1. A nurse is caring for a client with a urinary tract infection (UTI).
Which of the following interventions is most important? a) Administer
prescribed antibiotics b) Encourage the client to increase fluid intake c)
Apply a heating pad to the lower abdomen d) Instruct the client to
avoid caffeine
Answer: a) Administer prescribed antibiotics
Rationale: Antibiotics are the primary treatment for a UTI.
Administering them as prescribed is crucial to clear the infection and
prevent complications.
2. A nurse is caring for a client who is experiencing a panic attack.
Which of the following actions should the nurse take first? a)
Encourage the client to talk about their feelings b) Provide a calming,
quiet environment c) Administer prescribed anti-anxiety medication d)
Encourage the client to deep breathe slowly and deeply
Answer: d) Encourage the client to deep breathe slowly and deeply
Rationale: Breathing exercises can help the client regain control and
manage the acute symptoms of a panic attack. This should be the first
action to reduce anxiety.
3. A nurse is caring for a client with an acute asthma attack. Which of
the following medications should the nurse administer first? a)
Intravenous corticosteroids b) Oral antibiotics c) Short-acting beta-
agonist (SABA) inhaler d) Long-acting beta-agonist (LABA) inhaler
,Answer: c) Short-acting beta-agonist (SABA) inhaler
Rationale: A SABA, such as albuterol, is the first-line treatment for
acute asthma attacks. It helps to quickly open the airways and relieve
symptoms.
4. Which of the following would be a priority for a nurse when caring
for a client who is admitted with chest pain and suspected myocardial
infarction (MI)? a) Obtain a complete health history b) Prepare the
client for a stress test c) Administer oxygen and administer
nitroglycerin as prescribed d) Begin an IV infusion of normal saline
Answer: c) Administer oxygen and administer nitroglycerin as
prescribed
Rationale: Oxygen and nitroglycerin are administered to relieve chest
pain and improve oxygenation in the event of a suspected MI. This is a
priority over other actions.
5. A nurse is teaching a client with a history of hyperthyroidism about
the signs of thyroid storm. Which of the following signs should the
client report immediately to their healthcare provider? a) Weight loss
b) Tachycardia c) Cold intolerance d) Constipation
Answer: b) Tachycardia
Rationale: Tachycardia is a key symptom of thyroid storm, which is a
life-threatening complication of hyperthyroidism. Immediate medical
attention is necessary if the client exhibits this sign.
, 6. A nurse is caring for a client with acute glomerulonephritis. Which
of the following findings should the nurse report to the healthcare
provider? a) Edema in the lower extremities b) Blood in the urine c)
Increased urine output d) Elevated blood pressure
Answer: c) Increased urine output
Rationale: Increased urine output in a client with acute
glomerulonephritis may indicate acute renal failure or other
complications. The healthcare provider should be notified immediately.
7. A nurse is caring for a client who is at risk for deep vein thrombosis
(DVT). Which of the following interventions is most effective in
preventing this complication? a) Encourage the client to sit with their
legs crossed b) Instruct the client to increase fluid intake c) Encourage
the client to walk every 2 hours d) Apply warm compresses to the legs
Answer: c) Encourage the client to walk every 2 hours
Rationale: Ambulation is the most effective method to prevent DVT as
it promotes circulation and reduces the risk of blood clots.
8. A nurse is caring for a client with a fever and a history of
tuberculosis (TB). Which of the following precautions should the nurse
take? a) Droplet precautions b) Airborne precautions c) Standard
precautions d) Contact precautions
Answer: b) Airborne precautions
Rationale: Tuberculosis is spread through airborne particles, and the
nurse should use airborne precautions to prevent transmission to
others.
Which of the following interventions is most important? a) Administer
prescribed antibiotics b) Encourage the client to increase fluid intake c)
Apply a heating pad to the lower abdomen d) Instruct the client to
avoid caffeine
Answer: a) Administer prescribed antibiotics
Rationale: Antibiotics are the primary treatment for a UTI.
Administering them as prescribed is crucial to clear the infection and
prevent complications.
2. A nurse is caring for a client who is experiencing a panic attack.
Which of the following actions should the nurse take first? a)
Encourage the client to talk about their feelings b) Provide a calming,
quiet environment c) Administer prescribed anti-anxiety medication d)
Encourage the client to deep breathe slowly and deeply
Answer: d) Encourage the client to deep breathe slowly and deeply
Rationale: Breathing exercises can help the client regain control and
manage the acute symptoms of a panic attack. This should be the first
action to reduce anxiety.
3. A nurse is caring for a client with an acute asthma attack. Which of
the following medications should the nurse administer first? a)
Intravenous corticosteroids b) Oral antibiotics c) Short-acting beta-
agonist (SABA) inhaler d) Long-acting beta-agonist (LABA) inhaler
,Answer: c) Short-acting beta-agonist (SABA) inhaler
Rationale: A SABA, such as albuterol, is the first-line treatment for
acute asthma attacks. It helps to quickly open the airways and relieve
symptoms.
4. Which of the following would be a priority for a nurse when caring
for a client who is admitted with chest pain and suspected myocardial
infarction (MI)? a) Obtain a complete health history b) Prepare the
client for a stress test c) Administer oxygen and administer
nitroglycerin as prescribed d) Begin an IV infusion of normal saline
Answer: c) Administer oxygen and administer nitroglycerin as
prescribed
Rationale: Oxygen and nitroglycerin are administered to relieve chest
pain and improve oxygenation in the event of a suspected MI. This is a
priority over other actions.
5. A nurse is teaching a client with a history of hyperthyroidism about
the signs of thyroid storm. Which of the following signs should the
client report immediately to their healthcare provider? a) Weight loss
b) Tachycardia c) Cold intolerance d) Constipation
Answer: b) Tachycardia
Rationale: Tachycardia is a key symptom of thyroid storm, which is a
life-threatening complication of hyperthyroidism. Immediate medical
attention is necessary if the client exhibits this sign.
, 6. A nurse is caring for a client with acute glomerulonephritis. Which
of the following findings should the nurse report to the healthcare
provider? a) Edema in the lower extremities b) Blood in the urine c)
Increased urine output d) Elevated blood pressure
Answer: c) Increased urine output
Rationale: Increased urine output in a client with acute
glomerulonephritis may indicate acute renal failure or other
complications. The healthcare provider should be notified immediately.
7. A nurse is caring for a client who is at risk for deep vein thrombosis
(DVT). Which of the following interventions is most effective in
preventing this complication? a) Encourage the client to sit with their
legs crossed b) Instruct the client to increase fluid intake c) Encourage
the client to walk every 2 hours d) Apply warm compresses to the legs
Answer: c) Encourage the client to walk every 2 hours
Rationale: Ambulation is the most effective method to prevent DVT as
it promotes circulation and reduces the risk of blood clots.
8. A nurse is caring for a client with a fever and a history of
tuberculosis (TB). Which of the following precautions should the nurse
take? a) Droplet precautions b) Airborne precautions c) Standard
precautions d) Contact precautions
Answer: b) Airborne precautions
Rationale: Tuberculosis is spread through airborne particles, and the
nurse should use airborne precautions to prevent transmission to
others.
