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Questions and Answers
What should the nurse do first for a patient recovering from a stroke who has dysphagia?
What should the nurse do first for a patient recovering from a stroke who has dysphagia?
What dietary advice should be given to a patient prescribed warfarin due to atrial fibrillation?
What dietary advice should be given to a patient prescribed warfarin due to atrial fibrillation?
During labor, when late decelerations are noted in a fetal heart rate tracing, what is the nurse's initial response?
During labor, when late decelerations are noted in a fetal heart rate tracing, what is the nurse's initial response?
What is the primary purpose of administering calcium gluconate to a patient with hyperkalemia?
What is the primary purpose of administering calcium gluconate to a patient with hyperkalemia?
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What is the most important nursing action to take before a patient undergoes abdominal surgery?
What is the most important nursing action to take before a patient undergoes abdominal surgery?
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What is the best method to evaluate the effectiveness of oxygen therapy in a patient with pneumonia receiving nasal cannula at 2 L/min?
What is the best method to evaluate the effectiveness of oxygen therapy in a patient with pneumonia receiving nasal cannula at 2 L/min?
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After a patient experiences a generalized tonic-clonic seizure, what is the nurse's priority action?
After a patient experiences a generalized tonic-clonic seizure, what is the nurse's priority action?
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What clinical manifestation is most likely in a patient with a serum sodium level of 128 mEq/L?
What clinical manifestation is most likely in a patient with a serum sodium level of 128 mEq/L?
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Which laboratory finding is most consistent with acute pancreatitis?
Which laboratory finding is most consistent with acute pancreatitis?
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What is the most effective nursing intervention to prevent healthcare-associated infections (HAIs)?
What is the most effective nursing intervention to prevent healthcare-associated infections (HAIs)?
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In a patient with depression reporting lack of energy and loss of interest, which nursing diagnosis is most appropriate?
In a patient with depression reporting lack of energy and loss of interest, which nursing diagnosis is most appropriate?
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Before administering digoxin for heart failure, which assessment should the nurse prioritize?
Before administering digoxin for heart failure, which assessment should the nurse prioritize?
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Which finding is most concerning in a newborn with suspected respiratory distress?
Which finding is most concerning in a newborn with suspected respiratory distress?
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During a measles outbreak in a community, what is the priority intervention for nurses?
During a measles outbreak in a community, what is the priority intervention for nurses?
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Which arterial blood gas (ABG) result is most indicative of respiratory acidosis?
Which arterial blood gas (ABG) result is most indicative of respiratory acidosis?
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What dietary modification should the nurse recommend to a patient with liver cirrhosis at risk for hepatic encephalopathy?
What dietary modification should the nurse recommend to a patient with liver cirrhosis at risk for hepatic encephalopathy?
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What is the priority nursing intervention for a patient with schizophrenia hearing voices commanding harm?
What is the priority nursing intervention for a patient with schizophrenia hearing voices commanding harm?
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What is the first action a nurse should take after accidentally administering the wrong medication?
What is the first action a nurse should take after accidentally administering the wrong medication?
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What is the priority intervention for a patient with a serum potassium level of 6.5 mEq/L?
What is the priority intervention for a patient with a serum potassium level of 6.5 mEq/L?
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Which intervention is most appropriate for a patient diagnosed with deep vein thrombosis (DVT)?
Which intervention is most appropriate for a patient diagnosed with deep vein thrombosis (DVT)?
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What is the most common complication of untreated gestational diabetes in the newborn?
What is the most common complication of untreated gestational diabetes in the newborn?
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What is the primary nursing intervention for a patient with chronic heart failure presenting with dyspnea, orthopnea, and peripheral edema?
What is the primary nursing intervention for a patient with chronic heart failure presenting with dyspnea, orthopnea, and peripheral edema?
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Which clinical finding is most likely seen in a newborn diagnosed with Patent Ductus Arteriosus (PDA)?
Which clinical finding is most likely seen in a newborn diagnosed with Patent Ductus Arteriosus (PDA)?
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How much amoxicillin should be administered per dose to a child weighing 20 kg, prescribed at 15 mg/kg/dose every 8 hours?
How much amoxicillin should be administered per dose to a child weighing 20 kg, prescribed at 15 mg/kg/dose every 8 hours?
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What is the most effective method to prevent healthcare-associated infections (HAIs)?
What is the most effective method to prevent healthcare-associated infections (HAIs)?
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What is the best method to verify proper placement of a nasogastric (NG) tube?
What is the best method to verify proper placement of a nasogastric (NG) tube?
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What is the priority nursing intervention for a patient in the third trimester presenting with painless vaginal bleeding?
What is the priority nursing intervention for a patient in the third trimester presenting with painless vaginal bleeding?
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What should the nurse do first for a patient with diabetes mellitus who is confused and diaphoretic?
What should the nurse do first for a patient with diabetes mellitus who is confused and diaphoretic?
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What is the nurse's priority action for a patient with slurred speech and right-sided weakness upon arriving in the emergency department?
What is the nurse's priority action for a patient with slurred speech and right-sided weakness upon arriving in the emergency department?
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What is the nurse's immediate action for a patient on IV morphine with shallow respirations and a respiratory rate of 8 breaths per minute?
What is the nurse's immediate action for a patient on IV morphine with shallow respirations and a respiratory rate of 8 breaths per minute?
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What is the most reliable indicator of dehydration in an infant?
What is the most reliable indicator of dehydration in an infant?
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What is the nurse’s priority action for a patient expressing feelings of worthlessness?
What is the nurse’s priority action for a patient expressing feelings of worthlessness?
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What should the nurse do first for a patient with clear fluid draining from the nose after a head injury?
What should the nurse do first for a patient with clear fluid draining from the nose after a head injury?
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Which finding indicates severe dehydration in a 2-year-old child with diarrhea?
Which finding indicates severe dehydration in a 2-year-old child with diarrhea?
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What is the most appropriate infection control measure for a patient with active tuberculosis?
What is the most appropriate infection control measure for a patient with active tuberculosis?
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What is the most appropriate intervention for a COPD patient who becomes drowsy on 4 L/min oxygen therapy?
What is the most appropriate intervention for a COPD patient who becomes drowsy on 4 L/min oxygen therapy?
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What is the primary action of nitroglycerin for a patient with acute coronary syndrome?
What is the primary action of nitroglycerin for a patient with acute coronary syndrome?
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What is the nurse's priority intervention for a patient with a potassium level of 6.8 mEq/L?
What is the nurse's priority intervention for a patient with a potassium level of 6.8 mEq/L?
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A patient develops a fever 24 hours after surgery. What is the likely cause?
A patient develops a fever 24 hours after surgery. What is the likely cause?
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Which assessment finding requires immediate intervention for a pregnant woman at 32 weeks of gestation?
Which assessment finding requires immediate intervention for a pregnant woman at 32 weeks of gestation?
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Which type of precautions should a nurse implement when caring for a patient with Clostridioides difficile (C.diff) infection?
Which type of precautions should a nurse implement when caring for a patient with Clostridioides difficile (C.diff) infection?
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What should the nurse do first upon observing a loop of umbilical cord protruding from the vagina during the second stage of labor?
What should the nurse do first upon observing a loop of umbilical cord protruding from the vagina during the second stage of labor?
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Which assessment finding prompts the nurse to hold digoxin and notify the provider?
Which assessment finding prompts the nurse to hold digoxin and notify the provider?
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What is the best response when a nurse overhears a colleague discussing a patient’s diagnosis in public?
What is the best response when a nurse overhears a colleague discussing a patient’s diagnosis in public?
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When should a nurse administer insulin glargine for a Type 1 diabetes patient?
When should a nurse administer insulin glargine for a Type 1 diabetes patient?
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Study Notes
Cardiac Nursing
- A patient with chronic heart failure, dyspnea, orthopnea, and peripheral edema requires administering prescribed diuretics and monitoring urine output. Elevate legs above the heart.
Pediatrics
- A newborn diagnosed with Patent Ductus Arteriosus (PDA) is likely to have bounding pulses.
Drug Calculations
- A 20 kg child prescribed 15 mg/kg/dose of amoxicillin every 8 hours requires a 300 mg dose.
Infection Control
- The most effective method to prevent healthcare-associated infections (HAIs) is strictly adhering to hand hygiene protocols.
Fundamentals of Nursing
- Verify nasogastric tube placement by auscultating air insufflation in the stomach.
Maternal Health
- A priority nursing intervention for a third-trimester patient with painless vaginal bleeding is assessing fetal heart rate and maternal vital signs.
Endocrine Disorders
- A confused and diaphoretic patient with diabetes mellitus requires checking blood glucose first, followed by other actions.
Neurological Disorders
- A patient arriving at the emergency department with slurred speech and right-sided weakness requires a detailed neurological assessment.
Community Health Nursing
- Isolating suspected cases, administering vitamin A supplements to children, and initiating mass vaccination are priority interventions during a measles outbreak.
Respiratory Disorders
- A pH 7.20, PaCO2 25 mmHg, HCO3 18 mEq/L arterial blood gas (ABG) result is indicative of respiratory acidosis.
Gastrointestinal Nursing
- A patient with liver cirrhosis at risk for hepatic encephalopathy should follow a low-protein diet.
Psychiatric Nursing
- The priority action for a patient with schizophrenia hearing voices is ensuring the safety of the patient and others.
Legal and Ethical Aspects
- Reporting an incident of administering the wrong medication to the nurse manager is the first action to take.
Fluid and Electrolytes
- A patient with a serum potassium level of 6.5 mEq/L requires administering calcium gluconate as prescribed.
Medical-Surgical Nursing
- A patient diagnosed with deep vein thrombosis (DVT) requires administering prescribed anticoagulants.
Maternal and Newborn Nursing
- The most common complication of untreated gestational diabetes in a newborn is hypoglycemia.
Pharmacology
- The immediate action for a patient receiving IV morphine who develops shallow respirations (8 breaths per minute) is to stop the IV infusion and notify the provider.
Pediatric Nursing
- Sunken fontanelles in infants are the most reliable indicator of dehydration.
Mental Health Nursing
- A patient stating "I feel like life is not worth living" requires asking if they have a plan to harm themselves.
Cardiovascular Nursing
- The primary action of nitroglycerin for a patient with acute coronary syndrome is to reduce myocardial oxygen demand.
Renal Nursing
- A patient with a potassium level of 6.8 mEq/L requires administering sodium polystyrene sulfonate (Kayexalate).
Infection Control
- Implementing contact precautions is necessary when caring for a patient with a Clostridium difficile (C. diff) infection.
Maternity Nursing
- The priority action for a loop of umbilical cord protruding from the vagina during labor is to notify the healthcare provider immediately.
Respiratory Nursing
- Checking oxygen saturation is a method of evaluating oxygen therapy effectiveness.
Neurological Nursing
- The nurse's priority action following a generalized tonic-clonic seizure is to assess the patient's level of consciousness.
Fluid and Electrolytes
- A patient with a serum sodium level of 128 mEq/L likely demonstrates increased thirst.
Gastrointestinal Nursing
- An elevated serum amylase and lipase are most consistent with a diagnosis of acute pancreatitis.
Infection Control
- Using personal protective equipment (PPE) correctly is the most effective nursing intervention to prevent healthcare-associated infections (HAIs).
Mental Health Nursing
- The priority nursing diagnosis for a patient with depression reporting lack of energy and loss of interest is risk for suicide.
Pharmacology
- Before administering digoxin, the nurse should assess the serum potassium level.
Pediatric Nursing
- The most concerning finding in a newborn with suspected respiratory distress is brief periods of apnea lasting less than 10 seconds.
Neurology
- The priority action for a patient with dysphagia is to monitor for signs of aspiration and perform a bedside swallow assessment.
Cardiovascular Nursing
- A patient with atrial fibrillation taking warfarin requires avoiding foods high in vitamin K.
Maternal Nursing
- The first action if a pregnant woman has late decelerations in the fetal heart rate tracing is to position the mother on her side.
Fluid and Electrolytes
- Calcium gluconate is used to stabilize cardiac membranes in a patient with hyperkalemia.
Surgical Nursing
- Verifying informed consent is the most important nursing action before surgery.
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Description
Test your knowledge on essential nursing concepts, including cardiac care, infection control, drug calculations, and maternal health. This quiz covers key interventions and assessments for various conditions faced in nursing practice. Perfect for nursing students and practicing nurses alike!
