LATTEST UPDATE FOR Clinical DecisionMaking Test Practice VERSION WITH QUALIFIED QUESTIONS AND LATTIFIED ANSWERS 100% CORRECT. 1. A nurse is assessing a patient with shortness of breath. Which finding requires immediate intervention? A.

LATTEST UPDATE FOR
Clinical Decision-
Making Test
Practice 2025-2026
VERSION WITH
QUALIFIED QU-
ESTIONS AND
LATTIFIED ANSWERS
100% CORRECT.

,1. A nurse is assessing a patient with shortness of
breath. Which finding requires immediate
intervention?
A. Respiratory rate 22/min
B. Oxygen saturation 89%
C. Mild anxiety
D. Dry cough
Answer: B
Rationale: Oxygen saturation below 90% indicates
hypoxemia requiring immediate intervention.


2. A postoperative patient suddenly develops chest
pain and dyspnea. What is the nurse’s priority
action?
A. Encourage deep breathing
B. Apply oxygen
C. Assess pain level
D. Notify family

,Answer: B
Rationale: Oxygen is the priority to support airway
and breathing in suspected embolism.


3. A patient with heart failure gains 2 kg in 24
hours. What does this indicate?
A. Fluid loss
B. Improved status
C. Fluid retention
D. Poor diet
Answer: C
Rationale: Rapid weight gain indicates fluid
overload.


4. A nurse finds a patient unresponsive. What is
the first action?
A. Call provider
B. Start chest compressions

, C. Check pulse
D. Give oxygen
Answer: C
Rationale: Confirm absence of pulse before initiating
CPR.


5. Which lab result is most concerning in a patient
on warfarin?
A. INR 1.5
B. INR 2.5
C. INR 5.8
D. INR 3.0
Answer: C
Rationale: INR above therapeutic range increases
bleeding risk.


6. A diabetic patient is confused, sweaty, and
shaky. What should the nurse do first?