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HOSPITALIZED INDIVIDUAL & PATIENT CARE EXAM 2025 | 160
VERIFIED QUESTIONS WITH ANSWERS & RATIONALES,100%
CORRECT, ALREADY GRADED A+
Question 1
A nurse is caring for a patient admitted with pneumonia who is febrile and
requiring oxygen at 2 L/min via nasal cannula. Which intervention should
the nurse prioritize?
a) Encourage increased oral fluids
b) Place the patient in prone position
c) Maintain oxygen saturation > 92%
d) Provide high-protein snacks
Correct Answer: c) Maintain oxygen saturation > 92%
Rationale: Airway and oxygenation are the first priorities in
pneumonia. Adequate hydration and nutrition are important but
secondary to oxygenation.
Question 2
A hospitalized patient suddenly becomes confused and restless. Vital signs
are BP 128/78, HR 96, RR 24, O₂ sat 85%. What should the nurse do first?
a) Notify the provider
b) Apply oxygen
c) Check blood glucose
d) Assess pain
Correct Answer: b) Apply oxygen
Rationale: Low O₂ saturation with confusion indicates hypoxemia.
Oxygen administration is the immediate intervention before further
assessment.
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Question 3
When admitting a patient with heart failure, which assessment finding
requires immediate intervention?
a) Dyspnea at rest
b) Bilateral pitting edema
c) Weight gain of 2 lbs in 24 hours
d) Decreased exercise tolerance
Correct Answer: a) Dyspnea at rest
Rationale: Dyspnea at rest indicates acute decompensation and
possible pulmonary edema, requiring urgent intervention.
Question 4
A nurse caring for a postoperative patient observes a large amount of fresh
blood saturating the surgical dressing. What is the priority action?
a) Reinforce the dressing and call the surgeon
b) Document the finding and continue to monitor
c) Remove the dressing to inspect incision
d) Elevate the head of the bed
Correct Answer: a) Reinforce the dressing and call the surgeon
Rationale: Active bleeding is a surgical emergency. Reinforcing
prevents dislodging clots while notifying the surgeon ensures
immediate intervention.
Question 5
Which intervention best reduces risk of hospital-acquired pneumonia in
immobile patients?
a) Increase IV fluid intake
b) Provide incentive spirometry
c) Monitor temperature daily
d) Administer antipyretics as ordered
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Correct Answer: b) Provide incentive spirometry
Rationale: Incentive spirometry promotes lung expansion and
prevents atelectasis, reducing risk of pneumonia.
Question 6
A patient with a urinary catheter is febrile and has cloudy urine. Which
action is most appropriate?
a) Replace catheter and send urine sample for culture
b) Increase fluid intake to 4 L/day
c) Document findings as expected
d) Administer antipyretics and continue monitoring
Correct Answer: a) Replace catheter and send urine sample for
culture
Rationale: Suspected catheter-associated UTI requires specimen
collection and catheter replacement to remove biofilm.
Question 7
The nurse notes a hospitalized elderly patient is at high fall risk. Which
intervention is priority?
a) Encourage family to stay at bedside
b) Place bed in lowest position with call light accessible
c) Provide hourly snacks
d) Assign private room
Correct Answer: b) Place bed in lowest position with call light
accessible
Rationale: Environmental modifications like bed position and call
light directly reduce fall risk.
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Question 8
A patient receiving IV fluids develops sudden shortness of breath, jugular
vein distention, and crackles in lungs. What is the nurse’s priority?
a) Notify the provider
b) Stop IV fluids
c) Administer diuretics
d) Elevate the patient’s legs
Correct Answer: b) Stop IV fluids
Rationale: These are signs of fluid overload. Immediate action is
stopping IV infusion, then notifying provider for further orders.
Question 9
A nurse is preparing to administer morphine IV to a postoperative patient.
What assessment is priority before administration?
a) Bowel sounds
b) Respiratory rate
c) Capillary refill
d) Pain scale
Correct Answer: b) Respiratory rate
Rationale: Opioids can cause respiratory depression. Safety requires
assessment of baseline respiratory rate before giving morphine.
Question 10
Which intervention best prevents pressure injury in a bedbound patient?
a) Encourage oral fluid intake
b) Reposition every 2 hours
c) Use incentive spirometer hourly
d) Provide high-fiber diet
Correct Answer: b) Reposition every 2 hours
HOSPITALIZED INDIVIDUAL & PATIENT CARE EXAM 2025 | 160
VERIFIED QUESTIONS WITH ANSWERS & RATIONALES,100%
CORRECT, ALREADY GRADED A+
Question 1
A nurse is caring for a patient admitted with pneumonia who is febrile and
requiring oxygen at 2 L/min via nasal cannula. Which intervention should
the nurse prioritize?
a) Encourage increased oral fluids
b) Place the patient in prone position
c) Maintain oxygen saturation > 92%
d) Provide high-protein snacks
Correct Answer: c) Maintain oxygen saturation > 92%
Rationale: Airway and oxygenation are the first priorities in
pneumonia. Adequate hydration and nutrition are important but
secondary to oxygenation.
Question 2
A hospitalized patient suddenly becomes confused and restless. Vital signs
are BP 128/78, HR 96, RR 24, O₂ sat 85%. What should the nurse do first?
a) Notify the provider
b) Apply oxygen
c) Check blood glucose
d) Assess pain
Correct Answer: b) Apply oxygen
Rationale: Low O₂ saturation with confusion indicates hypoxemia.
Oxygen administration is the immediate intervention before further
assessment.
,2|Page
Question 3
When admitting a patient with heart failure, which assessment finding
requires immediate intervention?
a) Dyspnea at rest
b) Bilateral pitting edema
c) Weight gain of 2 lbs in 24 hours
d) Decreased exercise tolerance
Correct Answer: a) Dyspnea at rest
Rationale: Dyspnea at rest indicates acute decompensation and
possible pulmonary edema, requiring urgent intervention.
Question 4
A nurse caring for a postoperative patient observes a large amount of fresh
blood saturating the surgical dressing. What is the priority action?
a) Reinforce the dressing and call the surgeon
b) Document the finding and continue to monitor
c) Remove the dressing to inspect incision
d) Elevate the head of the bed
Correct Answer: a) Reinforce the dressing and call the surgeon
Rationale: Active bleeding is a surgical emergency. Reinforcing
prevents dislodging clots while notifying the surgeon ensures
immediate intervention.
Question 5
Which intervention best reduces risk of hospital-acquired pneumonia in
immobile patients?
a) Increase IV fluid intake
b) Provide incentive spirometry
c) Monitor temperature daily
d) Administer antipyretics as ordered
,3|Page
Correct Answer: b) Provide incentive spirometry
Rationale: Incentive spirometry promotes lung expansion and
prevents atelectasis, reducing risk of pneumonia.
Question 6
A patient with a urinary catheter is febrile and has cloudy urine. Which
action is most appropriate?
a) Replace catheter and send urine sample for culture
b) Increase fluid intake to 4 L/day
c) Document findings as expected
d) Administer antipyretics and continue monitoring
Correct Answer: a) Replace catheter and send urine sample for
culture
Rationale: Suspected catheter-associated UTI requires specimen
collection and catheter replacement to remove biofilm.
Question 7
The nurse notes a hospitalized elderly patient is at high fall risk. Which
intervention is priority?
a) Encourage family to stay at bedside
b) Place bed in lowest position with call light accessible
c) Provide hourly snacks
d) Assign private room
Correct Answer: b) Place bed in lowest position with call light
accessible
Rationale: Environmental modifications like bed position and call
light directly reduce fall risk.
, 4|Page
Question 8
A patient receiving IV fluids develops sudden shortness of breath, jugular
vein distention, and crackles in lungs. What is the nurse’s priority?
a) Notify the provider
b) Stop IV fluids
c) Administer diuretics
d) Elevate the patient’s legs
Correct Answer: b) Stop IV fluids
Rationale: These are signs of fluid overload. Immediate action is
stopping IV infusion, then notifying provider for further orders.
Question 9
A nurse is preparing to administer morphine IV to a postoperative patient.
What assessment is priority before administration?
a) Bowel sounds
b) Respiratory rate
c) Capillary refill
d) Pain scale
Correct Answer: b) Respiratory rate
Rationale: Opioids can cause respiratory depression. Safety requires
assessment of baseline respiratory rate before giving morphine.
Question 10
Which intervention best prevents pressure injury in a bedbound patient?
a) Encourage oral fluid intake
b) Reposition every 2 hours
c) Use incentive spirometer hourly
d) Provide high-fiber diet
Correct Answer: b) Reposition every 2 hours
