1. A patient with chronic heart failure is prescribed a loop
diuretic. Which of the following should the nurse prioritize in the
patient's care?
A. Monitoring serum potassium levels
B. Encouraging a high-sodium diet
C. Limiting fluid intake to 1 liter per day
D. Increasing protein intake
Answer: A. Monitoring serum potassium levels
Rationale: Loop diuretics can lead to hypokalemia, which can
exacerbate heart failure symptoms and lead to dangerous cardiac
arrhythmias.
2. A nurse is caring for a patient with type 1 diabetes mellitus.
Which of the following actions is essential before administering
insulin?
A. Checking the patient's blood glucose level
B. Providing a carbohydrate-rich snack
C. Administering a beta-blocker
D. Assessing for signs of ketoacidosis
Answer: A. Checking the patient's blood glucose level
Rationale: It is crucial to check blood glucose levels to
determine the appropriate insulin dose and prevent hypoglycemia.
3. When evaluating a patient's ECG, the nurse notices regular R-R
intervals, but no discernible P waves. What is the most likely
diagnosis?
A. Sinus bradycardia
B. Atrial fibrillation
C. Ventricular tachycardia
D. Atrial flutter
Answer: B. Atrial fibrillation
Rationale: Atrial fibrillation is characterized by an irregularly
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