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EPIC ADULT MED SURG NURSE 100 ASSESSMENT LATEST 2026
ACTUAL EXAM| EPIC EHR (ELECTRONIC HEALTH RECORD)
COMPETENCY ASSESSMENT WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
1. A patient with acute respiratory distress has an oxygen saturation of
84% on room air. Which action should the nurse take first?
A. Obtain a complete medication history
B. Apply oxygen as prescribed and assess respiratory status
C. Encourage oral fluids
D. Document the finding and reassess in 1 hour
Answer: B
Rationale: Severe hypoxemia requires immediate attention to
oxygenation and respiratory status.
2. Which finding in a patient with pneumonia requires the most
immediate intervention?
A. Productive cough
B. Temperature of 38.2°C (100.8°F)
C. Oxygen saturation of 86% with increasing respiratory distress
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D. Fatigue
Answer: C
Rationale: Significant hypoxemia and respiratory distress indicate
impaired gas exchange and take priority.
3. Which assessment finding is most characteristic of a pneumothorax?
A. Bilateral crackles
B. Absent or markedly decreased breath sounds on one side
C. Bradycardia with hypertension
D. Bilateral dependent edema
Answer: B
Rationale: Air in the pleural space can cause unilateral decreased or
absent breath sounds.
4. A patient with COPD is receiving oxygen. Which nursing action is
appropriate?
A. Continuously increase oxygen to the highest possible level
B. Administer oxygen as prescribed and monitor respiratory status
C. Discontinue oxygen when the patient reports fatigue
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D. Encourage prolonged breath-holding
Answer: B
Rationale: Oxygen should be carefully titrated according to the
prescribed target and the patient's clinical status.
5. Which intervention helps a patient with COPD improve ventilation?
A. Encourage pursed-lip breathing
B. Encourage rapid shallow breathing
C. Keep the patient completely supine
D. Restrict all activity
Answer: A
Rationale: Pursed-lip breathing can help prolong exhalation and
reduce air trapping.
6. Which finding is most concerning in a patient with acute heart
failure?
A. Mild fatigue
B. New severe dyspnea with pulmonary crackles
C. Increased appetite
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D. Warm, dry skin
Answer: B
Rationale: Acute dyspnea and pulmonary crackles may indicate
pulmonary edema and impaired oxygenation.
7. Which intervention is commonly used to monitor fluid status in a
patient with heart failure?
A. Daily weights
B. Weekly temperature only
C. Measuring height daily
D. Monitoring hair growth
Answer: A
Rationale: Daily weights provide a sensitive indicator of changes in
fluid retention.
8. Which finding is consistent with left-sided heart failure?
A. Pulmonary crackles and dyspnea
B. Isolated jaundice
C. Increased bowel sounds
EPIC ADULT MED SURG NURSE 100 ASSESSMENT LATEST 2026
ACTUAL EXAM| EPIC EHR (ELECTRONIC HEALTH RECORD)
COMPETENCY ASSESSMENT WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
1. A patient with acute respiratory distress has an oxygen saturation of
84% on room air. Which action should the nurse take first?
A. Obtain a complete medication history
B. Apply oxygen as prescribed and assess respiratory status
C. Encourage oral fluids
D. Document the finding and reassess in 1 hour
Answer: B
Rationale: Severe hypoxemia requires immediate attention to
oxygenation and respiratory status.
2. Which finding in a patient with pneumonia requires the most
immediate intervention?
A. Productive cough
B. Temperature of 38.2°C (100.8°F)
C. Oxygen saturation of 86% with increasing respiratory distress
,2|Page
D. Fatigue
Answer: C
Rationale: Significant hypoxemia and respiratory distress indicate
impaired gas exchange and take priority.
3. Which assessment finding is most characteristic of a pneumothorax?
A. Bilateral crackles
B. Absent or markedly decreased breath sounds on one side
C. Bradycardia with hypertension
D. Bilateral dependent edema
Answer: B
Rationale: Air in the pleural space can cause unilateral decreased or
absent breath sounds.
4. A patient with COPD is receiving oxygen. Which nursing action is
appropriate?
A. Continuously increase oxygen to the highest possible level
B. Administer oxygen as prescribed and monitor respiratory status
C. Discontinue oxygen when the patient reports fatigue
,3|Page
D. Encourage prolonged breath-holding
Answer: B
Rationale: Oxygen should be carefully titrated according to the
prescribed target and the patient's clinical status.
5. Which intervention helps a patient with COPD improve ventilation?
A. Encourage pursed-lip breathing
B. Encourage rapid shallow breathing
C. Keep the patient completely supine
D. Restrict all activity
Answer: A
Rationale: Pursed-lip breathing can help prolong exhalation and
reduce air trapping.
6. Which finding is most concerning in a patient with acute heart
failure?
A. Mild fatigue
B. New severe dyspnea with pulmonary crackles
C. Increased appetite
, 4|Page
D. Warm, dry skin
Answer: B
Rationale: Acute dyspnea and pulmonary crackles may indicate
pulmonary edema and impaired oxygenation.
7. Which intervention is commonly used to monitor fluid status in a
patient with heart failure?
A. Daily weights
B. Weekly temperature only
C. Measuring height daily
D. Monitoring hair growth
Answer: A
Rationale: Daily weights provide a sensitive indicator of changes in
fluid retention.
8. Which finding is consistent with left-sided heart failure?
A. Pulmonary crackles and dyspnea
B. Isolated jaundice
C. Increased bowel sounds
