Nursing MCQs (Prometric)

A patient with multiple sclerosis reports severe fatigue that worsens as the day progresses but wants to remain independent with daily activities. Which nursing teaching is most appropriate?

A patient with suspected sepsis has blood cultures ordered and an antimicrobial due immediately. The patient is hypotensive and deteriorating. What should the nurse do?

A patient with depression says, "I have been thinking about ending my life, but I do not want to upset anyone." What should the nurse do first?

A 5-year-old with type 1 diabetes is vomiting and cannot tolerate solid food. The caregiver asks whether the usual insulin should simply be stopped. What should the nurse advise?

A 10-year-old with a forearm cast reports increasing finger tingling. The fingers remain pink, but capillary refill is now four seconds and active finger movement is weaker than earlier. What should the nurse do?

Before assisting a weak patient to shower, the nurse notices that the bathroom floor is wet from a previous use. What should the nurse do first?

One hour after abdominal surgery, a patient is awake but breathing shallowly because the incision hurts. Oxygen saturation is 93% and respiratory rate is 20/min. What should the nurse do?

During a heat wave, a community nurse telephones an 80-year-old adult who lives alone without air conditioning. The adult takes a prescribed diuretic and says, "I wait until I feel thirsty before drinking." Which response is most appropriate?

A patient with a new ileostomy is preparing for discharge and appears uncertain about emptying the pouch. What should the nurse do before discharge?

A trauma patient arrives with a metal object deeply impaled in the abdomen. There is no uncontrolled external bleeding. What should the nurse do?