1.Priorità e delegaMedia
On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?
- AOne hour after birth with heavy bleeding and a boggy uterus
- BSevere pre-eclampsia on a magnesium sulfate infusion
- CDay 1 after an uncomplicated vaginal birth, stable vital signs
- DA new admission transferred from the labor ward with a fever of 38,6 °C
2.Priorità e delegaDifficile
Un paziente dopo un intervento maggiore ha una diuresi di 15 mL/h da due ore, una frequenza cardiaca di 115/min e mani fredde. Che cosa deve fare per prima l'infermiere?
- AAspettare altre due ore per vedere se la diuresi migliora
- BIncoraggiare il paziente a bere più acqua e ricontrollare più tardi
- CValutare i segni di shock, come un sanguinamento, e segnalare
- DLavare il catetere e ricontrollare la diuresi domani mattina
3.Controllo delle infezioni e sicurezza del pazienteMedia
Perché per alcuni farmaci, come le infusioni di insulina ed eparina, si usano doppi controlli indipendenti?
- APer rendere più rapido il processo di preparazione
- BPerché sprecare questi farmaci è molto costoso
- CUna seconda persona che controlla separatamente individua gli errori sfuggiti
- DPer dividere la responsabilità tra due infermieri se si verifica un errore
4.Controllo delle infezioni e sicurezza del pazienteDifficile
A nurse teaches a patient with neutropenia about preventing infection at home. Which statement shows a need for further teaching?
- A“I can clean the cat’s litter box if I wear a face mask.”
- B“I will check my temperature and call if I have a fever.”
- C“I will avoid crowds and people who have colds.”
- D“I will wash my hands often and ask visitors to do the same.”
5.Valori di laboratorio ed elettrolitiMedia
A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13,0 to 11,4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?
- ADilution of the blood by the IV fluid
- BIncreased red cell production
- CA laboratory error in the first sample
- DA sudden failure of the bone marrow
6.Valori di laboratorio ed elettrolitiDifficile
At the start of a shift, the nurse reviews four new results. Which patient needs attention first?
- AGlucose 180 mg/dL (10 mmol/L) after a meal in a patient with diabetes
- BSodium 119 mEq/L in a patient with new confusion and vomiting
- CHemoglobin 11,0 g/dL (110 g/L) in a patient with rheumatoid arthritis
- DPotassium 5,2 mEq/L in a patient with stable chronic kidney disease
7.Infermieristica clinicaMedia
A pressure ulcer shows full-thickness tissue loss with exposed bone. Which category (stage) is this?
- ACategory 2
- BCategory 1
- CCategory 4
- DCategory 3
8.Infermieristica clinicaDifficile
Four call bells ring at the same time. Which patient should the nurse see first?
- AA patient asking for pain relief for chronic back pain that they rate as 3/10
- BA patient who has just become breathless after starting an IV antibiotic
- CA patient who needs help to go to the toilet and has rung twice
- DA patient asking what time they will be discharged
9.Area medico-chirurgica: cardiovascolare e respiratoriaMedia
A patient on home oxygen has dry, sore lips. Which product is safest to use?
- AAn alcohol-based gel
- BA water-based lubricant
- CAn oil-based balm
- DPetroleum jelly
10.Area medico-chirurgica: cardiovascolare e respiratoriaDifficile
During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?
- AStop CPR, because an organised rhythm on the monitor means recovery
- BGive adenosine to slow the rhythm down
- CDeliver an unsynchronised shock at once and then check the pulse
- DContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
11.Area medico-chirurgica: neurologica, endocrina e renaleMedia
Perché il potassio va monitorato attentamente quando si somministra insulina EV per una DKA?
- AL'insulina fa trattenere potassio ai reni, perciò il livello aumenterà
- BL'insulina sposta il potassio nelle cellule, perciò il livello può calare rapidamente
- CL'insulina non ha alcun effetto sul potassio nella DKA
- DL'insulina degrada il potassio nel circolo sanguigno
12.Area medico-chirurgica: neurologica, endocrina e renaleDifficile
An adult stares blankly for about a minute, smacks their lips and fumbles with their clothes. Afterwards they are confused for ten minutes and remember nothing. Which seizure type fits best?
- AAtonic (drop) seizure with a fall
- BFocal impaired awareness seizure
- CAbsence seizure
- DMyoclonic seizure
13.Area medico-chirurgica: gastrointestinale, perioperatoria e oncologicaMedia
Why is the "whoosh" test no longer used to check nasogastric tube position?
- AIt needs an X-ray machine at the bedside
- BThe test is far too painful for most patients to tolerate
- CThe air always makes the tube block
- DAir can be heard even when the tube is in the lung
14.Area medico-chirurgica: gastrointestinale, perioperatoria e oncologicaDifficile
On day 5 after hip surgery, a patient suddenly becomes breathless, with sharp chest pain on breathing in, a pulse of 120/min and SpO₂ 89%. What should the nurse suspect and do first?
- AWound infection; take a wound swab and wait for results
- BPulmonary embolism; sit up, give oxygen and call for urgent help
- CAnxiety; give reassurance and repeat the observations in an hour's time
- DSimple atelectasis; encourage walking around the ward