Solution Manual
Nursing Program Progression & NCLEX Readiness
Assessment | Questions with Verified Q&A
Q1: A patient has a blood pressure of 78/50 mmHg, heart rate of 120 bpm,
and appears pale. What is the nurse’s priority action?
A) Assess perfusion and initiate fluid resuscitation
B) Administer antihypertensive
C) Encourage ambulation
D) Schedule routine labs
Answer: A
Q2: A patient with type 2 diabetes presents with confusion, sweating, and
tremors. Which is the priority intervention?
A) Check blood glucose and administer fast-acting carbohydrate if hypoglycemic
B) Administer insulin
C) Encourage rest
D) Schedule labs
Answer: A
Q3: A patient with chest pain radiating to the left arm and jaw requires
which priority action?
A) Obtain ECG and notify provider immediately
B) Provide antacids
C) Encourage ambulation
D) Schedule routine labs
Answer: A
,Q4: A patient presents with shortness of breath and wheezing. What is
priority?
A) Administer prescribed bronchodilator and monitor oxygen saturation
B) Provide oral fluids only
C) Encourage ambulation
D) Schedule pulmonary testing
Answer: A
Q5: A patient presents with sudden onset confusion and slurred speech.
What is the first action?
A) Perform rapid neurologic assessment and notify provider
B) Administer sedatives
C) Schedule routine labs
D) Encourage fluids
Answer: A
Q6: Which is an early sign of hypoxia in adults?
A) Restlessness, tachypnea, and cyanosis
B) Bradycardia only
C) Calm and pink appearance
D) Normal vital signs
Answer: A
Q7: A patient with fever, productive cough, and shortness of breath needs
which priority intervention?
A) Obtain sputum culture and start prescribed antibiotics
B) Encourage fluids only
C) Administer antipyretics only
D) Schedule labs
Answer: A
, Q8: A patient presents with hypotension and tachycardia. What is the
nurse’s first action?
A) Assess perfusion, vital signs, and fluid status
B) Administer vasopressors immediately
C) Provide oral fluids only
D) Wait for labs
Answer: A
Q9: A patient reports dizziness after standing up. What is the priority
action?
A) Assess orthostatic vital signs
B) Encourage standing
C) Provide fluids only
D) Wait for provider evaluation
Answer: A
Q10: A patient presents with abdominal pain and vomiting. Which
assessment is priority?
A) Assess vital signs, hydration status, and perform abdominal exam
B) Administer antiemetics only
C) Schedule dietitian consult
D) Wait for labs
Answer: A
Q11: A patient presents with confusion, fever, and hypotension. Which is
priority?
A) Assess vital signs, neurologic status, and initiate sepsis protocol
B) Provide fluids only
C) Schedule routine labs
D) Observe
Nursing Program Progression & NCLEX Readiness
Assessment | Questions with Verified Q&A
Q1: A patient has a blood pressure of 78/50 mmHg, heart rate of 120 bpm,
and appears pale. What is the nurse’s priority action?
A) Assess perfusion and initiate fluid resuscitation
B) Administer antihypertensive
C) Encourage ambulation
D) Schedule routine labs
Answer: A
Q2: A patient with type 2 diabetes presents with confusion, sweating, and
tremors. Which is the priority intervention?
A) Check blood glucose and administer fast-acting carbohydrate if hypoglycemic
B) Administer insulin
C) Encourage rest
D) Schedule labs
Answer: A
Q3: A patient with chest pain radiating to the left arm and jaw requires
which priority action?
A) Obtain ECG and notify provider immediately
B) Provide antacids
C) Encourage ambulation
D) Schedule routine labs
Answer: A
,Q4: A patient presents with shortness of breath and wheezing. What is
priority?
A) Administer prescribed bronchodilator and monitor oxygen saturation
B) Provide oral fluids only
C) Encourage ambulation
D) Schedule pulmonary testing
Answer: A
Q5: A patient presents with sudden onset confusion and slurred speech.
What is the first action?
A) Perform rapid neurologic assessment and notify provider
B) Administer sedatives
C) Schedule routine labs
D) Encourage fluids
Answer: A
Q6: Which is an early sign of hypoxia in adults?
A) Restlessness, tachypnea, and cyanosis
B) Bradycardia only
C) Calm and pink appearance
D) Normal vital signs
Answer: A
Q7: A patient with fever, productive cough, and shortness of breath needs
which priority intervention?
A) Obtain sputum culture and start prescribed antibiotics
B) Encourage fluids only
C) Administer antipyretics only
D) Schedule labs
Answer: A
, Q8: A patient presents with hypotension and tachycardia. What is the
nurse’s first action?
A) Assess perfusion, vital signs, and fluid status
B) Administer vasopressors immediately
C) Provide oral fluids only
D) Wait for labs
Answer: A
Q9: A patient reports dizziness after standing up. What is the priority
action?
A) Assess orthostatic vital signs
B) Encourage standing
C) Provide fluids only
D) Wait for provider evaluation
Answer: A
Q10: A patient presents with abdominal pain and vomiting. Which
assessment is priority?
A) Assess vital signs, hydration status, and perform abdominal exam
B) Administer antiemetics only
C) Schedule dietitian consult
D) Wait for labs
Answer: A
Q11: A patient presents with confusion, fever, and hypotension. Which is
priority?
A) Assess vital signs, neurologic status, and initiate sepsis protocol
B) Provide fluids only
C) Schedule routine labs
D) Observe
