Health Management

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Sample questions from Health Management

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, a nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client with diabetes whose premeal glucose is 198 mg/dL
   • B.A 2-hour postoperative client reporting pain of 8/10 with stable vital signs
   • C.A client with pneumonia whose SpO2 decreased from 94% to 86% on 2 L/min oxygen
   • D.A client awaiting discharge who needs instructions about a new prescription

   Rationale: The client with pneumonia has worsening oxygenation, which may signal acute respiratory compromise and requires immediate assessment. Severe pain needs timely treatment, but stable vital signs make it a lower priority. The elevated glucose and discharge teaching are important but do not take precedence over impaired oxygenation.

2. 2.During morning rounds in a long-term care facility, an RN is assigning tasks to an experienced unlicensed assistive personnel (UAP). Which task is appropriate to delegate?

   • A.Obtain routine vital signs for a stable resident before breakfast
   • B.Assess a resident who reports new dizziness when standing
   • C.Teach a resident how to use a newly prescribed walker
   • D.Evaluate whether a resident's pain medication was effective

   Rationale: Obtaining routine vital signs for a stable resident is a predictable task that can be delegated to trained UAP. Assessments, teaching, and evaluation require nursing judgment and remain the RN's responsibility. The RN should communicate parameters for reporting abnormal findings.

3. 3.In the emergency department, a 68-year-old client with heart failure is being evaluated for worsening dyspnea. Refer to the client's chart. Which actions should the nurse take now? Select all that apply.

   • A.Encourage the client to drink water to thin secretions
   • B.Obtain a current weight before intervening
   • C.Apply oxygen as prescribed and reassess oxygenation
   • D.Raise the head of the bed and position the client upright
   • E.Notify the provider of the worsening respiratory findings

   Rationale: The client has worsening dyspnea, crackles, and a falling SpO2, so upright positioning, prescribed oxygen, and prompt provider notification are appropriate. The 0900 findings show progression from SpO2 92% to 88% with increased respiratory rate, supporting immediate respiratory interventions. Encouraging fluids could worsen fluid overload, and obtaining a weight must not delay stabilization.

4. 4.A charge nurse in a clinic is assigning a newly licensed RN to a client who needs discharge teaching about a complex insulin regimen. Which assignment is most appropriate?

   • A.A client requiring initial teaching about insulin injections and dose adjustment
   • B.A stable client needing reinforcement of previously taught low-sodium diet instructions
   • C.A client with a newly inserted central line requiring assessment for complications
   • D.A client with new-onset chest pain awaiting evaluation

   Answer and rationale are in the full material.

5. 5.A provider prescribes a medication dose that appears substantially higher than the usual dose for a 7-year-old inpatient. What should the nurse do first?

   • A.Change the dose to the usual pediatric dose and document the change
   • B.Administer the medication and monitor for adverse effects
   • C.Ask another nurse to verify the dose, then administer it
   • D.Hold the dose and clarify the prescription with the provider

   Answer and rationale are in the full material.