1. A 55-year-old patient with a history of diabetes presents to the

emergency department with chest pain, shortness of breath, and

diaphoresis. The nurse suspects the patient is experiencing a myocardial

infarction. What action should the nurse take first?

A. Administer sublingual nitroglycerin

B. Order an EKG

C. Obtain a blood glucose level

D. Assess the patient's pain level and location

Answer: B. Order an EKG

Rationale: An EKG is the priority in patients suspected of having a

myocardial infarction to quickly assess for ST-segment elevation, which

helps determine the need for immediate interventions.

2. A 30-year-old female patient with a history of asthma is admitted for

shortness of breath and wheezing. The nurse notes the patient's respiratory

rate is 28 breaths/min, with the use of accessory muscles. Which action

should the nurse prioritize?

A. Administer a nebulizer treatment

B. Administer oxygen via nasal cannula

C. Obtain a chest X-ray

D. Administer intravenous steroids

Answer: A. Administer a nebulizer treatment

Rationale: In a patient with respiratory distress, the priority is to relieve

bronchospasm and improve oxygenation by administering a

bronchodilator such as albuterol via a nebulizer.

3. An 80-year-old patient with a history of heart failure presents with fluid

overload, crackles in the lungs, and edema in the lower extremities. Which

intervention should the nurse implement first?

A. Administer intravenous furosemide

B. Elevate the patient's legs

C. Assess daily weights and fluid intake

D. Restrict sodium intake in the diet

Answer: A. Administer intravenous furosemide

Rationale: In patients with acute decompensated heart failure, the priority