EXAM 2026
1. In a scenario where a patient is found unresponsive, which of the
following actions should a nurse take first based on the ABC's of
nursing?
Check the airway for obstructions.
Call for help before assessing the patient.
Administer CPR immediately.
Take the patient's vital signs.
2. What type of solution is normal saline classified as?
Hypotonic
Hypertonic
Colloidal
Isotonic
3. If a patient presents with Trousseau's sign, what condition might they be
experiencing and what immediate action should be taken?
Hypocalcemia; the patient should be assessed for calcium
levels and treated accordingly.
Dehydration; the patient should be given IV fluids immediately.
Hypercalcemia; the patient should be given fluids to lower
calcium levels.
Anxiety; the patient should be reassured and monitored for panic
attacks.
,4. Describe the purpose of using a simple face mask in patients
experiencing mild respiratory distress.
A simple face mask is used to monitor respiratory rates in
patients.
A simple face mask is used to deliver high-flow oxygen for
severe respiratory failure.
A simple face mask is primarily for delivering medications
through inhalation.
A simple face mask provides supplemental oxygen to improve
oxygenation in patients with mild respiratory distress.
5. This precaution (used for measles, chickenpox, disseminated varicella,
tuberculosis) involves having a private room, negative pressure airflow,
mask/n95 device.
droplet precautions
contact precautions
airborne precautions
protective environment
6. In a clinical scenario, if a patient requires an enema but has a history of
heart failure, which type of solution would be most appropriate to use?
Hypotonic solution
Hypertonic solution
Oil-based solution
Isotonic solution
7. What is the definition of a wheal in medical terms?
A flat, discolored area on the skin that does not change in
, elevation.
A large, painful blister filled with clear fluid.
A small, raised bump on the skin filled with pus.
A firm, edematous, irregularly shaped area with varied size that
may only last a few hours.
8. Describe the significance of bronchovesicular breath sounds in a clinical
assessment.
Bronchovesicular breath sounds indicate normal airflow in the
central airways and can help assess lung health.
Bronchovesicular breath sounds are abnormal and indicate
potential lung disease.
Bronchovesicular breath sounds are associated with fluid in the
lungs and require immediate intervention.
Bronchovesicular breath sounds are only present in infants and
indicate healthy lungs.
9. Describe the importance of rotating sites when applying transdermal
patches.
It is necessary for all types of medication.
It allows for faster medication delivery.
It reduces the risk of infection.
Rotating sites prevents skin irritation and enhances absorption.
10. Which one of the following vital sign measurements is outside the
range of normal for an adult?
99.2° F (O)
18 breaths/min
, 140/90 mm Hg
75 beats/min
11. What are the components of standard precautions in infection control?
PPE only when necessary and hand hygiene
Hand hygiene, PPE when appropriate, gloves, discarding
sharps, and coughing etiquette
Coughing etiquette and discarding sharps only
Only hand hygiene and gloves
12. In the parkland formula, ___ of the fluid should be given in the first 8
hours
1/2
1/3
all of it
1/4
13. The following vital sign values are normal for an adult, except:
Blood pressure of 110/70 mmhg
Pulse rate of 69 bpm
Temperature of 39.9 degrees celsius
Respiratory rate of 18 cpm
14. What are the characteristics of bronchovesicular breath sounds?
High pitched, low amplitude, inspiration < expiration
Low pitched, high amplitude, inspiration > expiration