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Naam: ____________________ Datum: ____________
1.Makkelijk
What does “scope of practice” mean?
AThe hospital areas where a nurse is allowed to work
BThe activities a nurse is educated, competent and legally allowed to do
CThe salary range that applies to each nursing role
DThe highest number of patients a nurse may care for during a single shift
2.Makkelijk
What is the normal baseline fetal heart rate?
A40–60/min
B110–160/min
C160–220/min
D60–100/min
3.Makkelijk
Welk niveau volgt in de hiërarchie van Maslow direct na de fysiologische behoeften?
ALiefde en erbij horen
BZelfactualisatie
CVeiligheid en zekerheid
DWaardering en erkenning
4.Gemiddeld
Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?
AVitamin K deficiency
BHeparin-induced thrombocytopenia
CAn expected effect that needs no action
DIron deficiency anemia
5.Gemiddeld
Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?
AMassage the uterus firmly for ten minutes
BGive a dose of oxytocin straight away
CAsk the patient to lie still for another hour
DHelp the patient empty her bladder
6.Gemiddeld
A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?
AWait until tomorrow to see if the vomiting settles
BEncourage a large meal to settle the stomach
CStop all insulin until the patient is able to eat normally again
DCheck the blood glucose and ketones and contact the provider
7.Moeilijk
A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?
ALet the patient sleep, because the saturation is above target
BAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
CGive the as-needed sedative so the patient rests comfortably
DIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
8.Moeilijk
A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?
AThe injury does not fit the infant’s development, so possible abuse must be reported
BInfants of this age often roll off furniture and break bones in this way
CNo further action is needed once the fracture is treated
DA spiral fracture in an infant is always caused by birth trauma
Antwoordenblad
1. B · The activities a nurse is educated, competent and legally allowed to do
2. B · 110–160/min
3. C · Veiligheid en zekerheid
4. B · Heparin-induced thrombocytopenia
5. D · Help the patient empty her bladder
6. D · Check the blood glucose and ketones and contact the provider
7. B · Assess breathing and escalate for a blood gas, as carbon dioxide may be rising
8. A · The injury does not fit the infant’s development, so possible abuse must be reported
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