1- A client with COPD reports shortness of breath at rest. What is the nurse’s priority?
A. Administer oxygen
B. Notify provider
C. Encourage ambulation
D. Provide fluids
2- Which patient should the nurse assess first?
A. Client with asthma reporting wheezing
B. Client with diabetes requesting insulin
C. Client with hypertension needing BP check
D. Client with arthritis requesting pain meds
3- A nurse is caring for four clients. Which one is at greatest risk for falls?
A. Client with Parkinson’s disease
B. Client with hypertension
C. Client with diabetes
D. Client with pneumonia
4- A client with chest pain is admitted. Which action is priority?
A. Obtain ECG
B. Administer nitroglycerin
C. Place client on bed rest
D. Notify provider
5- A client with a tracheostomy suddenly develops respiratory distress. What is the nurse’s priority?
A. Call rapid response
B. Suction airway
C. Administer oxygen
D. Notify provider
6- A client receiving digoxin has a potassium level of 2.8 mEq/L. What is the nurse’s action?
A. Hold digoxin and notify provider
B. Administer digoxin as ordered
C. Increase fluid intake
D. Encourage ambulation
,7- Which medication is the antidote for warfarin?
A. Protamine sulfate
B. Vitamin K
C. Naloxone
D. Flumazenil
8- A client receiving morphine develops respiratory depression. What is the antidote?
A. Flumazenil
B. Naloxone
C. Protamine sulfate
D. Vitamin K
9- A nurse is teaching about lithium therapy. Which statement indicates understanding?
A. “I will maintain consistent sodium intake.”
B. “I will avoid drinking water.”
C. “I will stop taking the medication if I feel better.”
D. “I will take lithium with milk only.”
10- A client taking furosemide is at risk for which electrolyte imbalance?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypocalcemia
11- Which action prevents falls in hospitalized clients?
A. Raise all side rails
B. Keep bed in lowest position
C. Place IV pole across walkway
D. Encourage ambulation without assistance
12- A nurse is caring for a client with TB. Which precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Standard only
13- A nurse is preparing to insert a Foley catheter. Which action prevents infection?
, A. Use sterile technique
B. Apply clean gloves only
C. Lubricate catheter with tap water
D. Place catheter on bedside table
14- A nurse is teaching about hand hygiene. Which statement indicates understanding?
A. “I will wash my hands for at least 20 seconds.”
B. “I will use alcohol rub only when visibly soiled.”
C. “I will wear gloves instead of washing hands.”
D. “I will wash hands only before meals.”
15- A nurse is caring for a client with restraints. Which action is appropriate?
A. Tie restraints to side rails
B. Remove restraints every 2 hours
C. Keep restraints on continuously
D. Document only once per shift
16- A newborn has a blood glucose of 35 mg/dL. What is the nurse’s priority?
A. Notify provider
B. Feed the infant
C. Recheck glucose in 1 hour
D. Document findings
17- A nurse is teaching a client about iron supplements during pregnancy. Which statement indicates
understanding?
A. “I will take iron with milk.”
B. “I will take iron with orange juice.”
C. “I will take iron on an empty stomach.”
D. “I will take iron with coffee.”
18- A nurse is caring for a client in labor with late decelerations. What is the priority?
A. Increase oxytocin
B. Turn client to left side
C. Encourage pushing
D. Administer pain medication
19- A nurse is teaching about breastfeeding. Which statement indicates understanding?
A. “I will feed my baby every 3–4 hours.”