Answers | Latest Version | 2025/2026 |
Correct & Verified
Which intervention is most appropriate for a patient with orthostatic hypotension?
A. Encourage rapid standing
B. Administer a diuretic
✔✔C. Assist the patient to stand slowly and monitor blood pressure
D. Restrict fluid intake
Which lab value should be monitored in a patient receiving heparin therapy?
A. Platelet count only
B. INR only
✔✔C. aPTT
D. Hemoglobin only
Which nursing action is priority for a patient experiencing anaphylaxis?
A. Apply warm compress
✔✔B. Administer epinephrine immediately
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,C. Encourage oral fluids
D. Elevate legs only
Which symptom is most concerning in a patient taking digoxin?
A. Fatigue
✔✔B. Vision changes and bradycardia
C. Mild nausea
D. Dry mouth
Which is a priority nursing assessment for a patient receiving IV potassium?
A. Assess skin turgor
B. Monitor urine output only
✔✔C. Monitor heart rhythm for arrhythmias
D. Measure blood pressure only
Which intervention is appropriate for a patient with Parkinson’s disease experiencing tremors?
A. Encourage frequent ambulation only
✔✔B. Administer prescribed levodopa/carbidopa
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,C. Restrict fluids
D. Avoid all activity
Which dietary instruction is appropriate for a patient on warfarin therapy?
A. Avoid all fruits
B. Increase protein intake
✔✔C. Maintain consistent vitamin K intake
D. Increase dairy intake
Which nursing action is priority when a patient develops sudden shortness of breath and
wheezing?
A. Apply oxygen and call the physician immediately
✔✔B. Assess airway, administer oxygen, and notify provider promptly
C. Encourage deep breathing only
D. Place patient supine
Which nursing intervention is priority for a patient with a new ileostomy?
A. Encourage high-residue foods
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, ✔✔B. Educate on proper pouching and skin care
C. Restrict fluid intake
D. Limit ambulation
Which lab value is most important to monitor in a patient taking furosemide?
A. Hemoglobin
B. Glucose
✔✔C. Potassium
D. Sodium
Which symptom indicates possible lithium toxicity?
A. Mild headache
B. Fatigue
✔✔C. Tremors, confusion, and ataxia
D. Dry mouth
Which intervention is most appropriate for a patient with a fever and neutropenia?
A. Encourage deep breathing
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