1.Easy
Which lab value commonly rises with inflammation and infection?
- ASerum albumin
- BHemoglobin
- CC-reactive protein (CRP)
- DSerum sodium
2.Easy
Which syringe is used to measure a dose of insulin?
- AAn oral syringe marked in mL
- BAn insulin syringe marked in units
- CA 5 mL syringe marked in mL
- DA tuberculin syringe marked in mL
3.Easy
What does the abbreviation MRSA stand for?
- AMultidrug-resistant Streptococcus agalactiae
- BMultiply-resistant Salmonella agent
- CMethicillin-resistant Staphylococcus aureus
- DMethicillin-reactive Staphylococcus albus
4.Medium
How tight should a wrist restraint be?
- ALoose enough to fit two fingers between the restraint and the skin
- BLoose enough for the patient’s hand to slip out
- CAs tight as possible so the patient cannot move the arm
- DTight enough to slow the pulse at the wrist
5.Medium
While a sterile field is being prepared, the nurse turns away from it to answer a question. What is correct?
- AThe field can be used if it is covered afterwards
- BOnly the items nearest the nurse need to be replaced
- CThe field is considered contaminated and must be set up again
- DThe field is still sterile because nobody touched it in the meantime
6.Medium
When should the transparent dressing over a peripheral IV site be changed?
- AWhen it is damp, loose or visibly soiled
- BOnly when the patient asks for a new dressing
- COnly when the IV catheter is removed, whatever its state
- DEvery hour, so the site can be cleaned again
7.Hard
Which patient should the nurse assess first?
- AA patient with tuberculosis who is asking to have visitors
- BA patient who wants more alcohol hand rub in the room
- CA patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
- DA patient with an MRSA wound due for a routine dressing change
8.Hard
A patient receiving chemotherapy has an absolute neutrophil count of 400/mm3 (0.4 × 109/L) and a new temperature of 38.3 °C (100.9 °F). What should the nurse do?
- AReport it at once, because fever with severe neutropenia is an emergency
- BGive an antipyretic and reassess at the next routine round
- CRecheck the temperature in four hours before calling anyone about it
- DEncourage oral fluids and record the result in the chart
Answer key
- 1. C · C-reactive protein (CRP)
- 2. B · An insulin syringe marked in units
- 3. C · Methicillin-resistant Staphylococcus aureus
- 4. A · Loose enough to fit two fingers between the restraint and the skin
- 5. C · The field is considered contaminated and must be set up again
- 6. A · When it is damp, loose or visibly soiled
- 7. C · A patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
- 8. A · Report it at once, because fever with severe neutropenia is an emergency
Full step-by-step solutions: practise this topic on examproblems.com.