Display Area Badge Exam Study Guide, Airport Security Training
& Assessment Prep, Practice Questions with Answers, TSA
Security Rules, Airport Access Control, Badge Holder
Responsibilities, Escort Procedures, Challenge Procedures,
Security Awareness & Restricted Area Regulations
Question 1: A nurse is preparing to administer a scheduled dose of warfarin to a
patient with a history of atrial fibrillation. The most recent laboratory result
shows an INR of 5.8. Which action should the nurse take first?
A. Administer the warfarin as ordered and document the INR.
B. Hold the warfarin and notify the healthcare provider.
C. Administer vitamin K subcutaneously as per protocol.
D. Encourage the patient to increase intake of green leafy vegetables.
CORRECT ANSWER: B. Hold the warfarin and notify the healthcare provider.
Rationale: An INR of 5.8 is significantly above the therapeutic range for atrial
fibrillation (typically 2.0–3.0) and places the patient at high risk for bleeding. The
nurse must hold the medication and immediately contact the provider for further
orders, which may include vitamin K administration. Administering the drug
would be unsafe, and dietary changes are not an acute intervention for a critically
elevated INR.
Question 2: A patient diagnosed with a venous stasis ulcer of the lower
extremity asks the nurse why the wound is not healing. Which
pathophysiological mechanism should the nurse include in the explanation?
A. Arterial insufficiency reduces oxygen delivery to the wound bed.
B. Venous hypertension causes fluid and protein leakage into the tissues.
C. Peripheral neuropathy eliminates protective sensation in the foot.
D. Autoimmune destruction of the dermal layer impairs re-epithelialization.
CORRECT ANSWER: B. Venous hypertension causes fluid and protein leakage
into the tissues.
Rationale: Venous stasis ulcers result from chronic venous insufficiency, in which
venous hypertension leads to leakage of fluid, fibrinogen, and red blood cells into
the interstitial space. This creates edema, impaired oxygenation, and a pro-
,inflammatory environment that impedes healing. Arterial insufficiency is
associated with arterial ulcers, not venous stasis ulcers.
Question 3: A nurse is assessing a patient who is one day postoperative for an
appendectomy. The patient reports incisional pain of 6/10. Which assessment
finding would require immediate intervention?
A. Heart rate of 95 beats per minute.
B. Temperature of 99°F (37.2°C).
C. Respiratory rate of 21 breaths per minute.
D. Absent bowel sounds in all quadrants.
CORRECT ANSWER: D. Absent bowel sounds in all quadrants.
Rationale: While all listed findings warrant monitoring, absent bowel sounds one
day after abdominal surgery may indicate paralytic ileus, a common and
potentially serious postoperative complication. The nurse must report this finding
to the provider. Mild tachycardia, low-grade temperature elevation, and slightly
elevated respiratory rate are common expected responses to surgery and pain.
Question 4: A nurse is caring for a patient with a diagnosis of pneumonia who
develops a severe reaction after the first dose of IV antibiotics. The patient's
face is swollen, wheezing is audible, and blood pressure is 82/50 mm Hg. Which
medication should the nurse prepare to administer first?
A. Diphenhydramine.
B. Methylprednisolone.
C. Epinephrine.
D. Albuterol.
CORRECT ANSWER: C. Epinephrine.
Rationale: The patient is exhibiting signs of anaphylaxis, including airway
compromise (wheezing, facial swelling) and hemodynamic instability
(hypotension). Epinephrine is the first-line treatment for anaphylaxis because it
reverses bronchospasm, reduces edema, and supports blood pressure.
Antihistamines and corticosteroids are adjuncts, and albuterol alone does not
address the systemic hypotension.
,Question 5: A patient with COPD suddenly develops a spontaneous
pneumothorax. Which clinical manifestation should the nurse expect to find on
assessment?
A. Bradycardia and hypertension.
B. Sudden pleuritic chest pain and absent breath sounds on the affected side.
C. Bilateral crackles and productive cough.
D. Increased oxygen saturation and resonance to percussion.
CORRECT ANSWER: B. Sudden pleuritic chest pain and absent breath sounds on
the affected side.
Rationale: Spontaneous pneumothorax in a COPD patient typically presents with
sudden onset of sharp chest pain, dyspnea, and absent or decreased breath
sounds on the affected side due to air accumulation in the pleural space.
Tachycardia, hypotension, and hyperresonance to percussion are also common.
Crackles and increased oxygen saturation are not consistent with pneumothorax.
Question 6: A nurse is reviewing the medication administration record for a
patient receiving furosemide. Which laboratory value should the nurse monitor
most closely?
A. Serum calcium.
B. Serum potassium.
C. Serum sodium.
D. Serum magnesium.
CORRECT ANSWER: B. Serum potassium.
Rationale: Furosemide is a loop diuretic that promotes excretion of potassium in
addition to sodium and water. Hypokalemia is a common and potentially
dangerous adverse effect that can lead to cardiac dysrhythmias. While sodium
and magnesium losses can occur, potassium monitoring is the priority due to the
risk of life-threatening arrhythmias.
Question 7: A patient is admitted with a diagnosis of acute decompensated
heart failure. The nurse notes crackles in the lung bases, jugular venous
distention, and 3+ pitting edema of the lower extremities. Which nursing
intervention is the priority?
, A. Administer prescribed IV furosemide.
B. Place the patient in a supine position.
C. Encourage oral fluid intake to maintain hydration.
D. Apply sequential compression devices to the legs.
CORRECT ANSWER: A. Administer prescribed IV furosemide.
Rationale: The patient is exhibiting classic signs of fluid volume overload due to
heart failure. The priority is to administer the prescribed loop diuretic, which will
promote diuresis and reduce preload, improving respiratory status and edema.
Placing the patient supine would worsen respiratory distress; fluids should
typically be restricted, not encouraged; and compression devices are not the
immediate priority in acute decompensation.
Question 8: A nurse is performing a focused assessment on a patient who had a
stroke. The patient has left-sided weakness and difficulty swallowing. Which
finding would indicate the patient has likely aspirated?
A. Clear breath sounds bilaterally.
B. Oxygen saturation of 96% on room air.
C. Coughing and hoarseness after swallowing.
D. Complaint of thirst and dry mucous membranes.
CORRECT ANSWER: C. Coughing and hoarseness after swallowing.
Rationale: Coughing, hoarseness, and regurgitation after swallowing are classic
indicators of aspiration in a patient with dysphagia following stroke. Clear breath
sounds and normal oxygen saturation do not rule out aspiration, and thirst is not
a specific indicator of aspiration.
Question 9: A patient receiving a blood transfusion develops fever, chills, and
lower back pain 15 minutes into the transfusion. Which action should the nurse
take first?
A. Slow the transfusion rate and reassess in 15 minutes.
B. Stop the transfusion and maintain IV access with normal saline.
C. Administer acetaminophen as ordered for fever.
D. Document the findings and continue to monitor.