and Answers | Latest Version |
2025/2026 | Correct & Verified
What is the normal range for adult blood pressure?
✔✔120/80 mmHg
What is the primary purpose of performing a head-to-toe assessment?
✔✔To gather baseline data and identify any health issues
What symptom indicates hypoglycemia in a diabetic patient?
✔✔Sweating, shakiness, and confusion
What is the first action a nurse should take if a patient is choking and cannot speak?
✔✔Perform the Heimlich maneuver
What is the most appropriate site for an intramuscular injection in an adult?
✔✔Ventrogluteal muscle
1
,What vital sign changes are expected in a patient experiencing pain?
✔✔Increased heart rate and blood pressure
What is the correct technique for measuring a patient's radial pulse?
✔✔Use the pads of the first two fingers and count beats for 30 seconds, then multiply by two
What is the normal range for adult respiratory rate?
✔✔12 to 20 breaths per minute
What does a Glasgow Coma Scale score of 15 indicate?
✔✔Fully alert and oriented patient
What is the priority nursing intervention for a patient with signs of anaphylaxis?
✔✔Administer epinephrine immediately and call for emergency help
What electrolyte imbalance is most commonly associated with chronic kidney disease?
✔✔Hyperkalemia
2
, What should a nurse do first when a patient reports chest pain?
✔✔Assess the pain characteristics and vital signs immediately
What is the best position to promote oxygenation in a patient with respiratory distress?
✔✔High Fowler's position
What is the primary purpose of a Foley catheter?
✔✔To drain urine from the bladder
What is the correct procedure for hand hygiene in a clinical setting?
✔✔Wash hands with soap and water for at least 20 seconds or use an alcohol-based hand
sanitizer
What is the normal range for adult pulse oximetry (SpO2)?
✔✔95% to 100%
What is the main side effect of opioid analgesics to monitor?
✔✔Respiratory depression
3