1.Easy
In a fall risk tool such as the Morse Fall Scale, what does a higher score mean?
- AA lower risk of pressure injury
- BA higher risk of falling
- CBetter mobility
- DA lower risk of falling
2.Easy
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey reduce the risk of injury if the patient falls out of bed
- BThey stop the patient from ever leaving the bed
- CThey help the patient sleep more deeply
- DThey make it easier for staff to clean under and around the bed
3.Easy
Which syringe is used to measure a dose of insulin?
- AAn insulin syringe marked in units
- BA tuberculin syringe marked in mL
- CAn oral syringe marked in mL
- DA 5 mL syringe marked in mL
4.Medium
Which practice reduces back strain when a nurse moves a patient or heavy object?
- ABend at the waist and keep both knees straight
- BKeep the load close to the body and avoid twisting
- CHold the load at arm’s length to keep it steady
- DStand with the feet close together for balance
5.Medium
When should the transparent dressing over a peripheral IV site be changed?
- AOnly when the IV catheter is removed, whatever its state
- BOnly when the patient asks for a new dressing
- CWhen it is damp, loose or visibly soiled
- DEvery hour, so the site can be cleaned again
6.Medium
A patient wishes to refuse a prescribed medicine. What should the nurse do?
- AExplore the reason, explain, respect a competent choice and document
- BHide the medicine in the patient’s food or drink to make sure it is taken
- CRecord the dose as given to avoid questions from the team
- DGive it anyway, because it was prescribed
7.Hard
In US nursing practice, which task should the RN not assign to an LPN/LVN?
- AThe initial admission assessment of a new patient with suspected sepsis
- BA dressing change on a healing surgical wound that has no signs of infection
- CGiving scheduled oral antibiotics to a stable patient
- DReinforcing hand hygiene teaching that the RN has already given
8.Hard
A patient’s cardiac monitor alarms often because of artifact, and a colleague suggests turning the alarm off. What is the best response?
- ADisconnect the monitor overnight so the patient can sleep
- BTurn the alarm off and check the monitor screen at the nurses’ station every hour instead
- CTurn the alarm volume down as low as it will go
- DKeep the alarm on, fix the cause such as electrode placement, and adjust limits only per policy
Answer key
- 1. B · A higher risk of falling
- 2. A · They reduce the risk of injury if the patient falls out of bed
- 3. A · An insulin syringe marked in units
- 4. B · Keep the load close to the body and avoid twisting
- 5. C · When it is damp, loose or visibly soiled
- 6. A · Explore the reason, explain, respect a competent choice and document
- 7. A · The initial admission assessment of a new patient with suspected sepsis
- 8. D · Keep the alarm on, fix the cause such as electrode placement, and adjust limits only per policy
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