Version | 2025/2026 | Correct & Verified
What is the first action a nurse should take when assessing a patient’s airway?
✔✔Ensure it is open and clear of obstructions.
Why is hand hygiene critical before and after patient care?
✔✔To prevent the spread of infections and maintain patient safety.
Which vital sign indicates the effectiveness of a patient’s respiratory function?
✔✔Oxygen saturation and respiratory rate.
Why is it important to assess a patient’s level of consciousness?
✔✔To detect neurological changes or deterioration early.
Which intervention helps prevent pressure ulcers in bedridden patients?
✔✔Repositioning the patient every two hours and using pressure-relieving devices.
Why should a nurse monitor urine output?
✔✔To assess kidney function and detect fluid imbalances.
Which route of medication administration has the fastest absorption?
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,✔✔Intravenous (IV).
Why is patient education essential after administering a new medication?
✔✔To ensure adherence, prevent adverse effects, and promote safety.
Which symptom indicates a potential allergic reaction to a medication?
✔✔Rash, itching, swelling, or difficulty breathing.
Why is accurate documentation crucial in nursing practice?
✔✔To provide legal protection, continuity of care, and communication among healthcare
providers.
Which action should a nurse take first in a patient experiencing chest pain?
✔✔Assess vital signs, oxygen saturation, and cardiac status.
Why is proper positioning important for patients with respiratory distress?
✔✔To maximize lung expansion and improve oxygenation.
Which assessment finding indicates fluid overload?
✔✔Edema, crackles in the lungs, and weight gain.
Why is it important to verify patient identity before administering medication?
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, ✔✔To prevent medication errors and ensure patient safety.
Which nursing action reduces the risk of catheter-associated urinary tract infections?
✔✔Maintaining a closed drainage system and proper catheter care.
Why should a nurse assess bowel sounds before administering certain medications?
✔✔To detect gastrointestinal motility and prevent complications.
Which sign indicates potential hypoglycemia in a diabetic patient?
✔✔Sweating, confusion, dizziness, and shakiness.
Why is it important to assess pain using a standardized scale?
✔✔To provide consistent evaluation and guide effective pain management.
Which intervention helps prevent falls in hospitalized patients?
✔✔Keeping the bed low, ensuring proper lighting, and using bed alarms if needed.
Why should nurses monitor for signs of infection in post-operative patients?
✔✔To detect complications early and initiate prompt treatment.
Which action is essential before starting an IV infusion?
✔✔Checking the site for patency, signs of infection, and verifying the order.
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