1.Dễ
Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?
- ARescue patients in immediate danger
- BUse an extinguisher on the fire
- CPull the fire alarm
- DClose doors to contain the fire and smoke
2.Dễ
Which patient need belongs to the love and belonging level of Maslow’s hierarchy?
- ANeeding pain relief after surgery
- BWanting family members to visit
- CWanting praise for progress in rehabilitation
- DNeeding the call light within reach
3.Dễ
A patient has a Glasgow Coma Scale score of 8. What is the main concern?
- AThe patient may not be able to protect the airway
- BThe patient can safely eat and drink without help
- CThe patient is fully alert and oriented
- DThe patient only has a mild headache
4.Trung bình
The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?
- AGive the patient’s routine oral iron supplement early
- BReassure the patient that this is normal after neck surgery
- CCheck for signs of low calcium and inform the provider
- DEncourage deep breaths into a paper bag until it passes
5.Trung bình
A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?
- AClamp the tube for the rest of the shift
- BPlace the end of the tube in a bottle of sterile water
- CRemove the tube and cover the site
- DWait for the provider to arrive before doing anything else
6.Trung bình
A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?
- AMoist and pink-red
- BSlightly swollen
- CA little bleeding when cleaned
- DDark purple or black
7.Khó
After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?
- AUterine atony that needs more massage
- BNormal lochia for the first hour
- CA full bladder pushing the uterus aside
- DA tear in the birth canal or cervix
8.Khó
A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?
- AThe lung has fully re-expanded, so the drain is ready to come out
- BThe drain is working normally and no action is needed
- CThe suction is set too low and needs to be turned up
- DAn air leak in the patient or the system that needs checking
Đáp án
- 1. A · Rescue patients in immediate danger
- 2. B · Wanting family members to visit
- 3. A · The patient may not be able to protect the airway
- 4. C · Check for signs of low calcium and inform the provider
- 5. B · Place the end of the tube in a bottle of sterile water
- 6. D · Dark purple or black
- 7. D · A tear in the birth canal or cervix
- 8. D · An air leak in the patient or the system that needs checking
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