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Nurse Logic 2.0 - Knowledge and Clinical Judgment - Beginning Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The client is experiencing increased shortness of breath and has a productive cough. What should the nurse do first?
- Administer prescribed bronchodilators
- Encourage the client to drink fluids
- Notify the healthcare provider
✔✔ B. Assess the client’s oxygen saturation level
A nurse is performing an assessment on a client who has just been started on an antihypertensive medication. The client reports dizziness when standing. What should the nurse do first?✔✔ A. Assess the client’s blood pressure in both sitting and standing positions
- Encourage the client to take the medication with food
- Decrease the medication dose as ordered
- Suggest that the client drink more water to alleviate the symptoms
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A client with diabetes has a blood glucose level of 280 mg/dL. The nurse knows that this is elevated. What should the nurse do first?
- Administer insulin as prescribed
- Recheck the blood glucose level in 30 minutes
- Notify the healthcare provider immediately
✔✔ B. Assess for symptoms of hyperglycemia
A nurse is caring for a client with a history of deep vein thrombosis (DVT). The nurse notices the client’s calf is swollen and warm. What is the nurse’s first action?✔✔ A. Measure the circumference of the calf and compare it to the other leg
- Notify the healthcare provider immediately
- Elevate the client’s leg to reduce swelling
- Apply a cold compress to the affected area
A nurse is caring for a client who is post-operative following an abdominal surgery. The client reports feeling nauseous and begins to vomit. What should the nurse do first?✔✔ A. Assess the client's vital signs and respiratory status
- Administer the prescribed antiemetic medication
- Position the client on their side to prevent aspiration 2 / 3
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- Offer the client ice chips to soothe their stomach
A nurse is assessing a client who has a new diagnosis of heart failure. The nurse notes the client is experiencing edema in the lower extremities. What is the nurse's first priority?
- Monitor the client’s intake and output
- Administer a diuretic as prescribed
- Encourage the client to elevate their legs
✔✔ C. Assess the client’s weight and vital signs
A nurse is caring for a client with a wound infection. The nurse notices redness, warmth, and purulent drainage at the wound site. What should the nurse do first?✔✔ A. Assess the client’s vital signs and temperature
- Apply a sterile dressing to the wound
- Notify the healthcare provider immediately
- Administer the prescribed antibiotic
A nurse is caring for a client who has been prescribed an opioid medication for pain. The nurse notices that the client is drowsy and has a respiratory rate of 8 breaths per minute. What is the nurse’s first action?
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