1. What is the first step when a patient is suspected of having a stroke?
A. Administer oxygen
B. Call for immediate medical assistance
C. Start an IV line
D. Perform a neurological assessment
Answer: B
Rationale: Immediate medical intervention is essential in stroke
management, so the first step is to call for medical assistance to ensure
timely treatment.
2. Which of the following is a common side effect of opioid pain
medications?
A. Diarrhea
B. Constipation
C. Excessive sweating
D. Insomnia
Answer: B
Rationale: Constipation is a well-known side effect of opioids due to
their action on the gastrointestinal system, slowing peristalsis.
,3. A patient has been prescribed a new antihypertensive medication.
What should the nurse monitor most closely when the patient begins
the medication?
A. Respiratory rate
B. Blood pressure
C. Heart rate
D. Body temperature
Answer: B
Rationale: The nurse should closely monitor blood pressure to assess
the effectiveness of the antihypertensive medication and detect any
signs of hypotension.
4. A nurse is caring for a patient with a Foley catheter. Which of the
following interventions helps to prevent urinary tract infections
(UTIs)?
A. Maintaining a closed urinary drainage system
B. Irrigating the catheter daily with saline solution
C. Removing the catheter at regular intervals
D. Ensuring the catheter tubing is clamped periodically
Answer: A
Rationale: Keeping the urinary drainage system closed helps reduce the
risk of introducing pathogens and preventing urinary tract infections.
, 5. A nurse is caring for a patient who is post-operative and
experiencing nausea. Which intervention is most appropriate to relieve
the symptoms?
A. Offering the patient food immediately
B. Administering prescribed antiemetic medication
C. Encouraging the patient to drink large amounts of fluid
D. Increasing the room temperature to promote comfort
Answer: B
Rationale: Administering antiemetic medication as prescribed is the
most effective way to manage post-operative nausea and prevent
complications such as dehydration or discomfort.
6. Which of the following is a priority for a nurse when caring for a
patient with a fractured leg in a cast?
A. Elevating the leg to reduce swelling
B. Encouraging the patient to walk as soon as possible
C. Applying heat to the affected area to alleviate pain
D. Limiting fluid intake to prevent edema
Answer: A
Rationale: Elevating the leg helps to reduce swelling and improve
circulation, which is critical during the initial stages after a fracture.
A. Administer oxygen
B. Call for immediate medical assistance
C. Start an IV line
D. Perform a neurological assessment
Answer: B
Rationale: Immediate medical intervention is essential in stroke
management, so the first step is to call for medical assistance to ensure
timely treatment.
2. Which of the following is a common side effect of opioid pain
medications?
A. Diarrhea
B. Constipation
C. Excessive sweating
D. Insomnia
Answer: B
Rationale: Constipation is a well-known side effect of opioids due to
their action on the gastrointestinal system, slowing peristalsis.
,3. A patient has been prescribed a new antihypertensive medication.
What should the nurse monitor most closely when the patient begins
the medication?
A. Respiratory rate
B. Blood pressure
C. Heart rate
D. Body temperature
Answer: B
Rationale: The nurse should closely monitor blood pressure to assess
the effectiveness of the antihypertensive medication and detect any
signs of hypotension.
4. A nurse is caring for a patient with a Foley catheter. Which of the
following interventions helps to prevent urinary tract infections
(UTIs)?
A. Maintaining a closed urinary drainage system
B. Irrigating the catheter daily with saline solution
C. Removing the catheter at regular intervals
D. Ensuring the catheter tubing is clamped periodically
Answer: A
Rationale: Keeping the urinary drainage system closed helps reduce the
risk of introducing pathogens and preventing urinary tract infections.
, 5. A nurse is caring for a patient who is post-operative and
experiencing nausea. Which intervention is most appropriate to relieve
the symptoms?
A. Offering the patient food immediately
B. Administering prescribed antiemetic medication
C. Encouraging the patient to drink large amounts of fluid
D. Increasing the room temperature to promote comfort
Answer: B
Rationale: Administering antiemetic medication as prescribed is the
most effective way to manage post-operative nausea and prevent
complications such as dehydration or discomfort.
6. Which of the following is a priority for a nurse when caring for a
patient with a fractured leg in a cast?
A. Elevating the leg to reduce swelling
B. Encouraging the patient to walk as soon as possible
C. Applying heat to the affected area to alleviate pain
D. Limiting fluid intake to prevent edema
Answer: A
Rationale: Elevating the leg helps to reduce swelling and improve
circulation, which is critical during the initial stages after a fracture.
