Question 1:
A client who is receiving chemotherapy asks the nurse why they are
feeling so weak. The nurse explains that this weakness is likely due to:
a) Anemia caused by bone marrow suppression b) Hyperkalemia
resulting from chemotherapy c) Excessive hydration d) Vitamin B12
deficiency
Answer: a) Anemia caused by bone marrow suppression
Rationale: Chemotherapy often leads to bone marrow suppression,
which results in a decrease in red blood cell production, leading to
anemia and fatigue.
Question 2:
Which of the following is the most important intervention for a patient
admitted with acute pancreatitis? a) Administering morphine for pain
management b) Giving the client oral fluids to maintain hydration c)
Limiting the client’s activity level d) Maintaining NPO (nothing by
mouth) status to rest the pancreas
Answer: d) Maintaining NPO (nothing by mouth) status to rest the
pancreas
Rationale: In acute pancreatitis, the pancreas must rest to reduce
inflammation. NPO status helps to prevent further stimulation of
pancreatic enzymes that could worsen the condition.
Question 3:
,A nurse is assessing a client with a new diagnosis of heart failure. Which
of the following findings would indicate worsening of the client's
condition? a) Increased urinary output b) Decreased weight c) Increased
shortness of breath and orthopnea d) A decrease in the client’s heart
rate
Answer: c) Increased shortness of breath and orthopnea
Rationale: Worsening heart failure is often marked by increased
shortness of breath and orthopnea due to fluid accumulation in the
lungs. These signs indicate the need for further evaluation and
intervention.
Question 4:
A patient post-appendectomy develops a fever of 101°F (38.3°C) and
increased white blood cell count. What action should the nurse take
first? a) Apply a cooling blanket to reduce the fever b) Contact the
healthcare provider about a potential infection c) Administer
acetaminophen for fever management d) Encourage the patient to
increase fluid intake
Answer: b) Contact the healthcare provider about a potential infection
Rationale: The development of fever and increased white blood cell
count post-appendectomy may indicate an infection, such as a wound
infection or abscess. Immediate medical evaluation is needed to
address this concern.
Question 5:
A nurse is caring for a client who had a stroke and is showing signs of
dysphagia. What is the priority nursing action? a) Encourage the client
, to drink plenty of fluids b) Assess the client's ability to swallow and
initiate a swallowing assessment c) Position the client upright for meals
d) Provide the client with a soft diet
Answer: b) Assess the client's ability to swallow and initiate a
swallowing assessment
Rationale: Dysphagia after a stroke increases the risk of aspiration. The
priority is to assess the client’s swallowing ability to prevent
complications such as aspiration pneumonia.
Question 6:
A nurse is educating a patient who has just been prescribed warfarin.
Which of the following instructions should the nurse include? a) Avoid
high-fat foods to prevent drug interaction b) Increase intake of leafy
green vegetables c) Report any signs of unusual bruising or bleeding d)
Take the medication at the same time every day, but not with food
Answer: c) Report any signs of unusual bruising or bleeding
Rationale: Warfarin is an anticoagulant, and patients should be
educated to report signs of bleeding or bruising, which could indicate
an overdose or dangerous side effect.
Question 7:
A patient with chronic kidney disease is being taught about dietary
restrictions. Which of the following foods should the nurse recommend
avoiding? a) Orange juice b) Chicken c) Apples d) Brown rice
Answer: a) Orange juice
A client who is receiving chemotherapy asks the nurse why they are
feeling so weak. The nurse explains that this weakness is likely due to:
a) Anemia caused by bone marrow suppression b) Hyperkalemia
resulting from chemotherapy c) Excessive hydration d) Vitamin B12
deficiency
Answer: a) Anemia caused by bone marrow suppression
Rationale: Chemotherapy often leads to bone marrow suppression,
which results in a decrease in red blood cell production, leading to
anemia and fatigue.
Question 2:
Which of the following is the most important intervention for a patient
admitted with acute pancreatitis? a) Administering morphine for pain
management b) Giving the client oral fluids to maintain hydration c)
Limiting the client’s activity level d) Maintaining NPO (nothing by
mouth) status to rest the pancreas
Answer: d) Maintaining NPO (nothing by mouth) status to rest the
pancreas
Rationale: In acute pancreatitis, the pancreas must rest to reduce
inflammation. NPO status helps to prevent further stimulation of
pancreatic enzymes that could worsen the condition.
Question 3:
,A nurse is assessing a client with a new diagnosis of heart failure. Which
of the following findings would indicate worsening of the client's
condition? a) Increased urinary output b) Decreased weight c) Increased
shortness of breath and orthopnea d) A decrease in the client’s heart
rate
Answer: c) Increased shortness of breath and orthopnea
Rationale: Worsening heart failure is often marked by increased
shortness of breath and orthopnea due to fluid accumulation in the
lungs. These signs indicate the need for further evaluation and
intervention.
Question 4:
A patient post-appendectomy develops a fever of 101°F (38.3°C) and
increased white blood cell count. What action should the nurse take
first? a) Apply a cooling blanket to reduce the fever b) Contact the
healthcare provider about a potential infection c) Administer
acetaminophen for fever management d) Encourage the patient to
increase fluid intake
Answer: b) Contact the healthcare provider about a potential infection
Rationale: The development of fever and increased white blood cell
count post-appendectomy may indicate an infection, such as a wound
infection or abscess. Immediate medical evaluation is needed to
address this concern.
Question 5:
A nurse is caring for a client who had a stroke and is showing signs of
dysphagia. What is the priority nursing action? a) Encourage the client
, to drink plenty of fluids b) Assess the client's ability to swallow and
initiate a swallowing assessment c) Position the client upright for meals
d) Provide the client with a soft diet
Answer: b) Assess the client's ability to swallow and initiate a
swallowing assessment
Rationale: Dysphagia after a stroke increases the risk of aspiration. The
priority is to assess the client’s swallowing ability to prevent
complications such as aspiration pneumonia.
Question 6:
A nurse is educating a patient who has just been prescribed warfarin.
Which of the following instructions should the nurse include? a) Avoid
high-fat foods to prevent drug interaction b) Increase intake of leafy
green vegetables c) Report any signs of unusual bruising or bleeding d)
Take the medication at the same time every day, but not with food
Answer: c) Report any signs of unusual bruising or bleeding
Rationale: Warfarin is an anticoagulant, and patients should be
educated to report signs of bleeding or bruising, which could indicate
an overdose or dangerous side effect.
Question 7:
A patient with chronic kidney disease is being taught about dietary
restrictions. Which of the following foods should the nurse recommend
avoiding? a) Orange juice b) Chicken c) Apples d) Brown rice
Answer: a) Orange juice
