100
,Patient Questions and Answers Study Guide
create the 100 questions and answers well structured and well used right tick to mark correct
answer Priority Patient Virtual Clinical Assignment | Final Exam Study Guide 2026/2027 –
Complete & Correct Solutions
Here is a well-structured set of 100 priority-focused patient questions and answers, formatted
with a right tick (✓) to mark the correct answer. This is designed to align with a Virtual
Clinical/Final Exam Study Guide for 2026/2027.
Priority Patient Virtual Clinical Assignment – Final Exam Study Guide
Domain: Safe and Effective Care Environment – Management of Care (Prioritization)
Section 1: Initial Assessment & Triage (Questions 1-20)
1. Which patient should the nurse assess first?
a) A 65-year-old with osteoarthritis requesting pain medication.
b) A 50-year-old with type 2 diabetes and a blood glucose of 210 mg/dL.
c) A 72-year-old post-op who is drowsy with a respiratory rate of 8/min. ✓
d) A 40-year-old with a new colostomy needing discharge teaching.
2. The nurse hears a client shout, "Help! I can't breathe!" Which action is the priority?
a) Notify the rapid response team.
b) Assess the patient's airway, breathing, and circulation. ✓
c) Check the oxygen saturation.
d) Review the patient's medical history.
3. A patient presents with crushing substernal chest pain radiating to the left arm. What is the
nurse's immediate action?
a) Administer sublingual nitroglycerin as ordered.
b) Obtain a 12-lead ECG. ✓
c) Start an IV line.
d) Provide emotional reassurance.
4. Which finding requires immediate intervention for a post-operative patient?
a) Incisional pain rated 6/10.
b) Urine output of 20 mL over the past 2 hours. ✓
c) Mild serous drainage on the dressing.
d) Patient stating they feel anxious.
,5. A patient with heart failure has crackles bilaterally, dyspnea, and +3 pitting edema. The
nurse should first:
a) Weigh the patient.
b) Administer IV furosemide as ordered. ✓
c) Place the patient in a low Fowler's position.
d) Restrict fluid intake.
6. A patient with a suspected stroke arrives in the ED. What is the priority nursing action?
a) Perform a complete neurological assessment.
b) Obtain vital signs.
c) Determine the exact time of symptom onset. ✓
d) Prepare the patient for a CT scan.
7. When triaging in the ED, which patient is assigned the highest acuity (Emergent)?
a) A child with an earache for 2 days.
b) An adult with a fever of 101°F and cough.
c) An infant with a fever of 104°F who is lethargic. ✓
d) A teenager with a sprained ankle.
8. A patient's cardiac monitor shows ventricular fibrillation. The nurse's first action is to:
a) Begin CPR.
b) Defibrillate the patient. ✓
c) Administer epinephrine.
d) Check for a pulse.
9. The nurse is caring for a patient with a tracheostomy who appears restless and is pulling at
the tube. What should the nurse do first?
a) Administer a sedative.
b) Apply soft wrist restraints.
c) Suction the tracheostomy tube. ✓
d) Call the respiratory therapist.
10. A patient with a head injury has clear fluid draining from the nose. The priority is to:
a) Test the fluid for glucose.
b) Apply a sterile dressing loosely.
c) Notify the physician immediately. ✓
d) Position the patient supine.
11. Which vital sign change is the most urgent to report?
a) Blood pressure increase from 120/80 to 138/88.
, b) Heart rate decrease from 72 to 66 bpm.
c) Oxygen saturation drop from 98% to 91% on room air. ✓
d) Respiratory rate increase from 16 to 20/min.
12. A patient on a heparin drip has a sudden onset of bleeding from an old IV site. Priority
action is to:
a) Apply direct pressure to the site.
b) Stop the heparin infusion. ✓
c) Notify the physician.
d) Check the latest aPTT result.
13. After a fall, a patient complains of hip pain and shortening of the affected leg. The nurse
should first:
a) Help the patient stand and walk to assess function.
b) Log-roll the patient and keep the leg immobilized. ✓
c) Apply a heat pack to the hip area.
d) Administer an analgesic.
14. A patient with diabetic ketoacidosis (DKA) has Kussmaul respirations. The nurse
recognizes this as:
a) A compensatory mechanism for metabolic acidosis. ✓
b) A sign of respiratory failure.
c) An indication for immediate oxygen.
d) A side effect of insulin therapy.
15. The priority goal in managing a patient with septic shock is to:
a) Administer broad-spectrum antibiotics within 1 hour. ✓
b) Maintain accurate intake and output.
c) Provide detailed patient education.
d) Ensure the patient is NPO.
16. Which patient is at highest risk for suicide and requires constant observation?
a) A patient who states, "Life is meaningless."
b) A patient with a detailed, feasible plan and the means to carry it out. ✓
c) A patient who is tearful and sad.
d) A patient with a history of a suicide attempt 5 years ago.
17. A patient receiving a blood transfusion develops chills, fever, and low back pain. The
nurse's first action is to:
a) Slow the infusion rate and monitor.
,Patient Questions and Answers Study Guide
create the 100 questions and answers well structured and well used right tick to mark correct
answer Priority Patient Virtual Clinical Assignment | Final Exam Study Guide 2026/2027 –
Complete & Correct Solutions
Here is a well-structured set of 100 priority-focused patient questions and answers, formatted
with a right tick (✓) to mark the correct answer. This is designed to align with a Virtual
Clinical/Final Exam Study Guide for 2026/2027.
Priority Patient Virtual Clinical Assignment – Final Exam Study Guide
Domain: Safe and Effective Care Environment – Management of Care (Prioritization)
Section 1: Initial Assessment & Triage (Questions 1-20)
1. Which patient should the nurse assess first?
a) A 65-year-old with osteoarthritis requesting pain medication.
b) A 50-year-old with type 2 diabetes and a blood glucose of 210 mg/dL.
c) A 72-year-old post-op who is drowsy with a respiratory rate of 8/min. ✓
d) A 40-year-old with a new colostomy needing discharge teaching.
2. The nurse hears a client shout, "Help! I can't breathe!" Which action is the priority?
a) Notify the rapid response team.
b) Assess the patient's airway, breathing, and circulation. ✓
c) Check the oxygen saturation.
d) Review the patient's medical history.
3. A patient presents with crushing substernal chest pain radiating to the left arm. What is the
nurse's immediate action?
a) Administer sublingual nitroglycerin as ordered.
b) Obtain a 12-lead ECG. ✓
c) Start an IV line.
d) Provide emotional reassurance.
4. Which finding requires immediate intervention for a post-operative patient?
a) Incisional pain rated 6/10.
b) Urine output of 20 mL over the past 2 hours. ✓
c) Mild serous drainage on the dressing.
d) Patient stating they feel anxious.
,5. A patient with heart failure has crackles bilaterally, dyspnea, and +3 pitting edema. The
nurse should first:
a) Weigh the patient.
b) Administer IV furosemide as ordered. ✓
c) Place the patient in a low Fowler's position.
d) Restrict fluid intake.
6. A patient with a suspected stroke arrives in the ED. What is the priority nursing action?
a) Perform a complete neurological assessment.
b) Obtain vital signs.
c) Determine the exact time of symptom onset. ✓
d) Prepare the patient for a CT scan.
7. When triaging in the ED, which patient is assigned the highest acuity (Emergent)?
a) A child with an earache for 2 days.
b) An adult with a fever of 101°F and cough.
c) An infant with a fever of 104°F who is lethargic. ✓
d) A teenager with a sprained ankle.
8. A patient's cardiac monitor shows ventricular fibrillation. The nurse's first action is to:
a) Begin CPR.
b) Defibrillate the patient. ✓
c) Administer epinephrine.
d) Check for a pulse.
9. The nurse is caring for a patient with a tracheostomy who appears restless and is pulling at
the tube. What should the nurse do first?
a) Administer a sedative.
b) Apply soft wrist restraints.
c) Suction the tracheostomy tube. ✓
d) Call the respiratory therapist.
10. A patient with a head injury has clear fluid draining from the nose. The priority is to:
a) Test the fluid for glucose.
b) Apply a sterile dressing loosely.
c) Notify the physician immediately. ✓
d) Position the patient supine.
11. Which vital sign change is the most urgent to report?
a) Blood pressure increase from 120/80 to 138/88.
, b) Heart rate decrease from 72 to 66 bpm.
c) Oxygen saturation drop from 98% to 91% on room air. ✓
d) Respiratory rate increase from 16 to 20/min.
12. A patient on a heparin drip has a sudden onset of bleeding from an old IV site. Priority
action is to:
a) Apply direct pressure to the site.
b) Stop the heparin infusion. ✓
c) Notify the physician.
d) Check the latest aPTT result.
13. After a fall, a patient complains of hip pain and shortening of the affected leg. The nurse
should first:
a) Help the patient stand and walk to assess function.
b) Log-roll the patient and keep the leg immobilized. ✓
c) Apply a heat pack to the hip area.
d) Administer an analgesic.
14. A patient with diabetic ketoacidosis (DKA) has Kussmaul respirations. The nurse
recognizes this as:
a) A compensatory mechanism for metabolic acidosis. ✓
b) A sign of respiratory failure.
c) An indication for immediate oxygen.
d) A side effect of insulin therapy.
15. The priority goal in managing a patient with septic shock is to:
a) Administer broad-spectrum antibiotics within 1 hour. ✓
b) Maintain accurate intake and output.
c) Provide detailed patient education.
d) Ensure the patient is NPO.
16. Which patient is at highest risk for suicide and requires constant observation?
a) A patient who states, "Life is meaningless."
b) A patient with a detailed, feasible plan and the means to carry it out. ✓
c) A patient who is tearful and sad.
d) A patient with a history of a suicide attempt 5 years ago.
17. A patient receiving a blood transfusion develops chills, fever, and low back pain. The
nurse's first action is to:
a) Slow the infusion rate and monitor.
