1. A patient is receiving an antibiotic for a bacterial infection. Which of
the following findings indicates a potential allergic reaction to the
medication?
A. A decrease in fever
B. The appearance of a rash or hives
C. A drop in white blood cell count
D. An increase in blood pressure
Answer: B
Rationale: A rash or hives is a common sign of an allergic reaction to
antibiotics and requires immediate attention to prevent more severe
reactions.
2. A nurse is educating a patient on self-monitoring of blood glucose
levels. Which statement by the patient indicates a need for further
teaching?
A. "I will check my blood glucose before meals and at bedtime."
B. "I should clean my hands before checking my blood sugar."
C. "I can use the same finger for every blood test."
D. "I should record my blood glucose readings for my doctor."
Answer: C
,Rationale: Repeatedly using the same finger can cause discomfort and
calluses, and it is important to rotate fingers when checking blood
glucose.
3. Which of the following is an expected finding in a patient with
cirrhosis of the liver?
A. Decreased bilirubin levels
B. Jaundice and ascites
C. Decreased platelet count
D. Increased appetite
Answer: B
Rationale: Jaundice and ascites are common signs of cirrhosis due to
impaired liver function, which affects bilirubin metabolism and fluid
balance.
4. What is the best way for a nurse to promote a patient's mobility after
surgery?
A. Restricting movement to allow the surgical site to heal
B. Encouraging deep breathing and coughing exercises
C. Gradually increasing physical activity as tolerated
D. Administering pain medication before any movement
Answer: C
, Rationale: Gradually increasing physical activity as tolerated helps
improve circulation, prevent complications like DVT, and supports
faster recovery.
5. A nurse is caring for a patient with a history of seizures. Which of
the following interventions should be a priority during a seizure?
A. Restrain the patient to prevent injury
B. Place a bite block in the patient’s mouth
C. Clear the area of any potential hazards
D. Administer an anticonvulsant immediately
Answer: C
Rationale: The priority is to clear the area of any hazards to prevent
injury during the seizure and ensure the patient’s safety.
6. What should the nurse do first when a patient experiences a seizure?
A. Call for help and alert the physician
B. Restrain the patient’s arms to prevent injury
C. Place the patient on their back and tilt the head back
D. Keep the airway clear and protect the patient from injury
Answer: D
Rationale: The nurse should focus on protecting the patient from injury
and ensuring the airway remains clear during a seizure.
the following findings indicates a potential allergic reaction to the
medication?
A. A decrease in fever
B. The appearance of a rash or hives
C. A drop in white blood cell count
D. An increase in blood pressure
Answer: B
Rationale: A rash or hives is a common sign of an allergic reaction to
antibiotics and requires immediate attention to prevent more severe
reactions.
2. A nurse is educating a patient on self-monitoring of blood glucose
levels. Which statement by the patient indicates a need for further
teaching?
A. "I will check my blood glucose before meals and at bedtime."
B. "I should clean my hands before checking my blood sugar."
C. "I can use the same finger for every blood test."
D. "I should record my blood glucose readings for my doctor."
Answer: C
,Rationale: Repeatedly using the same finger can cause discomfort and
calluses, and it is important to rotate fingers when checking blood
glucose.
3. Which of the following is an expected finding in a patient with
cirrhosis of the liver?
A. Decreased bilirubin levels
B. Jaundice and ascites
C. Decreased platelet count
D. Increased appetite
Answer: B
Rationale: Jaundice and ascites are common signs of cirrhosis due to
impaired liver function, which affects bilirubin metabolism and fluid
balance.
4. What is the best way for a nurse to promote a patient's mobility after
surgery?
A. Restricting movement to allow the surgical site to heal
B. Encouraging deep breathing and coughing exercises
C. Gradually increasing physical activity as tolerated
D. Administering pain medication before any movement
Answer: C
, Rationale: Gradually increasing physical activity as tolerated helps
improve circulation, prevent complications like DVT, and supports
faster recovery.
5. A nurse is caring for a patient with a history of seizures. Which of
the following interventions should be a priority during a seizure?
A. Restrain the patient to prevent injury
B. Place a bite block in the patient’s mouth
C. Clear the area of any potential hazards
D. Administer an anticonvulsant immediately
Answer: C
Rationale: The priority is to clear the area of any hazards to prevent
injury during the seizure and ensure the patient’s safety.
6. What should the nurse do first when a patient experiences a seizure?
A. Call for help and alert the physician
B. Restrain the patient’s arms to prevent injury
C. Place the patient on their back and tilt the head back
D. Keep the airway clear and protect the patient from injury
Answer: D
Rationale: The nurse should focus on protecting the patient from injury
and ensuring the airway remains clear during a seizure.
