1. What should the nurse do if a patient experiences a severe allergic
reaction to a medication?
A. Administer more of the medication to counteract the reaction
B. Discontinue the medication immediately and notify the healthcare
provider
C. Administer an over-the-counter antihistamine
D. Encourage the patient to drink fluids
Answer: b) Discontinue the medication immediately and notify the
healthcare provider
Rationale: If a severe allergic reaction occurs, the nurse should stop the
medication, monitor the patient’s vital signs, and notify the healthcare
provider.
2. A nurse is preparing to administer a medication via the sublingual
route. Which of the following instructions should the nurse give the
patient?
A. "Swallow the tablet immediately after placing it under your tongue."
B. "Place the tablet under your tongue and allow it to dissolve
completely."
C. "Crush the tablet before placing it under your tongue."
D. "Chew the tablet thoroughly before swallowing."
,Answer: b) "Place the tablet under your tongue and allow it to dissolve
completely."
Rationale: Sublingual medications should be allowed to dissolve under
the tongue to facilitate rapid absorption into the bloodstream.
3. The nurse is assessing a patient with dehydration. Which of the
following findings is most likely?
A. Decreased blood pressure
B. Decreased heart rate
C. Increased urine output
D. Increased skin turgor
Answer: a) Decreased blood pressure
Rationale: Dehydration often leads to a drop in blood pressure as a
result of reduced fluid volume in the body.
4. Which of the following is the most effective method to prevent
pressure ulcers in a bedridden patient?
A. Regularly change the patient’s position every 2 hours
B. Keep the patient in a supine position at all times
C. Ensure the patient is placed on a soft mattress
D. Administer antibiotics to prevent infection
Answer: a) Regularly change the patient’s position every 2 hours
, Rationale: Regular repositioning relieves pressure on vulnerable areas
and is a key strategy in preventing pressure ulcers.
5. The nurse is preparing to administer a medication via the
intradermal route. Which of the following actions is most appropriate?
A. Insert the needle at a 90-degree angle
B. Use a 1.5-inch needle for injection
C. Inject the medication into the subcutaneous tissue
D. Insert the needle at a 10-15 degree angle
Answer: d) Insert the needle at a 10-15 degree angle
Rationale: Intradermal injections are administered at a shallow angle
(10-15 degrees) to ensure the medication is placed just below the
epidermis.
6. The nurse is administering a blood transfusion. Which of the
following is the most important action to take during the first 15
minutes of transfusion?
A. Monitor the patient’s vital signs
B. Ensure the blood is compatible with the patient’s type
C. Check the patient’s identification band
D. Confirm the transfusion rate is correct
Answer: a) Monitor the patient’s vital signs
reaction to a medication?
A. Administer more of the medication to counteract the reaction
B. Discontinue the medication immediately and notify the healthcare
provider
C. Administer an over-the-counter antihistamine
D. Encourage the patient to drink fluids
Answer: b) Discontinue the medication immediately and notify the
healthcare provider
Rationale: If a severe allergic reaction occurs, the nurse should stop the
medication, monitor the patient’s vital signs, and notify the healthcare
provider.
2. A nurse is preparing to administer a medication via the sublingual
route. Which of the following instructions should the nurse give the
patient?
A. "Swallow the tablet immediately after placing it under your tongue."
B. "Place the tablet under your tongue and allow it to dissolve
completely."
C. "Crush the tablet before placing it under your tongue."
D. "Chew the tablet thoroughly before swallowing."
,Answer: b) "Place the tablet under your tongue and allow it to dissolve
completely."
Rationale: Sublingual medications should be allowed to dissolve under
the tongue to facilitate rapid absorption into the bloodstream.
3. The nurse is assessing a patient with dehydration. Which of the
following findings is most likely?
A. Decreased blood pressure
B. Decreased heart rate
C. Increased urine output
D. Increased skin turgor
Answer: a) Decreased blood pressure
Rationale: Dehydration often leads to a drop in blood pressure as a
result of reduced fluid volume in the body.
4. Which of the following is the most effective method to prevent
pressure ulcers in a bedridden patient?
A. Regularly change the patient’s position every 2 hours
B. Keep the patient in a supine position at all times
C. Ensure the patient is placed on a soft mattress
D. Administer antibiotics to prevent infection
Answer: a) Regularly change the patient’s position every 2 hours
, Rationale: Regular repositioning relieves pressure on vulnerable areas
and is a key strategy in preventing pressure ulcers.
5. The nurse is preparing to administer a medication via the
intradermal route. Which of the following actions is most appropriate?
A. Insert the needle at a 90-degree angle
B. Use a 1.5-inch needle for injection
C. Inject the medication into the subcutaneous tissue
D. Insert the needle at a 10-15 degree angle
Answer: d) Insert the needle at a 10-15 degree angle
Rationale: Intradermal injections are administered at a shallow angle
(10-15 degrees) to ensure the medication is placed just below the
epidermis.
6. The nurse is administering a blood transfusion. Which of the
following is the most important action to take during the first 15
minutes of transfusion?
A. Monitor the patient’s vital signs
B. Ensure the blood is compatible with the patient’s type
C. Check the patient’s identification band
D. Confirm the transfusion rate is correct
Answer: a) Monitor the patient’s vital signs
