International College of Health Science

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Sample questions from International College of Health Science

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 charge nurse receives report on four clients. Which client should the nurse assess first?

   • A.A 42-year-old client with diabetes requesting a snack; blood glucose is 118 mg/dL
   • B.A 54-year-old client reporting incisional pain of 6/10 one hour after analgesia
   • C.A 76-year-old client awaiting discharge instructions after an uncomplicated procedure
   • D.A 68-year-old client with pneumonia whose SpO2 is 89% on 2 L/min oxygen, down from 95%

   Rationale: The falling oxygen saturation despite supplemental oxygen suggests worsening respiratory status and requires immediate assessment. The other clients have needs that are stable or can be addressed after the respiratory assessment. Prioritize airway and breathing changes over routine teaching or expected pain.

2. 2.In the emergency department, a 68-year-old client with heart failure is receiving IV furosemide. Refer to the client's chart. Which action should the nurse take first?

   • A.Encourage the client to walk to improve lower-extremity circulation
   • B.Place the client on continuous cardiac monitoring and notify the provider of the potassium result
   • C.Administer the next scheduled dose of furosemide
   • D.Provide teaching about a low-sodium diet

   Rationale: The potassium of 2.9 mEq/L, together with new palpitations and tachycardia, creates an immediate risk for dysrhythmia. Cardiac monitoring and prompt provider notification take priority. Walking, another diuretic dose, and diet teaching do not address the acute risk and could worsen or delay care.

3. 3.During a home visit, a 79-year-old client with limited mobility and a new pressure injury asks how to protect the skin. Which instructions should the nurse include? Select all that apply.

   • A.Keep skin clean and dry, and promptly change damp clothing or linens
   • B.Massage reddened bony areas to increase circulation
   • C.Apply a heating pad to the reddened area each evening
   • D.Reposition at regular intervals and avoid prolonged pressure on the affected area
   • E.Use pillows to offload heels from the mattress

   Rationale: Regular repositioning and heel offloading reduce sustained pressure, while keeping skin clean and dry limits moisture-associated damage. Massaging reddened bony areas can injure fragile tissue, and a heating pad can cause burns. Teach pressure relief and routine skin inspection rather than friction or heat.

4. 4.On a medical unit, a registered nurse is assigning tasks to a nursing assistant. Which task is appropriate to delegate?

   • A.Evaluate whether an analgesic relieved a client's pain
   • B.Teach a client how to use an incentive spirometer
   • C.Obtain routine vital signs for a stable client awaiting discharge
   • D.Assess a newly admitted client's lung sounds

   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 6-year-old client. The child is stable, and the medication has not been administered. What should the nurse do?

   • A.Hold the dose and clarify the prescription with the provider
   • B.Ask the parent whether the child has received this dose before
   • C.Administer the dose because the provider entered the order
   • D.Give half the prescribed dose and document the change

   Answer and rationale are in the full material.