#1
Which of the following is a priority nursing intervention for a patient experiencing difficulty breathing?
Administering pain medication
Assisting with ambulation
Providing oxygen therapy
Administering antipyretics
#2
Which nursing intervention is appropriate for a patient experiencing an acute asthma exacerbation?
Providing a warm blanket
Administering a beta-blocker
Administering a bronchodilator
Assisting with deep breathing exercises
#3
Which nursing intervention is appropriate for a patient experiencing hypoglycemia?
Administering insulin
Administering a sugary drink or snack
Encouraging increased fluid intake
Administering a beta-blocker
#4
A patient is receiving intravenous (IV) heparin therapy for deep vein thrombosis (DVT). What is the priority nursing intervention?
Administering oral anticoagulants
Monitoring partial thromboplastin time (PTT)
Assessing for signs of infection
Administering analgesics for pain relief
#5
A patient with a head injury is at risk for increased intracranial pressure (ICP). What nursing intervention helps reduce ICP?
Encouraging coughing and deep breathing
Administering antipyretic medication
Maintaining a head-of-bed elevation of 30 degrees
Administering a vasoconstrictor medication
#6
When prioritizing nursing care, which patient should the nurse attend to first?
A patient with a history of hypertension who is complaining of a headache
A patient with diabetes who needs a blood sugar check
A patient with a wound that requires dressing change
A patient requesting assistance to the bathroom
#7
A patient with pneumonia is receiving antibiotics. What is the nurse's priority intervention?
Assessing lung sounds
Administering pain medication
Providing antipyretics
Monitoring for adverse drug reactions
#8
A patient with heart failure is prescribed a low-sodium diet. Which meal selection by the patient indicates understanding of dietary restrictions?
Ham sandwich with potato chips
Grilled chicken salad with vinaigrette dressing
Beef burger with French fries
Vegetable pizza with extra cheese
#9
During an initial assessment of a newborn, which finding requires immediate nursing intervention?
Cyanotic hands and feet
Respiratory rate of 60 breaths per minute
Heart rate of 110 beats per minute
Caput succedaneum
#10
A patient is scheduled for surgery in the morning and needs preoperative teaching. When is the best time for the nurse to provide this teaching?
After administering pain medication
In the evening before bedtime
Immediately before surgery
Early in the morning before breakfast
#11
A patient with sepsis is hypotensive and tachycardic. What is the priority nursing intervention?
Administering IV fluids
Administering antibiotics
Monitoring oxygen saturation
Assessing neurological status
#12
A postoperative patient is at risk for deep vein thrombosis (DVT). What is the priority nursing intervention?
Encouraging ambulation
Administering pain medication
Monitoring for urinary retention
Administering antiemetics
#13
A patient with diabetes mellitus is at risk for foot ulcers. What is the priority nursing intervention?
Applying lotion to the feet
Teaching proper foot care
Encouraging the patient to walk barefoot
Administering insulin
#14
A patient with a history of asthma is prescribed a metered-dose inhaler (MDI) with a corticosteroid. What teaching should the nurse provide?
The inhaler should be used only during an asthma attack
The mouth should be rinsed after using the inhaler
The inhaler should be stored in the bathroom
The inhaler should be used without a spacer
#15
A patient with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy. What teaching should the nurse provide regarding oxygen use?
Oxygen flow rate should be adjusted based on symptoms
Oxygen should be used continuously during sleep
Oxygen can be applied directly to the skin
Oxygen therapy should be stopped if the patient feels lightheaded