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PN VATI Comprehensive Predictor – Original Practice Questions (1–50)
1. Which of the following is the most appropriate nursing intervention for a patient with
hypovolemic shock?
A. Administer oxygen and monitor vital signs
B. Restrict fluids
C. Encourage bed rest without fluids
D. Administer a diuretic
Answer: A
Solution: Hypovolemic shock is caused by fluid loss. The nurse should administer
oxygen to improve tissue perfusion and monitor vital signs. Fluid replacement may also
be needed, but oxygen and monitoring are primary.
2. A patient with chronic kidney disease presents with hyperkalemia. Which intervention
should the nurse prioritize?
A. Administer potassium supplements
B. Restrict potassium-rich foods
C. Encourage high-sodium diet
D. Provide intravenous calcium
Answer: B
Solution: Hyperkalemia occurs due to impaired kidney excretion. The nurse should
restrict potassium intake to prevent dangerous arrhythmias. IV calcium is used in
emergency severe hyperkalemia.
3. Which sign indicates early hypoxia in a patient with respiratory distress?
,A. Cyanosis
B. Confusion and restlessness
C. Bradycardia
D. Hypotension
Answer: B
Solution: Early hypoxia presents as restlessness and confusion. Cyanosis and
bradycardia occur later.
4. A patient is prescribed morphine for pain management. What is the most important
nursing consideration?
A. Monitor for respiratory depression
B. Encourage caffeine intake
C. Limit ambulation
D. Administer with antacids
Answer: A
Solution: Morphine can depress respiration. Monitoring respiratory rate and oxygen
saturation is critical to prevent complications.
5. Which type of isolation is required for a patient with pulmonary tuberculosis?
A. Contact isolation
B. Droplet isolation
C. Airborne isolation
D. Protective isolation
Answer: C
Solution: Pulmonary TB is transmitted via airborne particles; therefore, airborne
isolation precautions are required.
6. The nurse is teaching a diabetic patient about foot care. Which instruction is most
important?
A. Inspect feet daily for injuries
B. Soak feet in hot water daily
C. Walk barefoot to improve circulation
D. Use tight shoes to prevent slipping
,Answer: A
Solution: Diabetes can cause neuropathy and poor circulation, leading to unnoticed
injuries. Daily inspection helps prevent ulcers and infections.
7. Which electrolyte imbalance is most commonly associated with prolonged vomiting?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
Answer: B
Solution: Vomiting leads to loss of gastric acid, which causes hypokalemia.
8. A patient is receiving IV antibiotics. Which nursing action is most important?
A. Monitor for allergic reactions
B. Encourage fluid restriction
C. Avoid monitoring vital signs
D. Stop the medication if no improvement
Answer: A
Solution: IV antibiotics can cause allergic reactions or anaphylaxis. The nurse should
monitor the patient closely, especially after the first dose.
9. Which symptom is most indicative of left-sided heart failure?
A. Peripheral edema
B. Dyspnea on exertion
C. Jugular vein distension
D. Hepatomegaly
Answer: B
Solution: Left-sided heart failure leads to pulmonary congestion, causing dyspnea and
orthopnea. Peripheral edema and hepatomegaly are more common in right-sided failure.
10. Which is the most accurate method for measuring a patient’s body temperature?
, A. Axillary
B. Oral
C. Tympanic
D. Rectal
Answer: D
Solution: Rectal temperature measurement is considered the most accurate core body
temperature method.
11. A nurse is caring for a patient with a nasogastric (NG) tube. What is the priority
intervention?
A. Assess for tube placement before feeding
B. Flush the tube with water only at night
C. Encourage oral intake while tube is in place
D. Clamp the tube permanently
Answer: A
Solution: Incorrect tube placement can cause aspiration or injury. The nurse must verify
placement before any feeding or medication administration.
12. Which action is most appropriate for a patient experiencing an acute asthma attack?
A. Administer bronchodilator via nebulizer
B. Give sedatives
C. Encourage deep breathing exercises
D. Restrict oxygen therapy
Answer: A
Solution: Acute asthma attacks require immediate bronchodilator administration to
relieve airway constriction.
13. A patient reports sudden chest pain radiating to the left arm. Which is the nurse’s
priority action?
A. Administer aspirin if not contraindicated
B. Encourage patient to walk
C. Administer antacids
D. Monitor blood pressure once per shift