Medical
A patient with heart failure suddenly wakes up at night gasping for air.What condition does this indicate?
A. Orthopnea
B. Paroxysmal nocturnal dyspnea
C. Pulmonary embolism
D. Anxiety
Paroxysmal nocturnal dyspnea
A postoperative patient becomes restless and confused. What is the most likely cause?
A. Pain
B. Anxiety
C. Hypoxia
D. Hypoglycemia
Hypoxia
pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks. a 5 year old daughter born at 38 weeks and 7 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format the nurse should identify that the client is:
A. G4 T2 P1 A1 L4
B. G5 T3 P1 A1 L5
C. G5 T2 P1 A1 L4
D. G6 T2 P2 A1 L4
G5 T2 P1 A1 L4
A 10-year-old child had an appendectomy yesterday.Which pain scale should the nurse use to assess the child’s pain?
A. FLACC scale
B. Numeric rating scale
C. Faces pain scale
D. Neonatal pain scale
C. Faces pain scale
Which leadership style involves staff participation in decision-making?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Democratic
A diabetic patient becomes sweaty, shaky, and confused. What condition is most likely?
A. Hyperglycemia
B. Hypoglycemia
C. Diabetic ketoacidosis
D. Infection
Hypoglycemia
Which assessment finding best indicates early hypovolemic shock after surgery?
A. Increased urine output
B. Bounding pulse
C. Decreased blood pressure
D. Warm flushed skin
C. Decreased blood pressure
A woman’s last menstrual period (LMP) started on 20 August 2024.What is the expected date of delivery (EDD)?
A. 20 May 2025
B. 27 May 2025
C. 30 May 2025
D. 3 June 2025
B. 27 May 2025
A newborn has small, whitish, pinpoint spots over the nose caused by retained sebaceous secretions.When charting this observation, the nurse identifies it as:
A. Erythema toxicum
B. Milia
C. Mongolian spots
D. Birth trauma
Milia
Which role involves representing staff concerns to higher administration?
A. Leader
B. Advocate
C. Manager
D. Preceptor
Advocate
A patient with chronic kidney disease has elevated creatinine levels. This finding indicates:
A. Liver dysfunction
B. Infection
C. Impaired kidney function
D. Dehydration
Impaired kidney function
A nurse notes severe pain, pallor, and decreased sensation in an extremity after orthopedic surgery. What complication is most likely?
A. Deep vein thrombosis
B. Compartment syndrome
C. Infection
D. Nerve injury
B. Compartment syndrome
When should a pregnant woman normally start feeling fetal movements?
A. 10–12 weeks
B. 14–16 weeks
C. 18–20 weeks
D. 24–26 weeks
C. 18–20 weeks
A 6-year-old child returned from the operating room after a tonsillectomy.Which position should the nurse place the child in?
A. Supine position
B. Prone position
C. Side-lying position
D. High Fowler’s position
C. Side-lying position
A nurse manager assigns tasks based on staff skills and experience. This management function is known as:
A. Planning
B. Organizing
C. Staffing
D. Controlling
Staffing
Which laboratory test must be monitored in a patient receiving heparin?
A. INR
B. Platelet count
C. aPTT
D. Hemoglobin
aPTT
A nurse is caring for a patient with a surgical drain. Which finding requires immediate action?
A. Serosanguinous drainage
B. Gradual decrease in output
C. Sudden increase in bloody drainage
D. Drain secured to gown
C. Sudden increase in bloody drainage
Which finding indicates normal postpartum uterine involution?
A. Uterus remains above the umbilicus
B. Fundus descends 1 cm per day
C. Soft, boggy uterus
D. Increasing lochia rubra
Fundus descends 1 cm per day
A newborn with hyperbilirubinemia is started on phototherapy.What instruction should the nurse give regarding feeding?
A. Stop breastfeeding
B. Delay feeding
C. Increase feeding frequency
D. Give water between feeds
C. Increase feeding frequency
Which leadership style gives staff the most independence?
A. Autocratic
B. Democratic
C. Transformational
D. Laissez-faire
Laissez-faire
A patient is admitted to the emergency department after a head injury. On assessment, the nurse notes that the patient opens his eyes when spoken to. He is confused and answers questions inappropriately. When the nurse applies painful stimulus, the patient pushes the nurse’s hand away. What is the patient’s Glasgow Coma Scale (GCS) score?
A. 11
B. 12
C. 13
D. 14
After abdominal surgery, the patient refuses to ambulate because of pain. What is the best nursing response?
A. Delay ambulation
B. Explain risks of immobility
C. Administer analgesics before ambulation
D. Notify the physician
C. Administer analgesics before ambulation
A breastfeeding mother asks when ovulation usually returns.What is the best response?
A. Immediately after delivery
B. Within 2 weeks
C. It may be delayed with exclusive breastfeeding
D. Only after menstruation resumes
C. It may be delayed with exclusive breastfeeding
A term baby boy is admitted to the NICU. Physical examination reveals flattened nasal bridge, low-set ears,upward slanting eyes, and a single palmar crease.Which of the following is the most likely diagnosis?
A. Turner syndrome
B. Edwards syndrome
C. Down syndrome
D. Cleft lip and palate
C. Down syndrome
Which responsibility is primarily performed by a Registered Nurse (RN)?
A. Performing basic hygiene care only
B. Administering medications and evaluating patient response
C. Assigning medical diagnoses
D. Managing hospital budgets
Administering medications and evaluating patient response