Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient with chest pain reports shortness of breath and diaphoresis. What is the nurse’s first
action?
A. Sit with the patient
✔✔B. Assess vital signs and apply cardiac monitoring
C. Give pain medication immediately
D. Call family
A patient with diabetes reports a blood glucose level of 38 mg/dL and is lethargic. What should
the nurse do first?
✔✔A. Administer a rapid-acting carbohydrate
B. Wait for the next scheduled meal
C. Notify the provider after an hour
D. Encourage exercise
A postoperative patient is confused and attempting to get out of bed. What is the priority nursing
action?
1
,A. Call security
✔✔B. Implement fall precautions and stay with the patient
C. Sedate the patient immediately
D. Document only
A patient develops sudden swelling of lips and tongue after eating peanuts. What is the first
nursing action?
A. Give oral antihistamine
✔✔B. Assess airway and prepare emergency intervention
C. Document and observe
D. Notify family
A child is admitted with fever and seizure activity. What is the priority nursing action?
A. Start IV fluids immediately
✔✔B. Ensure safety, maintain airway, and monitor seizure activity
C. Call provider after seizure
D. Document only
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,A patient reports dizziness and syncope. What is the priority nursing action?
A. Sit patient upright
✔✔B. Place patient supine, assess vital signs, and notify provider
C. Wait 30 minutes
D. Document
A patient refuses a new antibiotic. What is the best nursing response?
A. Force the patient to take it
✔✔B. Explain benefits, risks, and purpose of the medication
C. Ignore refusal
D. Wait until patient changes mind
A postoperative patient reports persistent nausea. What is the priority nursing action?
A. Document only
B. Provide food
✔✔C. Assess severity and administer antiemetic as prescribed
D. Wait to see if it resolves
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, A patient reports numbness and tingling after starting a new medication. What is the first nursing
action?
A. Tell the patient it is normal
✔✔B. Assess for adverse drug reaction and notify provider
C. Wait for next assessment
D. Document only
A patient is post-operative and refuses ambulation due to pain. What is the priority nursing
action?
A. Force ambulation
B. Wait until patient feels ready
✔✔C. Assess pain and provide analgesia before assisting
D. Ignore complaint
A patient with COPD reports increased shortness of breath. What is the priority nursing action?
A. Encourage coughing only
B. Sit with patient
✔✔C. Administer prescribed oxygen and assess respiratory effort
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