PART 1: QUESTIONS 1–50
1. A nurse is caring for a patient who is post-operative day 1 following a total hip
replacement. Which finding requires immediate intervention?
A) Pain score of 6/10
B) Urine output of 30 mL/hour
C) Oxygen saturation of 89% on room air
D) Temperature of 99.2°F (37.3°C)
Answer: C
2. A patient with heart failure is prescribed furosemide (Lasix) 40 mg IV push.
Which finding indicates the medication is effective?
A) Decreased urine output
B) Weight gain of 2 lb in 24 hours
C) Clear lung sounds and decreased edema
D) Increased blood pressure
, Answer: C
3. A nurse is providing discharge teaching to a patient with a new diagnosis of
diabetes mellitus. Which statement by the patient indicates a need for further
teaching?
A) "I will check my blood sugar before meals."
B) "I will rotate my insulin injection sites."
C) "I can stop my insulin if I feel sick and can't eat."
D) "I will wear a medical alert bracelet."
Answer: C
4. A patient with a new tracheostomy is being suctioned. Which action is correct?
A) Apply suction while inserting the catheter
B) Apply suction for 10–15 seconds during withdrawal
C) Suction for 30 seconds to ensure thorough clearance
D) Apply suction continuously for 5 seconds
Answer: B
, 5. A patient with chronic obstructive pulmonary disease (COPD) is receiving
oxygen at 4 L/min via nasal cannula. Which finding indicates the patient is
experiencing oxygen toxicity?
A) Increased respiratory rate
B) Decreased cough
C) Confusion and headache
D) Improved oxygen saturation
Answer: C
6. A nurse is assessing a patient with a suspected pulmonary embolism (PE). Which
finding is most concerning?
A) Chest pain
B) Tachycardia
C) Hemoptysis
D) Sudden onset of dyspnea and pleuritic chest pain
Answer: D
7. A patient with a history of seizures is prescribed phenytoin (Dilantin). Which
statement by the patient indicates understanding?
A) "I will take this medication with food to prevent stomach upset."
B) "I will stop taking it if I have no seizures for 6 months."
C) "I will have my blood levels checked regularly."
D) "I can drink alcohol in moderation."
, Answer: C
8. A patient with severe dehydration is prescribed IV fluids. Which assessment
finding indicates that fluid replacement is adequate?
A) Urine output of 25 mL/hour
B) Skin turgor with tenting
C) Blood pressure of 110/70 mmHg and heart rate of 80 bpm
D) Dry mucous membranes
Answer: C
9. A patient is undergoing a colonoscopy. Which instruction is correct regarding
the bowel preparation?
A) Eat a full breakfast on the day of the procedure
B) Drink clear liquids only 24 hours before the procedure
C) Take all oral medications as usual
D) Avoid all fluids for 12 hours before the procedure
Answer: B
1. A nurse is caring for a patient who is post-operative day 1 following a total hip
replacement. Which finding requires immediate intervention?
A) Pain score of 6/10
B) Urine output of 30 mL/hour
C) Oxygen saturation of 89% on room air
D) Temperature of 99.2°F (37.3°C)
Answer: C
2. A patient with heart failure is prescribed furosemide (Lasix) 40 mg IV push.
Which finding indicates the medication is effective?
A) Decreased urine output
B) Weight gain of 2 lb in 24 hours
C) Clear lung sounds and decreased edema
D) Increased blood pressure
, Answer: C
3. A nurse is providing discharge teaching to a patient with a new diagnosis of
diabetes mellitus. Which statement by the patient indicates a need for further
teaching?
A) "I will check my blood sugar before meals."
B) "I will rotate my insulin injection sites."
C) "I can stop my insulin if I feel sick and can't eat."
D) "I will wear a medical alert bracelet."
Answer: C
4. A patient with a new tracheostomy is being suctioned. Which action is correct?
A) Apply suction while inserting the catheter
B) Apply suction for 10–15 seconds during withdrawal
C) Suction for 30 seconds to ensure thorough clearance
D) Apply suction continuously for 5 seconds
Answer: B
, 5. A patient with chronic obstructive pulmonary disease (COPD) is receiving
oxygen at 4 L/min via nasal cannula. Which finding indicates the patient is
experiencing oxygen toxicity?
A) Increased respiratory rate
B) Decreased cough
C) Confusion and headache
D) Improved oxygen saturation
Answer: C
6. A nurse is assessing a patient with a suspected pulmonary embolism (PE). Which
finding is most concerning?
A) Chest pain
B) Tachycardia
C) Hemoptysis
D) Sudden onset of dyspnea and pleuritic chest pain
Answer: D
7. A patient with a history of seizures is prescribed phenytoin (Dilantin). Which
statement by the patient indicates understanding?
A) "I will take this medication with food to prevent stomach upset."
B) "I will stop taking it if I have no seizures for 6 months."
C) "I will have my blood levels checked regularly."
D) "I can drink alcohol in moderation."
, Answer: C
8. A patient with severe dehydration is prescribed IV fluids. Which assessment
finding indicates that fluid replacement is adequate?
A) Urine output of 25 mL/hour
B) Skin turgor with tenting
C) Blood pressure of 110/70 mmHg and heart rate of 80 bpm
D) Dry mucous membranes
Answer: C
9. A patient is undergoing a colonoscopy. Which instruction is correct regarding
the bowel preparation?
A) Eat a full breakfast on the day of the procedure
B) Drink clear liquids only 24 hours before the procedure
C) Take all oral medications as usual
D) Avoid all fluids for 12 hours before the procedure
Answer: B
