II Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A patient with pneumonia has crackles in the lower lobes and a temperature of 102°F. What is
the priority nursing action?
✔✔Encourage coughing and deep breathing.
A patient with acute kidney injury has a potassium level of 6.8 mEq/L. What medication may be
given to protect the heart?
✔✔Calcium gluconate.
A patient with Cushing’s syndrome presents with truncal obesity, moon face, and thin
extremities. What is the underlying cause?
✔✔Excess cortisol production.
A patient post-CVA is unable to speak but understands what is said. What type of aphasia is this?
✔✔Expressive aphasia.
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,A patient on digoxin has a heart rate of 48 bpm. What should the nurse do first?
✔✔Hold the medication and notify the provider.
A patient with tuberculosis is starting rifampin therapy. What side effect should the nurse teach
about?
✔✔Orange discoloration of body fluids.
A patient with hypothyroidism is prescribed levothyroxine. When should the medication be
taken?
✔✔In the morning on an empty stomach.
A patient with suspected meningitis has nuchal rigidity and photophobia. What isolation is
required?
✔✔Droplet precautions.
A patient with heart failure is prescribed furosemide. Which electrolyte imbalance is most likely?
✔✔Hypokalemia.
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, A patient with hyperthyroidism has bulging eyes. What is the priority nursing intervention?
✔✔Protect the eyes from injury and dryness.
A patient with Guillain-Barré syndrome is at risk for what life-threatening complication?
✔✔Respiratory failure.
A patient with cirrhosis has abdominal distention due to ascites. What procedure may be
performed to relieve symptoms?
✔✔Paracentesis.
A patient with peripheral artery disease reports pain in the legs when walking that is relieved by
rest. What is this symptom called?
✔✔Intermittent claudication.
A patient with severe burns has a high risk for which electrolyte imbalance during the first 24
hours?
✔✔Hyperkalemia.
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