#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
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
#12
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
#13
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
#14
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
#15
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