#1
Which vital sign is typically measured first in a clinical assessment?
Respiratory rate
Blood pressure
Temperature
Heart rate
#2
Which of the following is a common nursing intervention to prevent pressure ulcers?
Frequent repositioning
Applying heat packs
Using tight dressings
Massaging bony prominences
#3
Which assessment finding is characteristic of hypovolemic shock?
Increased urine output
Bounding pulses
Cool, clammy skin
Hypertension
#4
What is the primary purpose of the Braden Scale in nursing care?
To assess pain intensity
To evaluate risk for pressure ulcers
To measure respiratory function
To monitor fluid balance
#5
What is the primary purpose of the RACE acronym in fire safety?
To remember to run when escaping a fire
To extinguish the fire
To ensure patient safety during a fire emergency
To activate the fire alarm system
#6
What is the primary purpose of assessing capillary refill time in a patient?
Assessing neurological function
Evaluating hydration status
Checking for skin integrity
Measuring oxygen saturation
#7
Which of the following is a common assessment tool used to evaluate pain in non-verbal patients?
Numeric Rating Scale (NRS)
Visual Analog Scale (VAS)
Faces Pain Scale - Revised (FPS-R)
FLACC Scale
#8
What is the priority action for a nurse when encountering a patient with sudden shortness of breath and cyanosis?
Administer oxygen therapy
Notify the healthcare provider
Perform a comprehensive respiratory assessment
Elevate the head of the bed
#9
Which of the following is an appropriate nursing intervention for a patient experiencing anaphylaxis?
Administering aspirin
Elevating the legs
Initiating an epinephrine injection
Applying a warm compress
#10
What is the primary purpose of the Glasgow Coma Scale (GCS) in neurological assessment?
To measure cognitive function
To assess level of consciousness
To evaluate motor function
To monitor pupillary response
#11
Which action should a nurse prioritize when caring for a patient with a nasogastric tube?
Securing the tube with tape
Checking tube placement before each feeding
Encouraging the patient to cough
Administering medications through the tube
#12
In a patient with a chest tube, which finding should be reported immediately?
Clear and continuous drainage
Intermittent bubbling in the water seal chamber during exhalation
Occasional clots in the drainage system
Sudden cessation of drainage
#13
During a neurological assessment, which reflex involves tapping the patellar tendon to elicit a response?
Babinski reflex
Brudzinski reflex
Triceps reflex
Patellar reflex
#14
What is the primary goal of nutritional assessment in patients with malnutrition?
To monitor body weight
To evaluate food preferences
To identify nutritional deficiencies
To assess digestive function
#15
Which of the following is a potential complication of intravenous therapy?
Hypertension
Hypernatremia
Infiltration
Hypokalemia
#16
What is the primary purpose of performing a skin assessment in elderly patients?
To assess for skin allergies
To identify risk for pressure ulcers
To evaluate for changes in skin elasticity
To monitor for signs of infection
#17
Which of the following is a common complication associated with indwelling urinary catheters?
Urinary retention
Increased risk of urinary tract infections
Improved bladder emptying
Decreased risk of bladder spasms