WITH SOLUTIONS 2025
✔✔A postoperative laparoscopic appendectomy patient is receiving morphine PCA for
pain findings with alert you to the potential of a narcotic overdose? - ✔✔A respiratory
rate of 8 breaths per minute
✔✔ - ✔✔Paced rhythm
✔✔Your patient was admitted with severe dehydration. Which of the following orders
would you question - ✔✔KCI 40 mEq IV push STAT
✔✔What is the first sign of increased intracranial pressure? - ✔✔Change in LOC
✔✔A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered? - ✔✔Morphine Duramorph, oxygen,
nitrates,
Aceticsalicylic acid, bayer buffered aspirin
✔✔The Glasgow, scale ranges from: - ✔✔3 to 15
✔✔You deserve the nurse aid removing her gloves and immediately using alcohol hand
sanitizer in a room with a patient who has C-Diff. What education should you provide to
the nurse aide - ✔✔And washing with soap and water is mandatory because alcohol
based hand sanitizers do not kill C-diff
✔✔Heart rate - ✔✔80
✔✔Which of the following assessment findings should you report immediately to the
physician for a patient who just had a bronchoscopy and biopsy? - ✔✔Sputum with
streaks of blood
NOT: increased salivation
✔✔Your patient was just returned from surgery with a Jackson-Pratt JP drain in place
which of the following is the best nursing action? - ✔✔Compress the drain, then plug the
bulb to establish suction
✔✔Patient is admitted for shortness of breath. Do you notice the spouse adjusting the
oxygen on the wall and she states "she always takes care of my husband" what would
be an appropriate response? - ✔✔Educate the spouse on oxygen use as a medical
device in the hospital
, ✔✔Deposition has ordered for your patience to begin a 24 hour urine collection. Your
patient voids for the first time two hours after the orders received. What should be done
with this urine sample? - ✔✔Discarded, then begin the 24 hour collection
✔✔Which of the following lab values would you expect to see in a patient diagnosed
with?.... - ✔✔Lipase - 196
✔✔You were caring for a patient admitted with abdominal pain. Your patient has a
bowel movement and you know dark tarry stool what would be the diagnosis? -
✔✔Upper G.I. bleed
✔✔Your COPD patient is complaining of wheezing and increased shortness of breath -
✔✔Assess your patient for a change in condition
✔✔What information is vital for you to know prior to administering an ordered dose of
digoxin - ✔✔Heart rate
✔✔Your patient has been diagnosed with a hemorrhagic CVA - ✔✔Heparin infusion per
pharmacy protocol
✔✔A 56-year-old man has an acute onset of shortness of breath, chest pain,
apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The
symptoms are indicative of: - ✔✔Pulmonary embolism?
NOT: tuberculosis
✔✔You're reviewing the menu list of a patient on Warfran what food should they not
eat? - ✔✔Spinach
✔✔Which of the following issues should be reported up the chain of command - ✔✔A
coworker arriving to work under the influence of alcohol
✔✔You're providing discharge instructions to a CHF patient. - ✔✔Increase shortness of
breath
✔✔cardiac rhythm - ✔✔V-Tach
✔✔Which of the following electrolyte value should be Addressed immediately by the
nurse - ✔✔Potassium 2.5 mEq/L
✔✔Which of the following medication may cause urine discoloration - ✔✔Rifampin