Question 1:
Which of the following is an example of a primary prevention measure?
A) Administering medication for pain relief
B) Teaching a patient about healthy lifestyle choices
C) Assisting a patient with activities of daily living
D) Administering a prescribed antibiotic
Answer:
B) Teaching a patient about healthy lifestyle choices
Primary prevention aims to prevent the development of a disease or injury
before it occurs. Educating patients about healthy lifestyle choices, such as
proper nutrition, exercise, and avoiding tobacco and alcohol, falls under the
primary prevention category.
Question 2:
Which of the following is a common symptom of gastroesophageal reflux
disease (GERD)?
A) Chest pain radiating to the left arm
B) Difficulty swallowing
C) Blood in the stool
D) Frequent belching
Answer:
B) Difficulty swallowing
GERD is a chronic condition in which stomach acid flows back into the
oesophagus, causing irritation. Difficulty swallowing, or dysphagia, is a
,common symptom of GERD. Chest pain radiating to the left arm (option A)
may be indicative of a cardiac issue, while blood in the stool (option C) may
indicate gastrointestinal bleeding. Frequent belching (option D) is not
specific to GERD.
Question 3:
Which of the following is an appropriate nursing intervention for a patient
with a fever?
A) Encouraging increased fluid intake
B) Applying ice packs to the patient's body
C) Administering antipyretic medication
D) Restricting the patient's movement
Answer:
A) Encouraging increased fluid intake
Encouraging increased fluid intake helps prevent dehydration, which can
occur during a fever. It is important to keep the patient well-hydrated.
Applying ice packs (option B) may cause the body to shiver, generating
additional heat. Administering antipyretic medication (option C) can be
considered if the fever is severe or causing significant discomfort.
Restricting the patient's movement (option D) is not typically necessary
unless medically indicated.
Question 4:
A patient is receiving intravenous (IV) heparin therapy. Which of the
following laboratory values should the nurse monitor closely?
A) International Normalized Ratio (INR)
B) Activated Partial Thromboplastin Time (aPTT)
C) Platelet count
D) Blood urea nitrogen (BUN)
, Answer:
B) Activated Partial Thromboplastin Time (aPTT)
Heparin is an anticoagulant medication, and the effectiveness of heparin
therapy is monitored by measuring the patient's aPTT. The aPTT provides
information about the clotting time and helps adjust the heparin dosage to
maintain therapeutic levels. INR (option A) is primarily used to monitor
patients on oral anticoagulants such as warfarin. Platelet count (option C)
is important to monitor for potential heparin-induced thrombocytopenia but
is not a direct measure of heparin therapy effectiveness. BUN (option D) is
a measure of kidney function and is not specifically related to heparin
therapy.
Question 5:
A patient with diabetes mellitus is experiencing symptoms of
hypoglycemia. Which of the following interventions should the nurse
implement first?
A) Administering an oral glucose solution
B) Monitoring the patient's blood glucose level
C) Administering subcutaneous glucagon
D) Assisting the patient with a carbohydrate-rich snack
Answer:
A) Administering an oral glucose solution
In a patient with symptoms of hypoglycemia, the priority intervention is to
provide a source of rapidly absorbable glucose to raise the blood sugar
quickly. Administering an oral glucose solution, such as glucose gel or
tablets, is a swift and effective way to address the immediate hypoglycemic
episode. Monitoring the patient's blood glucose level (option B) is
important but may take some time to yield results. Subcutaneous glucagon
(option C) is used when the patient is unconscious or unable to swallow.