1.Dễ
Which finding is expected in a patient with long-standing COPD?
- AAn SpO₂ of 78%
- BNew confusion
- CA barrel-shaped chest
- DSudden sharp chest pain
2.Dễ
Which finding meets the usual definition of orthostatic hypotension?
- ASystolic pressure falls by 20 mmHg or more within 3 minutes of standing
- BBlood pressure is the same lying and standing
- CHeart rate falls by 5/min after lying down
- DSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
3.Dễ
Which patient is unstable?
- AA patient with a healing leg wound and normal vital signs this morning
- BA patient with long-standing arthritis pain of 3/10
- CA patient waiting for a planned hip X-ray
- DA patient with a new irregular pulse who says they feel dizzy
4.Trung bình
Một điều dưỡng nhờ phụ tá điều dưỡng dùng thiết bị nâng cơ học. Phụ tá nói chưa từng được đào tạo dùng thiết bị này. Điều "đúng" nào của ủy quyền sẽ bị vi phạm nếu điều dưỡng cứ khăng khăng?
- AĐúng hướng dẫn và giao tiếp
- BĐúng người
- CĐúng nhiệm vụ
- DĐúng giám sát và đánh giá
5.Trung bình
On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?
- AA new admission transferred from the labor ward with a fever of 38,6 °C
- BDay 1 after an uncomplicated vaginal birth, stable vital signs
- COne hour after birth with heavy bleeding and a boggy uterus
- DSevere pre-eclampsia on a magnesium sulfate infusion
6.Trung bình
A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?
- AVitamin K (phytonadione)
- BVitamin D (calciferol)
- CVitamin C (ascorbic acid)
- DThiamine (vitamin B1)
7.Khó
A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?
- AOral potassium binder
- BIV furosemide
- CIV calcium gluconate
- DOral sodium bicarbonate
8.Khó
A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?
- AAsk the colleague to share the vial with them
- BSay nothing, because it is not their business
- CTell the patients to watch the colleague carefully
- DReport it to the nurse manager according to policy
Đáp án
- 1. C · A barrel-shaped chest
- 2. A · Systolic pressure falls by 20 mmHg or more within 3 minutes of standing
- 3. D · A patient with a new irregular pulse who says they feel dizzy
- 4. B · Đúng người
- 5. B · Day 1 after an uncomplicated vaginal birth, stable vital signs
- 6. D · Thiamine (vitamin B1)
- 7. C · IV calcium gluconate
- 8. D · Report it to the nurse manager according to policy
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