Trial test · Nursing MCQs (Prometric)

Question 1 of 10

A 4-year-old with fever is alert but has a non-blanching purple rash that has appeared rapidly over the legs and trunk. What should the nurse do?

Wait for the rash to fade

Schedule routine review tomorrow

Apply topical cream before reassessment

Arrange immediate emergency assessment

Question 2 of 10

A nurse receives an order for acetaminophen 15 mg/kg orally for a child weighing 18 kg. The available liquid contains 160 mg in 5 mL. Which volume should the nurse administer?

Administer 12.5 mL

Administer 8.4 mL

Administer 10 mL

Administer 5 mL

Question 3 of 10

An older adult reports lightheadedness when standing. Supine blood pressure is 138/78 mmHg; after standing for three minutes it is 112/66 mmHg with symptoms. How should the nurse interpret this finding?

The findings show a normal response

The findings indicate isolated systolic hypertension

The findings indicate hypertensive emergency

The findings indicate orthostatic hypotension

Question 4 of 10

An adult with crushing central chest pressure becomes pale and diaphoretic. Blood pressure is 88/54 mmHg. What should the nurse prioritize?

Encourage walking to improve circulation

Wait until chest pressure resolves

Activate urgent cardiac assessment

Offer a large meal immediately

Question 5 of 10

During a home assessment, a community nurse learns that a parent works in battery recycling and returns home wearing the same work clothes and shoes. A toddler frequently plays on the floor. What should the nurse emphasize?

Prevent bringing workplace lead home

Clean only the toddler's toys

Increase the toddler's dairy intake

Keep household windows closed

Question 6 of 10

A patient is preparing for discharge after abdominal surgery and asks when to seek urgent advice about the incision. Which finding should the nurse emphasize?

Gradually decreasing incisional tenderness

Mild itching around healing skin

Separation of the wound edges

A small stable surgical scar

Question 7 of 10

A patient with COPD becomes increasingly breathless during routine care. Oxygen saturation is 86% and the patient is using prescribed low-flow oxygen. What should the nurse do first?

Remove the oxygen temporarily

Wait for routine observations

Assess breathing and oxygen delivery

Encourage immediate hallway ambulation

Question 8 of 10

A patient with a new ileostomy has increasingly watery output and reports thirst and dizziness when standing. What should the nurse prioritize?

Ignore output during early recovery

Restrict fluids until output thickens

Give a laxative to regulate output

Assess hydration and electrolyte status

Question 9 of 10

A hospitalized 8-year-old with measles is admitted to the pediatric unit. Which transmission-based precaution should the nurse implement?

Use airborne precautions

Use droplet precautions only

Use protective isolation only

Use contact precautions only

Question 10 of 10

A patient transferred from another hospital has three medication sources: a home medication list, the sending hospital administration record, and new receiving-unit prescriptions. Several entries conflict. What should the receiving nurse prioritize?

Ignore the home medication list

Reconcile discrepancies before routine administration

Combine all three lists without review

Use only the newest medication list