Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient with a new oxygen prescription is anxious about wearing the nasal cannula. What is the
nurse’s best response?
A. Remove the oxygen until the patient calms down
✔✔B. Explain the purpose of oxygen and offer reassurance
C. Tighten the tubing for security
D. Ask the patient to refuse therapy if uncomfortable
A nurse is preparing to measure a patient’s radial pulse. Which step is most important?
A. Use the thumb to locate the pulse
✔✔B. Place two fingers over the radial artery
C. Apply firm pressure to feel the beat
D. Count the pulse for 10 seconds and multiply by six
When providing oral hygiene to an unconscious patient, what should the nurse do first?
A. Lay the patient flat in bed
1
,B. Use only water and no suction
✔✔C. Position the patient on their side to prevent aspiration
D. Insert fingers deeply to open the mouth
A patient with dyspnea is experiencing difficulty breathing in bed. Which action should the nurse
take?
A. Lower the head of the bed
✔✔B. Place the patient in high Fowler’s position
C. Encourage the patient to lie on their stomach
D. Restrict the use of pillows
A nurse is teaching a patient about using an incentive spirometer. Which instruction is correct?
A. Exhale forcefully into the device
B. Take rapid shallow breaths into the device
✔✔C. Inhale slowly and deeply through the device
D. Use it once per shift
A patient reports severe pain after surgery. Which nursing action is the priority?
2
, ✔✔A. Assess the patient’s pain using a pain scale
B. Notify the physician immediately
C. Offer non-pharmacological therapy first
D. Document the pain without intervention
A nurse is preparing to administer ear drops to an adult. Which technique is correct?
A. Pull the auricle down and back
✔✔B. Pull the auricle up and back
C. Place drops directly into the ear canal without touching
D. Insert cotton tightly after drops
A patient with orthostatic hypotension is being prepared for ambulation. What should the nurse
do first?
✔✔A. Have the patient sit on the edge of the bed before standing
B. Assist the patient to stand immediately
C. Encourage the patient to walk independently
D. Increase fluid intake before standing
3