Practice Questions Complete 100 Questions &
Correct Detailed Answers (Verified Answers)
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1. A nurse is caring for a client with heart failure who is receiving
furosemide. Which finding requires immediate follow-up?
A. Blood pressure 110/70 mmHg
B. Potassium level 3.0 mEq/L
C. Urine output 40 mL/hr
D. Weight loss of 1 kg in 24 hr
✔B
Furosemide can cause hypokalemia, which increases the risk for
dysrhythmias and requires prompt intervention.
2. A nurse is teaching a client with diabetes mellitus about insulin
administration. Which instruction is correct?
A. Rotate injections within the same anatomic area
B. Massage the site after injection
C. Store opened insulin at room temperature indefinitely
D. Inject insulin intramuscularly
✔A
Rotating within the same area promotes consistent absorption and
prevents lipohypertrophy.
3. A client reports chest pain radiating to the left arm. Which action
should the nurse take first?
A. Obtain a detailed pain history
B. Administer oxygen
, C. Notify the provider
D. Place the client in a supine position
✔B
Oxygen is a priority to improve myocardial oxygenation during
suspected cardiac ischemia.
4. A nurse is caring for a client with COPD. Which finding indicates
effective oxygen therapy?
A. Respiratory rate 10/min
B. Oxygen saturation 92%
C. PaCO₂ 60 mmHg
D. Cyanosis of lips
✔B
An oxygen saturation of 88–92% is an expected and acceptable
range for clients with COPD.
5. A nurse is preparing to administer digoxin. Which finding should
be reported before giving the medication?
A. Apical pulse 56/min
B. Blood pressure 130/80 mmHg
C. Respiratory rate 18/min
D. Temperature 37°C (98.6°F)
✔A
Digoxin should be withheld and reported if the apical pulse is
below 60/min.
6. A client with a new colostomy asks about pouch care. Which
statement by the client indicates understanding?
A. “I will change the pouch daily.”
B. “The stoma should be bluish in color.”
, C. “I will empty the pouch when it is one-third full.”
D. “I should scrub the stoma with soap.”
✔C
Emptying the pouch when one-third full prevents leakage and skin
irritation.
7. A nurse is caring for a client receiving morphine IV. Which finding
indicates an adverse effect?
A. Pain rating 2/10
B. Respiratory rate 8/min
C. Blood pressure 118/76 mmHg
D. Drowsiness
✔B
Respiratory depression is a serious adverse effect of opioid
administration.
8. A nurse is teaching a client about preventing urinary tract
infections. Which instruction is appropriate?
A. Limit fluid intake
B. Void every 2–3 hours
C. Take bubble baths
D. Wipe back to front
✔B
Frequent voiding helps flush bacteria from the urinary tract.
9. A nurse is assessing a client with hypoglycemia. Which
manifestation is expected?
A. Fruity breath
B. Warm, dry skin
C. Shakiness
, D. Slow pulse
✔C
Hypoglycemia causes adrenergic symptoms such as shakiness and
diaphoresis.
10. A client is prescribed enalapril. Which instruction should the
nurse include?
A. Avoid potassium-rich foods
B. Change positions slowly
C. Take the medication at bedtime only
D. Increase sodium intake
✔B
ACE inhibitors can cause orthostatic hypotension, so clients should
change positions slowly.
11. A nurse is caring for a client with a nasogastric tube. Which
action confirms correct placement?
A. Aspirate gastric contents and check pH
B. Inject air and listen for a whoosh
C. Observe for bubbling in water
D. Check tube length
✔A
pH testing of aspirate is a reliable method for verifying gastric
placement.
12. A client has a pressure injury on the heel. Which
intervention is appropriate?
A. Massage the area
B. Elevate the heels off the bed
C. Apply heat