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Nursing Interventions and Clinical Assessments Quiz

#1

Which vital sign is a direct measure of heart function?

Pulse rate
Explanation

Indicates heart rate and rhythm

#2

Which of the following is a common nursing intervention for preventing pressure ulcers?

Frequent repositioning of immobile patients
Explanation

Reduces pressure on skin

#3

Which of the following assessments is crucial when monitoring a patient receiving intravenous (IV) fluid therapy?

Monitoring urine output
Explanation

Indicates renal function and fluid balance

#4

Which of the following is a priority nursing intervention for a patient with a high fever?

Administering antipyretic medication
Explanation

Reduces fever to prevent complications

#5

Which of the following is a priority nursing intervention for a patient at risk for aspiration?

Elevating the head of the bed during meals
Explanation

Prevents entry of food into airway

#6

Which action should a nurse prioritize when assessing a patient experiencing respiratory distress?

Ensuring a patent airway
Explanation

Ensures proper oxygenation

#7

When assessing a patient's pain, which pain assessment scale is commonly used for adult patients who can self-report?

Numeric Rating Scale
Explanation

Quantifies pain intensity

#8

What is the primary purpose of administering a bronchodilator medication to a patient with asthma?

To relieve bronchospasm and improve airflow
Explanation

Dilates airways to ease breathing

#9

What is the primary purpose of an incentive spirometer?

To promote deep breathing and prevent atelectasis
Explanation

Expands lung capacity

#10

Which of the following is a sign of potential sepsis in a hospitalized patient?

Hypothermia
Explanation

Indicates systemic infection

#11

Which nursing intervention is appropriate for a patient with impaired mobility?

Assist with range of motion exercises
Explanation

Maintains joint flexibility

#12

Which of the following is a priority nursing intervention for a patient experiencing anaphylaxis?

Administering epinephrine immediately
Explanation

Counteracts severe allergic reaction

#13

Which of the following actions is appropriate when administering medication via a nasogastric tube?

Crushing enteric-coated tablets before administration
Explanation

Ensures medication absorption

#14

Which of the following interventions is appropriate for a patient experiencing acute respiratory distress?

Positioning the patient in a high Fowler's position
Explanation

Improves lung expansion

#15

Which of the following interventions is appropriate for a patient with hypovolemic shock?

Providing intravenous fluids to restore circulating volume
Explanation

Addresses fluid loss and maintains perfusion

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