEq/L
B) Potassium 2.1 mEq/L
C) Hemoglobin 11 g/dL
D) Glucose 110 mg/dL
,Rationale: Potassium 2.1 is severe hypokalemia, risk of cardiac arrhythmias;
requires urgent replacement and cardiac monitoring.
4. On admission to the catch-up plan, the patient’s NEWS2 score is 7. What is
the correct nursing action?
A) Routine monitoring every 4 hours
B) Immediate medical review and continuous monitoring
C) Discharge with home health follow-up
D) Increase oral fluids and reposition
Rationale: NEWS2 (National Early Warning Score) ≥7 indicates high risk of
deterioration; requires urgent clinical review and escalation.
5. A patient is 4 days post-op and has not had a bowel movement. What is the
priority on Day 1?
A) Administer a bisacodyl suppository
B) Auscultate bowel sounds in all four quadrants
C) Order a high-fiber diet
D) Encourage ambulation
Rationale: Assessment precedes intervention; absent bowel sounds may indicate
ileus or obstruction requiring immediate further evaluation.
6. Which patient is most appropriate to include in a 7-day catch-up plan?
A) Stable COPD patient with no recent exacerbation
B) Patient with heart failure readmitted within 30 days
C) Patient scheduled for elective knee replacement
D) Patient with resolved UTI on oral antibiotics
Rationale: Frequent readmission indicates gaps in care; the catch-up plan targets
high-risk, transitional care failures.
7. A nurse notes a patient’s HR is 52, BP 90/60, and patient reports dizziness.
First action?
A) Document as normal for athlete
B) Check medication list for beta-blockers
C) Increase IV fluid rate
D) Notify family
Rationale: Symptomatic bradycardia may be medication-induced; identifying
cause guides reversal or dose adjustment.
, 8. On Day 1, which task can be delegated to an LPN/LVN?
A) Initial comprehensive nursing assessment
B) Administering scheduled subcutaneous heparin
C) Creating the 7-day care plan
D) Discharge teaching about warfarin
Rationale: LPNs can administer stable, routine medications; assessment, planning,
and teaching are RN responsibilities.
9. A patient’s家属 (family) reports the patient has been sleeping more and
eating less for 3 days. What should the nurse do first?
A) Reassure family that aging causes sleep changes
B) Assess for signs of depression or delirium
C) Order a nutritional supplement
D) Increase room lighting
Rationale: Changes in behavior, appetite, and sleep in a catch-up plan patient may
indicate underlying delirium, depression, or infection.
10. Which tool is most appropriate for daily catch-up plan monitoring?
A) Braden Scale
B) CATCH-UP checklist (Clinical Assessment, Treatments, Consults, Home
meds, Unmet needs, Patient education)
C) Morse Fall Scale
D) Numeric Pain Rating Scale
Rationale: The CATCH-UP mnemonic ensures systematic review of key domains
for patients behind in recovery goals.
11. A patient’s creatinine has risen from 0.9 to 2.4 mg/dL in 48 hours. What is
the priority?
A) Increase IV fluids to 200 mL/hr
B) Hold nephrotoxic medications and notify provider
C) Restrict all fluids
D) Administer furosemide
Rationale: Acute kidney injury (AKI) requires stopping offending agents; fluid
management depends on volume status and provider order.
12. On Day 1, the patient cannot recall the past 2 days. What is the most
appropriate cognitive assessment?
Original Topic Test ||Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Section A: Patient Prioritization & Initial Assessment (Questions 1–15)
1. On Day 1 of the catch-up plan, which patient should the nurse assess first?
A) Patient with chronic back pain requesting PRN analgesia
B) Patient with new-onset confusion and oxygen saturation of 88%
C) Patient with a scheduled wound dressing change
D) Patient requesting discharge education
Rationale: New confusion with hypoxia indicates possible respiratory failure or
sepsis; this is a life-threatening priority (ABCs + neurological change).
2. A patient missed 3 days of antibiotics for pneumonia. What is the priority
action on Day 1?
A) Restart antibiotics immediately
B) Obtain sputum culture and notify provider
C) Administer antipyretics
D) Increase oral fluids
Rationale: Resuming antibiotics blindly without reassessing sensitivity or current
infection status may be ineffective; culture and provider notification guide targeted
therapy.
3. Which lab value requires immediate action during the initial catch-up
assessment?
A) Potassium 3.5 mEq/L
B) Potassium 2.1 mEq/L
C) Hemoglobin 11 g/dL
D) Glucose 110 mg/dL
,Rationale: Potassium 2.1 is severe hypokalemia, risk of cardiac arrhythmias;
requires urgent replacement and cardiac monitoring.
4. On admission to the catch-up plan, the patient’s NEWS2 score is 7. What is
the correct nursing action?
A) Routine monitoring every 4 hours
B) Immediate medical review and continuous monitoring
C) Discharge with home health follow-up
D) Increase oral fluids and reposition
Rationale: NEWS2 (National Early Warning Score) ≥7 indicates high risk of
deterioration; requires urgent clinical review and escalation.
5. A patient is 4 days post-op and has not had a bowel movement. What is the
priority on Day 1?
A) Administer a bisacodyl suppository
B) Auscultate bowel sounds in all four quadrants
C) Order a high-fiber diet
D) Encourage ambulation
Rationale: Assessment precedes intervention; absent bowel sounds may indicate
ileus or obstruction requiring immediate further evaluation.
6. Which patient is most appropriate to include in a 7-day catch-up plan?
A) Stable COPD patient with no recent exacerbation
B) Patient with heart failure readmitted within 30 days
C) Patient scheduled for elective knee replacement
D) Patient with resolved UTI on oral antibiotics
Rationale: Frequent readmission indicates gaps in care; the catch-up plan targets
high-risk, transitional care failures.
7. A nurse notes a patient’s HR is 52, BP 90/60, and patient reports dizziness.
First action?
A) Document as normal for athlete
B) Check medication list for beta-blockers
C) Increase IV fluid rate
D) Notify family
Rationale: Symptomatic bradycardia may be medication-induced; identifying
cause guides reversal or dose adjustment.
, 8. On Day 1, which task can be delegated to an LPN/LVN?
A) Initial comprehensive nursing assessment
B) Administering scheduled subcutaneous heparin
C) Creating the 7-day care plan
D) Discharge teaching about warfarin
Rationale: LPNs can administer stable, routine medications; assessment, planning,
and teaching are RN responsibilities.
9. A patient’s家属 (family) reports the patient has been sleeping more and
eating less for 3 days. What should the nurse do first?
A) Reassure family that aging causes sleep changes
B) Assess for signs of depression or delirium
C) Order a nutritional supplement
D) Increase room lighting
Rationale: Changes in behavior, appetite, and sleep in a catch-up plan patient may
indicate underlying delirium, depression, or infection.
10. Which tool is most appropriate for daily catch-up plan monitoring?
A) Braden Scale
B) CATCH-UP checklist (Clinical Assessment, Treatments, Consults, Home
meds, Unmet needs, Patient education)
C) Morse Fall Scale
D) Numeric Pain Rating Scale
Rationale: The CATCH-UP mnemonic ensures systematic review of key domains
for patients behind in recovery goals.
11. A patient’s creatinine has risen from 0.9 to 2.4 mg/dL in 48 hours. What is
the priority?
A) Increase IV fluids to 200 mL/hr
B) Hold nephrotoxic medications and notify provider
C) Restrict all fluids
D) Administer furosemide
Rationale: Acute kidney injury (AKI) requires stopping offending agents; fluid
management depends on volume status and provider order.
12. On Day 1, the patient cannot recall the past 2 days. What is the most
appropriate cognitive assessment?
