1. A nurse is caring for a patient with chronic obstructive pulmonary
disease (COPD). The nurse should advise the patient to avoid:
A. Exposure to secondhand smoke
B. Engaging in regular exercise
C. Increasing fluid intake
D. Taking deep, slow breaths
Answer: a) Exposure to secondhand smoke
Rationale: Secondhand smoke can exacerbate COPD symptoms by
further damaging the lungs and reducing respiratory function. The
patient should avoid any exposure to smoke.
2. A nurse is caring for a patient with peptic ulcer disease (PUD). The
nurse should teach the patient to avoid:
A. Caffeine
B. Lean meats
C. Whole grains
D. Low-fat dairy
Answer: a) Caffeine
Rationale: Caffeine can irritate the stomach lining and exacerbate PUD
symptoms. The patient should avoid caffeinated beverages to help
reduce stomach acid production.
,3. The nurse is caring for a patient receiving morphine sulfate for
postoperative pain. The nurse should monitor the patient for which of
the following side effects?
A. Tachycardia
B. Hypotension
C. Respiratory depression
D. Hyperreflexia
Answer: c) Respiratory depression
Rationale: Opioids like morphine can cause respiratory depression,
which is a serious side effect. The nurse should closely monitor the
patient's respiratory rate and depth, especially after administration of
morphine.
4. A nurse is caring for a postoperative patient who is experiencing
pain. The patient requests medication, stating their pain is a "10" on a
scale of 0-10. The nurse's first action should be to:
A. Administer the prescribed pain medication
B. Ask the patient to describe the pain further
C. Assess the patient's vital signs
D. Notify the physician about the patient's pain
Answer: c) Assess the patient's vital signs
Rationale: Before administering pain medication, the nurse should first
assess vital signs to rule out any complications, such as hypotension or
, tachycardia, which may be linked to pain or other postoperative
concerns.
5. A nurse is administering a dose of enoxaparin to a patient. Which of
the following actions is important before administration?
A. Aspirate the syringe after injecting
B. Massage the injection site after administration
C. Administer the injection into the fatty tissue of the abdomen
D. Shake the syringe vigorously before use
Answer: c) Administer the injection into the fatty tissue of the abdomen
Rationale: Enoxaparin is a low-molecular-weight heparin and should be
injected into the fatty tissue of the abdomen to ensure proper
absorption.
6. A nurse is caring for a patient with atrial fibrillation. The nurse
knows that this patient is at risk for:
A. Stroke
B. Respiratory failure
C. Myocardial infarction
D. Kidney failure
Answer: a) Stroke
disease (COPD). The nurse should advise the patient to avoid:
A. Exposure to secondhand smoke
B. Engaging in regular exercise
C. Increasing fluid intake
D. Taking deep, slow breaths
Answer: a) Exposure to secondhand smoke
Rationale: Secondhand smoke can exacerbate COPD symptoms by
further damaging the lungs and reducing respiratory function. The
patient should avoid any exposure to smoke.
2. A nurse is caring for a patient with peptic ulcer disease (PUD). The
nurse should teach the patient to avoid:
A. Caffeine
B. Lean meats
C. Whole grains
D. Low-fat dairy
Answer: a) Caffeine
Rationale: Caffeine can irritate the stomach lining and exacerbate PUD
symptoms. The patient should avoid caffeinated beverages to help
reduce stomach acid production.
,3. The nurse is caring for a patient receiving morphine sulfate for
postoperative pain. The nurse should monitor the patient for which of
the following side effects?
A. Tachycardia
B. Hypotension
C. Respiratory depression
D. Hyperreflexia
Answer: c) Respiratory depression
Rationale: Opioids like morphine can cause respiratory depression,
which is a serious side effect. The nurse should closely monitor the
patient's respiratory rate and depth, especially after administration of
morphine.
4. A nurse is caring for a postoperative patient who is experiencing
pain. The patient requests medication, stating their pain is a "10" on a
scale of 0-10. The nurse's first action should be to:
A. Administer the prescribed pain medication
B. Ask the patient to describe the pain further
C. Assess the patient's vital signs
D. Notify the physician about the patient's pain
Answer: c) Assess the patient's vital signs
Rationale: Before administering pain medication, the nurse should first
assess vital signs to rule out any complications, such as hypotension or
, tachycardia, which may be linked to pain or other postoperative
concerns.
5. A nurse is administering a dose of enoxaparin to a patient. Which of
the following actions is important before administration?
A. Aspirate the syringe after injecting
B. Massage the injection site after administration
C. Administer the injection into the fatty tissue of the abdomen
D. Shake the syringe vigorously before use
Answer: c) Administer the injection into the fatty tissue of the abdomen
Rationale: Enoxaparin is a low-molecular-weight heparin and should be
injected into the fatty tissue of the abdomen to ensure proper
absorption.
6. A nurse is caring for a patient with atrial fibrillation. The nurse
knows that this patient is at risk for:
A. Stroke
B. Respiratory failure
C. Myocardial infarction
D. Kidney failure
Answer: a) Stroke
