Ms. dela Cruz, 34 years old, visits the OPD for persistent cough and fever for 5 days. Her vital signs are BP 120/80, PR 98, RR 26, Temp 38.7°C, SpO₂ 92%. What should the nurse prioritize?

A 7-year-old boy presents with sore throat and temperature of 39.1°C. The nurse notices flushed cheeks and tachycardia. What is the best immediate nursing action?

Nurse Liza notes that a hypertensive patient's BP dropped from 160/100 mmHg to 100/70 mmHg after taking medication. What should she do first?

Nurse Paulo is assigned in the pediatric area. A 5-year-old child with flu has a pulse rate of 125 bpm. How should the nurse interpret this?

A patient points to pain “below the eye.” How should the nurse describe this in medical terms?

The nurse documents redness on the patient’s “forehead.” The correct medical term is:

The client complains of pain in the “lower right abdomen.” Which anatomical term best describes the site?

The patient points to the area “behind the knee.” The nurse should chart the pain as located in the:

A child says her “arm near the wrist” hurts. The nurse documents tenderness on the:

During assessment, a 43-year-old patient reports allergy to penicillin. The nurse should:

A 56-year-old diabetic patient mentions he underwent “laser surgery” on both eyes. The nurse recognizes this procedure as most likely for:

A 30-year-old woman reports she gets skin rashes when eating shrimp. What type of allergy is this?

A mother reports that her child develops wheals after taking amoxicillin. What should the nurse do first?

Nurse Jay is assessing an elderly client with hypertension. When asking about past medical history, what is most relevant?

A patient with a BP of 170/100 mmHg reports severe headache. What is the most likely reason for the complaint?

A mother brings her 8-year-old with a 3-day history of fever, cough, and runny nose. Which condition is most consistent?

A 40-year-old male patient’s BP is 150/90 mmHg, pulse 85, RR 20, Temp 36.5°C. What should the nurse include in health teaching?

A 9-year-old with asthma presents with RR 32 and wheezing. What should the nurse prepare?

A patient with flu reports sore throat and difficulty swallowing. The nurse should inspect which area?

Nurse May is caring for Mrs. Robles, 48, who recently underwent mastectomy. Which organ was removed?

A 60-year-old man had a cholecystectomy last week and returns for suture removal. This surgery involved removal of the:

A 25-year-old male was admitted after a motorcycle accident and underwent open reduction internal fixation (ORIF). What does this mean?

Nurse Anton assists a client scheduled for appendectomy. What is the correct understanding of this procedure?

A patient's chart indicates laparotomy. The nurse knows this refers to:

During triage, Nurse Bea notes that a child's SpO₂ is 89%. What should she do first?

Nurse Ana observes that a hypertensive patient looks pale and diaphoretic after medication. What should she check next?

A patient post-fracture repair complains of pain in the leg, numbness, and coldness. What complication should the nurse suspect?

A child's temperature is 40°C. What physiological change is expected?

During assessment, a patient with COPD has an oxygen saturation of 88%. What is the best nursing response?

Mr. Cruz, 47, comes with cough and chest tightness. BP 130/80, PR 108, RR 28, SpO₂ 91%. What is the most likely problem?

Nurse Rica assesses an elderly woman who had hip surgery. She reports calf pain and swelling. Which condition is suspected?

During patient interview, a client says, “I often feel my heart racing.” The nurse should focus next on:

A patient’s BP cuff is too small for his arm. What error may result?

When measuring a pediatric patient’s temperature axillary, which step ensures accuracy?

During health teaching, which statement shows patient understanding about hypertension management?

Nurse Kate is assigned to follow up a post-appendectomy patient. Which finding should be reported immediately?

A patient with diabetes reports tingling in the feet. This finding suggests:

When interviewing a 10-year-old child, the nurse should:

A hypertensive patient asks, “Can I drink coffee daily?” The best response is:

Nurse Lani takes BP using the left arm of a patient with AV fistula. Which describes this action?

The patient with cough and fever is advised chest x-ray but refuses. The nurse should:

When assessing a 3-year-old, which site is best for pulse rate?

A 60-year-old returns for suture removal after herniorrhaphy. The term means:

Nurse Mark is unsure of a child’s allergy status before giving medication. The best action is:

A patient with hypertension reports taking herbal supplements. The nurse should:

A 9-year-old post-fracture complains of tight cast and tingling. The nurse should:

Nurse Bea observes a colleague charting vital signs not taken. The best ethical response is: