PN 2003 COMPLETE AND UPDATED EXAM QUESTIONS
WITH VERIFIED ANSWERS
1. What is the primary purpose of administering oxygen therapy to a
patient with COPD? A) To cure the disease B) To relieve hypoxemia C) To
prevent all complications D) To increase CO2 levels ANSWER : B - Oxygen
therapy relieves hypoxemia in COPD patients
2. Which position is best for a patient experiencing dyspnea? A) Supine B)
Trendelenburg C) High Fowler's D) Prone ANSWER : C - High Fowler's
position facilitates breathing
3. A patient with diabetes mellitus exhibits confusion, diaphoresis, and
tachycardia. What is the priority action? A) Administer insulin B) Check
blood glucose C) Give orange juice D) Call the physician ANSWER : B -
Check blood glucose first to confirm hypoglycemia
4. What is the most common complication of hypertension? A) Kidney
disease B) Stroke C) Heart disease D) All of the above ANSWER : D -
Hypertension can lead to multiple complications
5. Which laboratory value indicates dehydration? A) Low hematocrit B)
Elevated BUN C) Low sodium D) Elevated potassium ANSWER : B -
Elevated BUN suggests dehydration
6. What is the antidote for heparin overdose? A) Vitamin K B) Protamine
sulfate C) Naloxone D) Flumazenil ANSWER : B - Protamine sulfate reverses
heparin
7. A patient post-thyroidectomy develops muscle twitching and tingling.
What complication is suspected? A) Hyperthyroidism B) Hypothyroidism C)
Hypocalcemia D) Hyperkalemia ANSWER : C - Hypocalcemia from
parathyroid damage
8. What is the normal range for adult respiratory rate? A) 8-12
breaths/minute B) 12-20 breaths/minute C) 20-30 breaths/minute D) 30-40
breaths/minute ANSWER : B - Normal adult respiratory rate is 12-20/minute
, 9. Which symptom is characteristic of left-sided heart failure? A) Peripheral
edema B) Jugular vein distension C) Pulmonary congestion D) Hepatomegaly
ANSWER : C - Left-sided failure causes pulmonary congestion
10. What is the first sign of increased intracranial pressure? A) Decreased
level of consciousness B) Bradycardia C) Widened pulse pressure D) Fixed
pupils ANSWER : A - Altered consciousness is the earliest sign
11. A patient with peptic ulcer disease should avoid which medication? A)
Acetaminophen B) Ibuprofen C) Morphine D) Antibiotics ANSWER : B -
NSAIDs like ibuprofen worsen ulcers
12. What is the priority nursing intervention for a patient with chest pain?
A) Obtain vital signs B) Administer oxygen C) Call the physician D) Start an IV
ANSWER : B - Oxygen is the priority for chest pain
13. Which electrolyte imbalance causes muscle weakness and cardiac
dysrhythmias? A) Hyponatremia B) Hypocalcemia C) Hypokalemia D)
Hypomagnesemia ANSWER : C - Hypokalemia affects muscles and heart
14. What is the therapeutic INR range for a patient on warfarin? A) 1.0-2.0
B) 2.0-3.0 C) 3.0-4.0 D) 4.0-5.0 ANSWER : B - Therapeutic INR is 2.0-3.0
15. A patient with pneumonia has a temperature of 39°C. What is the
priority intervention? A) Administer antibiotics B) Encourage fluids C) Apply
cooling measures D) Monitor vital signs ANSWER : A - Antibiotics treat the
infection
16. What dietary modification is recommended for a patient with chronic
kidney disease? A) High protein B) High sodium C) Low potassium D) High
phosphorus ANSWER : C - CKD requires low potassium diet
17. Which finding indicates digoxin toxicity? A) Tachycardia B) Visual
disturbances C) Hypertension D) Increased appetite ANSWER : B - Visual
changes indicate digoxin toxicity
18. What is the primary goal of care for a patient with cirrhosis? A) Cure
the disease B) Prevent complications C) Increase protein intake D) Promote
weight gain ANSWER : B - Focus is on preventing complications
19. A patient receiving blood transfusion develops fever and chills. What
should the nurse do first? A) Slow the transfusion rate B) Stop the transfusion
C) Administer antipyretics D) Continue monitoring ANSWER : B - Stop
transfusion immediately for reaction
WITH VERIFIED ANSWERS
1. What is the primary purpose of administering oxygen therapy to a
patient with COPD? A) To cure the disease B) To relieve hypoxemia C) To
prevent all complications D) To increase CO2 levels ANSWER : B - Oxygen
therapy relieves hypoxemia in COPD patients
2. Which position is best for a patient experiencing dyspnea? A) Supine B)
Trendelenburg C) High Fowler's D) Prone ANSWER : C - High Fowler's
position facilitates breathing
3. A patient with diabetes mellitus exhibits confusion, diaphoresis, and
tachycardia. What is the priority action? A) Administer insulin B) Check
blood glucose C) Give orange juice D) Call the physician ANSWER : B -
Check blood glucose first to confirm hypoglycemia
4. What is the most common complication of hypertension? A) Kidney
disease B) Stroke C) Heart disease D) All of the above ANSWER : D -
Hypertension can lead to multiple complications
5. Which laboratory value indicates dehydration? A) Low hematocrit B)
Elevated BUN C) Low sodium D) Elevated potassium ANSWER : B -
Elevated BUN suggests dehydration
6. What is the antidote for heparin overdose? A) Vitamin K B) Protamine
sulfate C) Naloxone D) Flumazenil ANSWER : B - Protamine sulfate reverses
heparin
7. A patient post-thyroidectomy develops muscle twitching and tingling.
What complication is suspected? A) Hyperthyroidism B) Hypothyroidism C)
Hypocalcemia D) Hyperkalemia ANSWER : C - Hypocalcemia from
parathyroid damage
8. What is the normal range for adult respiratory rate? A) 8-12
breaths/minute B) 12-20 breaths/minute C) 20-30 breaths/minute D) 30-40
breaths/minute ANSWER : B - Normal adult respiratory rate is 12-20/minute
, 9. Which symptom is characteristic of left-sided heart failure? A) Peripheral
edema B) Jugular vein distension C) Pulmonary congestion D) Hepatomegaly
ANSWER : C - Left-sided failure causes pulmonary congestion
10. What is the first sign of increased intracranial pressure? A) Decreased
level of consciousness B) Bradycardia C) Widened pulse pressure D) Fixed
pupils ANSWER : A - Altered consciousness is the earliest sign
11. A patient with peptic ulcer disease should avoid which medication? A)
Acetaminophen B) Ibuprofen C) Morphine D) Antibiotics ANSWER : B -
NSAIDs like ibuprofen worsen ulcers
12. What is the priority nursing intervention for a patient with chest pain?
A) Obtain vital signs B) Administer oxygen C) Call the physician D) Start an IV
ANSWER : B - Oxygen is the priority for chest pain
13. Which electrolyte imbalance causes muscle weakness and cardiac
dysrhythmias? A) Hyponatremia B) Hypocalcemia C) Hypokalemia D)
Hypomagnesemia ANSWER : C - Hypokalemia affects muscles and heart
14. What is the therapeutic INR range for a patient on warfarin? A) 1.0-2.0
B) 2.0-3.0 C) 3.0-4.0 D) 4.0-5.0 ANSWER : B - Therapeutic INR is 2.0-3.0
15. A patient with pneumonia has a temperature of 39°C. What is the
priority intervention? A) Administer antibiotics B) Encourage fluids C) Apply
cooling measures D) Monitor vital signs ANSWER : A - Antibiotics treat the
infection
16. What dietary modification is recommended for a patient with chronic
kidney disease? A) High protein B) High sodium C) Low potassium D) High
phosphorus ANSWER : C - CKD requires low potassium diet
17. Which finding indicates digoxin toxicity? A) Tachycardia B) Visual
disturbances C) Hypertension D) Increased appetite ANSWER : B - Visual
changes indicate digoxin toxicity
18. What is the primary goal of care for a patient with cirrhosis? A) Cure
the disease B) Prevent complications C) Increase protein intake D) Promote
weight gain ANSWER : B - Focus is on preventing complications
19. A patient receiving blood transfusion develops fever and chills. What
should the nurse do first? A) Slow the transfusion rate B) Stop the transfusion
C) Administer antipyretics D) Continue monitoring ANSWER : B - Stop
transfusion immediately for reaction
