1.Dễ
A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?
- AA large protein meal
- BThe next dose of insulin
- CIV glucose through a new cannula as the first choice for every patient
- DA fast-acting carbohydrate by mouth, such as glucose tablets or juice
2.Dễ
Which protective equipment is needed for airborne precautions?
- AA fit-tested N95 or FFP3 respirator
- BA plastic apron only
- CA simple surgical mask worn loosely
- DGloves only
3.Dễ
Which strategy helps a nurse organize care at the start of a shift?
- ARank the tasks by urgency after report and plan the time around them
- BDo the quickest tasks first so the list gets shorter
- CDo the tasks in strict order of room number, whatever their urgency
- DWait until problems come up and then decide what to do
4.Trung bình
Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?
- AItching under the cast during the first week after it was applied
- BMild bruising around the fracture site on the second day
- CA strong pedal pulse with warm, pink toes and pain that settles with analgesia
- DPain out of proportion to the injury that worsens when the toes are stretched
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?
- AEncourage extra fluids to correct the weight change
- BAssess the lungs, oxygen saturation and swelling, then inform the provider
- CLay the patient flat to help them breathe more easily
- DRecord the weight on the chart and recheck it at the next weekly weigh-in
6.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
- BOne hour after birth with heavy bleeding and a boggy uterus
- CSevere pre-eclampsia on a magnesium sulfate infusion
- DDay 1 after an uncomplicated vaginal birth, stable vital signs
7.Khó
A patient who is 7 weeks pregnant has one-sided lower abdominal pain, pain in the shoulder tip, a heart rate of 120/min and a blood pressure of 88/54 mmHg. What is most likely?
- AA ruptured ectopic pregnancy
- BA urinary tract infection
- CA normal early pregnancy
- DSevere morning sickness
8.Khó
A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?
- AAsk the family to help the patient drink while sitting upright in a chair at the bedside
- BGive thickened fluids without checking the swallow
- CCheck that a swallow screen has been done before giving anything by mouth
- DGive the water through a straw so it goes down slowly
Đáp án
- 1. D · A fast-acting carbohydrate by mouth, such as glucose tablets or juice
- 2. A · A fit-tested N95 or FFP3 respirator
- 3. A · Rank the tasks by urgency after report and plan the time around them
- 4. D · Pain out of proportion to the injury that worsens when the toes are stretched
- 5. B · Assess the lungs, oxygen saturation and swelling, then inform the provider
- 6. D · Day 1 after an uncomplicated vaginal birth, stable vital signs
- 7. A · A ruptured ectopic pregnancy
- 8. C · Check that a swallow screen has been done before giving anything by mouth
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