Questions and Correct Detailed Answers with Rationales
Already Graded A+
1. Priority
Which patient should the nurse assess first?
A. BP 148/88
B. O2 sat 86%
C. Pain 7/10
D. Temp 38.2°C
✅ Answer: B
Rationale:
Low oxygen = immediate life threat using Airway Breathing Circulation
2. Pharmacology
Patient on Warfarin reports bleeding gums. Action?
A. Continue medication
B. Hold and notify provider
C. Give vitamin C
D. Ignore
✅ Answer: B
, Rationale:
Bleeding = toxicity → hold drug
3. Cardiac
Sign of worsening Heart Failure?
A. Clear lungs
B. Crackles
C. Weight loss
D. Dry skin
✅ Answer: B
4. Electrolytes
Hyperkalemia sign:
A. Flat T wave
B. Peaked T wave
C. QT prolongation
D. Bradycardia
✅ Answer: B
5. Maternity
Variable decelerations cause?
A. Hypoxia
B. Cord compression
C. Infection
D. Normal
✅ Answer: B