1. A patient with chronic heart failure is prescribed enalapril. Which of the
following should the nurse monitor as a potential side effect?
A) Hyperkalemia
B) Hypokalemia
C) Hyponatremia
D) Hypernatremia
Answer: A) Hyperkalemia
Rationale: Enalapril is an ACE inhibitor that can lead to increased
potassium levels, potentially causing hyperkalemia.
2. A nurse is caring for a patient with acute pancreatitis. Which laboratory
value should be monitored closely?
A) Amylase
B) Bilirubin
C) Calcium
D) Hemoglobin
Answer: A) Amylase
Rationale: Amylase levels are often elevated in patients with acute
pancreatitis.
3. When assessing a patient with suspected deep vein thrombosis (DVT),
which symptom is most indicative of the condition?
A) Swelling in one leg
B) Bilateral pitting edema
C) Warmth over the chest area
D) Calf pain on dorsiflexion of the foot (Homan's sign)
Answer: D) Calf pain on dorsiflexion of the foot (Homan's sign)
Rationale: Homan's sign is a classic symptom of DVT.
4. A nurse is preparing to administer blood to a patient with a low
hemoglobin level. What is the priority action before starting the
transfusion?
A) Check the patient's temperature.
B) Verify the blood type match.
C) Assess the IV site for patency.
D) Obtain a baseline complete blood count (CBC).
Answer: B) Verify the blood type match.
Rationale: Ensuring blood type compatibility is crucial to prevent
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