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Nursing Patient Care Quiz 1

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

A patient with heart failure is prescribed furosemide. Which nursing intervention is MOST important to implement?

a)

Monitor potassium levels

b)

Encourage increased fluid intake

c)

Limit sodium intake

d)

Administer the medication at bedtime

2.

A patient is admitted with a diagnosis of pneumonia. Which assessment finding would be of GREATEST concern?

a)

Productive cough with green sputum

b)

Chest pain with deep inspiration

c)

Oxygen saturation of 88%

d)

Temperature of 100.4°F (38°C)

3.

Which nursing intervention is MOST effective in preventing pressure ulcers in an immobile patient?

a)

Using a donut-shaped cushion under the sacrum

b)

Massaging bony prominences with lotion

c)

Turning and repositioning the patient every 2 hours

d)

Elevating the head of the bed to 45 degrees

4.

A patient with diabetes mellitus is found unresponsive. The initial nursing action should be to:

a)

Administer glucagon

b)

Check blood glucose level

c)

Start CPR

d)

Call the physician

5.

A patient reports severe pain (10/10) after abdominal surgery. The physician ordered morphine sulfate IM every 4 hours PRN. What is the nurse’s BEST course of action?

a)

Administer the morphine as ordered

b)

Assess the patient’s vital signs before administering the medication

c)

Contact the physician to request a different route of administration

d)

Use non-pharmacological methods first, then reassess

6.

Which of the following is the MOST important nursing consideration when administering intravenous potassium chloride?

a)

Administering the potassium via IV push

b)

Monitoring the patient for signs of hyperkalemia

c)

Infusing the potassium rapidly to correct the deficiency quickly

d)

Administering the potassium through a peripheral IV line

7.

A patient is receiving a blood transfusion and develops chills, back pain, and a fever. The nurse should FIRST:

a)

Slow the transfusion rate

b)

Administer an antihistamine

c)

Stop the transfusion immediately

d)

Notify the blood bank

8.

A patient with a urinary catheter reports bladder spasms. Which intervention is MOST appropriate?

a)

Clamp the catheter for 30 minutes

b)

Irrigate the catheter with sterile saline

c)

Administer an anticholinergic medication as prescribed

d)

Remove the catheter

9.

A patient is being discharged with a new prescription for warfarin. Which instruction is MOST important for the nurse to provide?

a)

Increase intake of green leafy vegetables

b)

Monitor for signs of bleeding and bruising

c)

Take the medication on an empty stomach

d)

Stop the medication if any side effects occur

10.

A patient with chronic obstructive pulmonary disease (COPD) is admitted for an exacerbation. Which nursing intervention is MOST beneficial?

a)

Encouraging bed rest to conserve energy

b)

Administering oxygen at a high flow rate

c)

Teaching pursed-lip breathing techniques

d)

Limiting fluid intake to prevent pulmonary edema

11.

A nurse is caring for a patient with a chest tube. Which action requires immediate intervention?

a)

The drainage system is kept below the level of the chest

b)

Continuous bubbling is noted in the water-seal chamber

c)

The insertion site is covered with an occlusive dressing

d)

The patient is positioned in semi-Fowler’s position

12.

A patient is scheduled for surgery. Which of the following should the nurse ensure is obtained BEFORE the patient receives any pre-operative medication?

a)

A complete blood count

b)

An ECG

c)

Informed consent

d)

A chest X-ray

13.

Which of the following is the MOST reliable method for verifying the correct placement of a nasogastric tube?

a)

Auscultating over the stomach while injecting air

b)

Checking the pH of the aspirated fluid

c)

Observing the patient for respiratory distress

d)

Measuring the length of the exposed tube

14.

A patient is receiving total parenteral nutrition (TPN). What is the MOST important nursing intervention?

a)

Monitoring blood glucose levels

b)

Changing the TPN bag every 48 hours

c)

Assessing bowel sounds daily

d)

Administering the TPN through a peripheral IV line

15.

A patient with a deep vein thrombosis (DVT) is prescribed heparin. Which laboratory value should the nurse monitor?

a)

Prothrombin time (PT)

b)

International normalized ratio (INR)

c)

Activated partial thromboplastin time (aPTT)

d)

Platelet count

16.

A patient is being treated for active tuberculosis. Which of the following nursing interventions is MOST important to prevent the spread of infection?

a)

Administering antibiotics as prescribed

b)

Educating the patient about proper nutrition

c)

Placing the patient in a negative pressure room

d)

Encouraging the patient to ambulate to maintain strength

17.

A patient is admitted with heart failure and pulmonary edema. Which position is BEST for the nurse to place the patient in?

a)

Trendelenburg

b)

Supine

c)

High Fowler’s

d)

Prone

18.

A patient is receiving chemotherapy and reports nausea. Which intervention is MOST effective in managing this side effect?

a)

Encouraging the patient to eat large meals

b)

Administering an antiemetic medication before chemotherapy

c)

Limiting fluid intake

d)

Providing the patient with spicy foods

19.

A patient is post-operative and has a Hemovac drain. Which nursing action is appropriate when managing the drain?

a)

Emptying the drain when it is half full

b)

Maintaining sterile technique when emptying and compressing the drain

c)

Irrigating the drain with sterile saline daily

d)

Removing the drain when drainage ceases

20.

A patient with end-stage renal disease is receiving hemodialysis. Which assessment finding indicates a potential complication of the treatment?

a)

Increased blood pressure

b)

Muscle cramps

c)

Increased energy level

d)

Improved appetite