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الاسم: ____________________ التاريخ: ____________
1.سهلة
In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?
AGiving an IV push medication
BReinforcing teaching already given
CGiving scheduled oral medications
DMeasuring vital signs
2.سهلة
Which drug reverses the anticoagulant effect of heparin?
AProtamine sulfate
BAtropine
CNaloxone
DVitamin K
3.سهلة
In the United States, which law sets out the scope of nursing practice in each state?
AThe Food and Drug Administration rules
BThe hospital’s visitor policy
CThe federal tax code
DThe state Nurse Practice Act
4.متوسطة
A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?
A“I will keep my INR blood test appointments.”
B“I will tell my dentist and pharmacist that I take warfarin.”
C“If I miss a dose, I will take two the next day.”
D“I will use a soft toothbrush.”
5.متوسطة
A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?
ALeave the patient for a few minutes to find the relatives and explain what is happening
BGo to the station to finish documentation for other patients
CGive a dose of every as-needed medication on the chart
DStay with the patient, give oxygen as prescribed and have recent vital signs ready
6.متوسطة
A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?
A“I will tell the nurse if she becomes very sleepy or hard to wake.”
B“I will press the button for her while she is asleep so she stays comfortable.”
C“The pump has limits set by the nurse so she cannot get too much at once.”
D“Only she should press the button when she needs pain relief.”
7.صعبة
A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?
ADocument the finding and continue with the medication round
BTighten the restraint so the patient moves less
CRaise the arm on a pillow and check again in two hours
DLoosen the restraint and assess the circulation
8.صعبة
Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?
ANormal healing of the transplant
BA side effect of eating salty food
CRejection of the transplant
DDehydration from drinking too much
مفتاح الإجابات
1. A · Giving an IV push medication
2. A · Protamine sulfate
3. D · The state Nurse Practice Act
4. C · “If I miss a dose, I will take two the next day.”
5. D · Stay with the patient, give oxygen as prescribed and have recent vital signs ready
6. B · “I will press the button for her while she is asleep so she stays comfortable.”
7. D · Loosen the restraint and assess the circulation
8. C · Rejection of the transplant
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