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Nursing and Healthcare Scenario-Based Decision Making Quiz

A patient is experiencing shortness of breath and chest pain. What should the nurse prioritize?

Assessing respiratory status

Explanation

Assessing respiratory status helps identify potential life-threatening conditions like airway obstruction or respiratory distress.

A post-operative patient reports sudden dizziness and weakness. What action should the nurse take first?

Assessing vital signs

Explanation

Assessing vital signs is crucial to evaluate the patient's current physiological state and identify any signs of deterioration.

A patient with a history of hypertension complains of severe headache and blurred vision. What action should the nurse take first?

Assessing blood pressure

Explanation

Assessing blood pressure helps determine if the symptoms are related to hypertension or potentially more severe conditions like hypertensive crisis or stroke.

A patient with a Foley catheter reports burning sensation during urination. What is the nurse's initial action?

Assessing catheter placement

Explanation

Assessing catheter placement helps identify potential causes of discomfort and ensures proper urinary drainage.

A patient receiving chemotherapy reports severe nausea and vomiting. What intervention should the nurse implement first?

Administering antiemetic medication

Explanation

Administering antiemetic medication helps alleviate nausea and vomiting, improving the patient's comfort and preventing dehydration and electrolyte imbalances.

A patient with a leg wound complains of increased pain and redness at the wound site. What action should the nurse take first?

Assessing the wound for signs of infection

Explanation

Assessing the wound for signs of infection helps determine the appropriate interventions to prevent further complications such as sepsis or cellulitis.

During a health assessment, a patient complains of nausea and abdominal pain. Which of the following should the nurse prioritize?

Performing a focused abdominal assessment

Explanation

Performing a focused abdominal assessment helps identify potential causes of the symptoms and guides further interventions.

A diabetic patient is admitted with confusion and lethargy. The nurse notes the patient's blood glucose level is 50 mg/dL. What is the priority intervention?

Providing oral glucose

Explanation

Providing oral glucose helps raise the blood sugar level quickly to prevent further complications associated with hypoglycemia.

A patient with a history of asthma is prescribed a new inhaler. What should the nurse prioritize during patient education?

Demonstrating how to use the inhaler

Explanation

Demonstrating how to use the inhaler ensures proper medication administration and optimal therapeutic effects for asthma management.

#10

A patient with a nasogastric tube reports abdominal discomfort and difficulty breathing. What should the nurse do first?

Checking tube placement

Explanation

Checking tube placement helps identify potential complications such as displacement or obstruction, which could lead to respiratory compromise or aspiration.

#11

A patient is scheduled for a lumbar puncture. What should the nurse instruct the patient to do?

Lie flat after the procedure

Explanation

Instructing the patient to lie flat after the procedure helps prevent complications such as cerebrospinal fluid leakage and post-lumbar puncture headache.

#12

A patient with a history of heart failure is prescribed a new medication. What assessment should the nurse prioritize before administering the medication?

Assessing cardiac function

Explanation

Assessing cardiac function helps identify any pre-existing conditions or risk factors that may affect the patient's response to the new medication and guide appropriate monitoring.

#13

A patient with heart failure is prescribed multiple medications. The nurse realizes there might be a drug interaction between two of the prescribed medications. What should the nurse do?

Hold both medications and notify the healthcare provider

Explanation

Holding both medications and notifying the healthcare provider prevents potential adverse reactions and ensures patient safety.

#14

A patient with diabetes is scheduled for surgery. What is the nurse's priority regarding insulin administration?

Consulting with the anesthesiologist

Explanation

Consulting with the anesthesiologist ensures appropriate management of blood glucose levels during the perioperative period to prevent complications.

#15

A patient with a central venous catheter reports tenderness and swelling at the insertion site. What is the nurse's initial action?

Assessing for signs of infection

Explanation

Assessing for signs of infection helps identify potential complications such as catheter-related bloodstream infections and guides appropriate interventions to prevent further complications.

#16

A patient with a chest tube reports sudden chest pain and shortness of breath. What should the nurse do first?

Assessing respiratory status

Explanation

Assessing respiratory status helps identify potential complications such as pneumothorax or hemothorax and guides appropriate interventions to ensure adequate ventilation and oxygenation.

#17

A patient with diabetes is admitted with confusion and diaphoresis. The nurse notes a blood glucose level of 30 mg/dL. What is the priority intervention?

Providing oral glucose

Explanation

Providing oral glucose helps raise the blood sugar level quickly to prevent further complications associated with hypoglycemia.

Nursing and Healthcare Scenario-Based Decision Making Quiz

A patient is experiencing shortness of breath and chest pain. What should the nurse prioritize?

A post-operative patient reports sudden dizziness and weakness. What action should the nurse take first?

A patient with a history of hypertension complains of severe headache and blurred vision. What action should the nurse take first?

A patient with a Foley catheter reports burning sensation during urination. What is the nurse's initial action?

A patient receiving chemotherapy reports severe nausea and vomiting. What intervention should the nurse implement first?

A patient with a leg wound complains of increased pain and redness at the wound site. What action should the nurse take first?

During a health assessment, a patient complains of nausea and abdominal pain. Which of the following should the nurse prioritize?

A diabetic patient is admitted with confusion and lethargy. The nurse notes the patient's blood glucose level is 50 mg/dL. What is the priority intervention?

A patient with a history of asthma is prescribed a new inhaler. What should the nurse prioritize during patient education?

A patient with a nasogastric tube reports abdominal discomfort and difficulty breathing. What should the nurse do first?

A patient is scheduled for a lumbar puncture. What should the nurse instruct the patient to do?

A patient with a history of heart failure is prescribed a new medication. What assessment should the nurse prioritize before administering the medication?

A patient with heart failure is prescribed multiple medications. The nurse realizes there might be a drug interaction between two of the prescribed medications. What should the nurse do?

A patient with diabetes is scheduled for surgery. What is the nurse's priority regarding insulin administration?

A patient with a central venous catheter reports tenderness and swelling at the insertion site. What is the nurse's initial action?

A patient with a chest tube reports sudden chest pain and shortness of breath. What should the nurse do first?

A patient with diabetes is admitted with confusion and diaphoresis. The nurse notes a blood glucose level of 30 mg/dL. What is the priority intervention?

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