1. A patient with COPD is receiving oxygen therapy. Which oxygen delivery method is most appropriate for controlled oxygen administration?
A. Non-rebreather mask
B. Simple face mask
C. Venturi mask
D. Nasal cannula at 6 L/min
Answer: C. Venturi mask
2. Which electrolyte imbalance is associated with peaked T waves on ECG?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
Answer: B. Hyperkalemia
3. A nurse is caring for a patient with increased intracranial pressure (ICP). Which position is best?
A. Supine flat
B. Trendelenburg
C. Head elevated 30 degrees
D. High Fowler’s
Answer: C. Head elevated 30 degrees
4. The priority nursing intervention for a patient with anaphylactic shock is:
A. Administer antihistamines
B. Start IV fluids
C. Administer epinephrine IM www.medicalexambooks.com
D. Provide oxygen
Answer: C. Administer epinephrine IM
5. Which lab value indicates therapeutic INR for a patient on warfarin?
A. 0.8
B. 1.0
C. 2–3
D. 4–5
Answer: C. 2–3
6. A diabetic patient is unconscious with blood glucose 40 mg/dL. What is the first action?
A. Administer insulin
B. Give IV dextrose
C. Provide oral glucose
D. Start IV saline
Answer: B. Give IV dextrose
7. Which isolation precaution is required for pulmonary tuberculosis?
A. Contact
B. Droplet
C. Airborne
D. Standard
Answer: C. Airborne
8. A newborn’s normal heart rate range is:
A. 60–100 bpm
B. 80–120 bpm
C. 120–160 bpm
D. 160–200 bpm
Answer: C. 120–160 bpm
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9. Which sign indicates magnesium sulfate toxicity?
A. Hyperreflexia
B. Respiratory depression
C. Hypertension
D. Tachycardia
Answer: B. Respiratory depression
10. The most common complication after thyroidectomy is:
A. Hypoglycemia
B. Hemorrhage
C. Hypocalcemia
D. Hypernatremia
Answer: C. Hypocalcemia
11. Which artery is used to check circulation in infants?
A. Radial
B. Brachial
C. Carotid
D. Femoral
Answer: B. Brachial
12. A patient with chest pain receives nitroglycerin. What should the nurse monitor?
A. Blood glucose
B. Blood pressure
C. Temperature
D. Respiratory rate
Answer: B. Blood pressure
13. Which vaccine is contraindicated in pregnancy?
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A. Tetanus
B. Influenza (inactivated)
C. MMR
D. Hepatitis B
Answer: C. MMR
14. The priority for a burn patient during the first 24 hours is:
A. Pain management
B. Infection control
C. Fluid resuscitation
D. Wound care
Answer: C. Fluid resuscitation
15. Which cranial nerve controls pupil constriction?
A. CN II
B. CN III
C. CN V
D. CN VIII
Answer: B. CN III
16. A patient on heparin therapy should be monitored using:
A. INR
B. PT
C. aPTT
D. Platelet count only
Answer: C. aPTT
17. The first stage of labor ends with:
A. Full cervical dilation
B. Delivery of baby
C. Placenta delivery
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D. Engagement of head
Answer: A. Full cervical dilation
18. Which finding indicates left-sided heart failure?
A. Peripheral edema
B. Ascites
C. Pulmonary crackles
D. Jugular vein distension
Answer: C. Pulmonary crackles
19. A patient with meningitis should be placed in:
A. Contact isolation
B. Droplet isolation
C. Airborne isolation
D. Protective isolation
Answer: B. Droplet isolation
20. The antidote for opioid overdose is:
A. Flumazenil
B. Atropine
C. Naloxone
D. Epinephrine
Answer: C. Naloxone
21. Which condition is characterized by “moon face” and “buffalo hump”?
A. Addison’s disease
B. Cushing’s syndrome
C. Hyperthyroidism
D. Hypothyroidism
Answer: B. Cushing’s syndrome
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22. A patient with DVT should avoid:
A. Leg elevation
B. Anticoagulants
C. Massage of affected leg
D. Compression stockings
Answer: C. Massage of affected leg
23. The normal adult respiratory rate is:
A. 8–12/min
B. 12–20/min
C. 20–30/min
D. 30–40/min
Answer: B. 12–20/min
24. Which symptom is typical of hypocalcemia?
A. Muscle weakness
B. Positive Chvostek’s sign
C. Constipation
D. Bradycardia
Answer: B. Positive Chvostek’s sign
25. In infection control, hand hygiene should be performed:
A. Before patient contact only
B. After patient contact only
C. Before and after patient contact
D. Only when visibly soiled
Answer: C. Before and after patient contact
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