Answers | Latest Version | 2025/2026 |
Correct & Verified
A postoperative patient reports severe pain unrelieved by medication. What should the nurse do
first?
A. Give another dose immediately
✔✔B. Assess for complications such as infection or neurovascular compromise
C. Call the provider
D. Document only
A patient has a new prescription for a diuretic. What is the most important assessment before
administration?
A. Blood glucose
✔✔B. Serum potassium level
C. Blood pressure
D. Oxygen saturation
A patient reports dizziness and fainting when standing. What is the priority nursing intervention?
1
,✔✔A. Assist the patient to sit or lie down and assess vital signs
B. Encourage ambulation
C. Wait for next vital signs
D. Document only
A patient develops a rash and itching after receiving IV antibiotics. What is the first nursing
action?
A. Apply topical cream
✔✔B. Stop the infusion and notify the provider
C. Document and continue monitoring
D. Administer oral antihistamine only
A patient with diabetes reports a blood glucose of 350 mg/dL. What should the nurse do first?
A. Give insulin without assessment
✔✔B. Assess for signs of hyperglycemia and notify the provider
C. Encourage oral fluids only
D. Monitor again in an hour
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,A child is admitted with high fever and seizure activity. What is the priority nursing action?
A. Call the provider after the seizure
✔✔B. Ensure the child’s safety and maintain airway during seizure
C. Start IV fluids immediately
D. Document only
A postoperative patient is hypotensive and tachycardic. What is the first nursing action?
A. Sit the patient upright
✔✔B. Assess for bleeding and maintain IV access for fluid replacement
C. Call the provider immediately
D. Document
A patient is refusing a newly prescribed medication. What is the best nursing response?
✔✔A. Explain the benefits, risks, and purpose of the medication
B. Force the medication
C. Ignore refusal
D. Wait until patient changes their mind
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, A patient reports sudden swelling of lips and face after eating peanuts. What is the priority
nursing action?
A. Give oral antihistamine
B. Document only
✔✔C. Assess airway and prepare emergency intervention
D. Notify family
A patient with COPD has oxygen prescribed. What is the nurse’s priority action?
A. Sit with the patient
✔✔B. Apply oxygen and monitor respiratory status
C. Encourage coughing only
D. Document
A patient reports numbness and tingling in the hands after starting a new medication. What
should the nurse do first?
A. Tell the patient it is normal
✔✔B. Assess for adverse drug reaction and notify provider
C. Wait until next assessment
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