#1
Which vital sign is a direct measure of heart function?
Blood pressure
Pulse oximetry
Respiratory rate
Pulse rate
#2
Which of the following is a common nursing intervention for preventing pressure ulcers?
Limiting hydration to decrease urine output
Frequent repositioning of immobile patients
Applying direct pressure to bony prominences
Using tight-fitting clothing to reduce friction
#3
Which of the following assessments is crucial when monitoring a patient receiving intravenous (IV) fluid therapy?
Assessing pupillary response
Monitoring urine output
Checking capillary refill time
Evaluating deep tendon reflexes
#4
Which of the following is a priority nursing intervention for a patient with a high fever?
Applying warm compresses
Encouraging increased fluid intake
Administering antipyretic medication
Restricting fluid intake
#5
Which of the following is a priority nursing intervention for a patient at risk for aspiration?
Administering a high-fat diet
Elevating the head of the bed during meals
Encouraging rapid eating to minimize exposure to food
Providing thin liquids via straw
#6
Which action should a nurse prioritize when assessing a patient experiencing respiratory distress?
Checking the patient's pulse rate
Administering pain medication
Ensuring a patent airway
Obtaining a complete medical history
#7
When assessing a patient's pain, which pain assessment scale is commonly used for adult patients who can self-report?
Wong-Baker FACES Pain Rating Scale
Numeric Rating Scale
FLACC Scale
CRIES Scale
#8
What is the primary purpose of administering a bronchodilator medication to a patient with asthma?
To reduce inflammation in the airways
To decrease mucus production
To relieve bronchospasm and improve airflow
To treat bacterial infection
#9
What is the primary purpose of an incentive spirometer?
To promote deep breathing and prevent atelectasis
To deliver oxygen therapy
To administer aerosolized medications
To measure lung compliance
#10
Which of the following is a sign of potential sepsis in a hospitalized patient?
Hypertension
Bradycardia
Hypothermia
Hypoglycemia
#11
When caring for a patient with a nasogastric tube, what action should the nurse take to verify proper tube placement?
Check for bowel sounds
Aspirate gastric contents and check pH
Monitor urine output
Assess skin integrity around the insertion site
#12
What is the primary goal of cardiopulmonary resuscitation (CPR)?
Restoring normal heart rhythm
Administering medications
Maintaining airway patency
Controlling bleeding
#13
Which of the following is a common symptom of fluid overload?
Decreased blood pressure
Increased urine output
Peripheral edema
Bradycardia
#14
When caring for a patient with a central venous catheter, which action is essential to prevent infection?
Clamping the catheter when not in use
Using a sterile dressing during site care
Increasing the frequency of catheter flushes
Avoiding hand hygiene before handling the catheter
#15
What is the primary purpose of an arterial blood gas (ABG) analysis?
To assess blood glucose levels
To evaluate respiratory function and acid-base balance
To measure electrolyte levels
To monitor cardiac enzymes
#16
Which of the following is a potential complication of immobility in hospitalized patients?
Increased muscle strength
Improved circulation
Risk of pressure ulcers
Enhanced respiratory function
#17
When caring for a patient with a urinary catheter, what action should the nurse prioritize to prevent infection?
Irrigating the catheter with sterile saline
Applying an occlusive dressing around the catheter insertion site
Securing the catheter to the bed linens
Maintaining a closed urinary drainage system
#18
What is the primary purpose of using a Foley catheter in hospitalized patients?
To measure urine output
To administer intravenous medications
To assist with bowel movements
To monitor blood pressure
#19
Which of the following is a common complication associated with prolonged immobility in hospitalized patients?
Decreased risk of deep vein thrombosis
Improved gastrointestinal motility
Muscle atrophy
Enhanced respiratory function
#20
Which nursing intervention is appropriate for a patient with impaired mobility?
Encourage bed rest to conserve energy
Assist with range of motion exercises
Limit fluid intake to prevent urinary incontinence
Administer sedatives to promote sleep
#21
Which of the following is a priority nursing intervention for a patient experiencing anaphylaxis?
Administering a bronchodilator
Elevating the patient's legs
Administering epinephrine immediately
Providing a warm blanket
#22
Which of the following actions is appropriate when administering medication via a nasogastric tube?
Administering the medication with a large volume of fluid
Crushing enteric-coated tablets before administration
Administering medications quickly to prevent tube clogging
Positioning the patient in a supine position during administration
#23
Which of the following interventions is appropriate for a patient experiencing acute respiratory distress?
Administering supplemental oxygen at a low flow rate
Positioning the patient in a high Fowler's position
Encouraging deep breathing exercises
Administering a sedative to promote relaxation
#24
Which of the following interventions is appropriate for a patient with hypovolemic shock?
Administering a diuretic to reduce fluid volume
Elevating the lower extremities
Providing intravenous fluids to restore circulating volume
Encouraging deep breathing exercises