1.Dễ
Which fasting blood glucose value is normal for an adult without diabetes?
- A85 mg/dL (4,7 mmol/L)
- B210 mg/dL (11,7 mmol/L)
- C55 mg/dL (3,1 mmol/L)
- D145 mg/dL (8,0 mmol/L)
2.Dễ
Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?
- ADeciding whether a pressure injury has got worse since yesterday
- BChoosing which wound dressing to use
- CPlanning the patient’s skin care
- DTurning and repositioning the patient every 2 hours
3.Dễ
In nursing management, what is an “assignment”?
- AHanding legal accountability for a patient over to a nursing colleague
- BAsking a colleague to do a task outside their usual scope
- CA written order from a prescriber for a treatment
- DGiving staff care activities that are within their own role and scope
4.Trung bình
Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?
- ALevel 4
- BLevel 1
- CLevel 2
- DLevel 5
5.Trung bình
A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?
- AAssess the lungs, oxygen saturation and swelling, then inform the provider
- BRecord the weight on the chart and recheck it at the next weekly weigh-in
- CLay the patient flat to help them breathe more easily
- DEncourage extra fluids to correct the weight change
6.Trung bình
One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?
- A“Stop and call me at once if she feels dizzy or short of breath.”
- B“Walk her to the end of the corridor and back twice before lunch.”
- C“Try to finish the walk before the lunch trays arrive.”
- D“Make sure she wears her own slippers if she has them.”
7.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
8.Khó
Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?
- AThe nurse should consider level 2 because of the danger-zone vital sign
- BThe patient is level 5 because the pain is not severe
- CThe patient is level 4 because the blood tests and the scan count as one resource
- DVital signs never change the ESI level
Đáp án
- 1. A · 85 mg/dL (4,7 mmol/L)
- 2. D · Turning and repositioning the patient every 2 hours
- 3. D · Giving staff care activities that are within their own role and scope
- 4. C · Level 2
- 5. A · Assess the lungs, oxygen saturation and swelling, then inform the provider
- 6. A · “Stop and call me at once if she feels dizzy or short of breath.”
- 7. D · Report it to the nurse manager according to policy
- 8. A · The nurse should consider level 2 because of the danger-zone vital sign
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