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1. A patient with COPD presents with increased dyspnea. Which
intervention should the nurse implement first?
A. Encourage fluid restriction
B. Administer prescribed bronchodilator
C. Place in supine position
D. Initiate high-flow oxygen at 10 L/min
Rationale: Bronchodilators help open airways and relieve
dyspnea, which is the immediate concern in COPD
exacerbation.
2. A nurse is assessing a patient with hypokalemia. Which finding
is expected?
A. Hyperactive reflexes
B. Bradycardia
C. Muscle weakness
D. Hypertension
Rationale: Low potassium levels cause muscle weakness due
to impaired neuromuscular function.
3. The nurse is teaching a patient with diabetes about foot care.
Which instruction is most important?
, A. Use hot water to soak feet daily
B. Apply lotion between toes
C. Inspect feet daily for sores or cuts
D. Walk barefoot indoors to toughen skin
Rationale: Daily inspection prevents unnoticed injuries that
can lead to infection in diabetic patients.
4. Which lab value indicates that a patient’s warfarin therapy is
therapeutic?
A. PT 10 sec
B. aPTT 25 sec
C. INR 2.5
D. Platelets 150,000/mm³
Rationale: Therapeutic INR for most indications is 2.0–3.0.
5. A patient has a new prescription for furosemide. What should
the nurse monitor closely?
A. Blood glucose
B. Potassium levels
C. Sodium bicarbonate
D. Hemoglobin
Rationale: Furosemide is a loop diuretic that can cause
significant potassium loss.
6. Which patient is at greatest risk for pressure injuries?
A. A 25-year-old marathon runner
B. A patient with mild dehydration
C. An immobile patient with diabetes
D. A patient recovering from mild pneumonia
Rationale: Immobility and diabetes impair circulation and
tissue integrity, increasing risk for pressure injuries.
, 7. A patient reports severe right upper quadrant pain after eating
a fatty meal. Which condition is most likely?
A. Appendicitis
B. Cholelithiasis
C. Peptic ulcer
D. Gastroenteritis
Rationale: Gallstones often cause biliary colic after fatty
meals, presenting with right upper quadrant pain.
8. A nurse is teaching a patient about metformin. Which
statement indicates understanding?
A. “I should take it with grapefruit juice.”
B. “I should take it with meals to reduce stomach upset.”
C. “I can skip meals if I forget my dose.”
D. “I need to take it only once a week.”
Rationale: Metformin can cause GI upset; taking it with meals
minimizes this side effect.
9. Which symptom indicates hyperthyroidism?
A. Weight gain
B. Cold intolerance
C. Bradycardia
D. Heat intolerance
Rationale: Hyperthyroidism increases metabolism, causing
heat intolerance, weight loss, and tachycardia.
10. Which nursing intervention is priority for a patient with
acute confusion?
A. Administer oral analgesics
B. Ensure patient safety
C. Encourage physical activity
D. Provide dietary supplements