Question 1: A client with pneumonia is receiving IV antibiotics. The client reports difficulty breathing and itching. What is the nurse’s priority action?
Rationale: Stopping the antibiotic infusion is the priority to prevent worsening of a potential allergic reaction or anaphylaxis.
Question 2: A nurse is teaching a client with chronic kidney disease about dietary restrictions. Which food should the client avoid?
Rationale: Bananas are high in potassium, which should be avoided by clients with chronic kidney disease to prevent hyperkalemia.
Question 3: A nurse is caring for a client who has just undergone a bronchoscopy. Which finding requires immediate intervention?
Rationale: Difficulty breathing indicates a potential airway complication and requires immediate intervention.
Question 4: A client with diabetes is admitted with a blood glucose of 600 mg/dL. Which symptom suggests diabetic ketoacidosis (DKA)?
Rationale: Fruity-smelling breath is a classic symptom of DKA due to the accumulation of ketones in the blood.
Question 5: A nurse is caring for a client with congestive heart failure who has a new prescription for furosemide. Which lab value should the nurse monitor closely?
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, so serum potassium should be monitored closely.
