1.Easy
A nurse sees a colleague giving care that puts a patient at risk. What should the nurse do?
- ARaise the concern through the proper channels
- BIgnore it to keep a good relationship with the colleague
- CWait to see whether it happens again
- DPost about it on social media
2.Easy
Which of these is subjective data?
- AThe patient's temperature is 37.9 °C
- BThe patient says she feels sick
- CThe patient vomited 150 mL
- DThe patient's skin is pale and moist
3.Easy
At what rate should chest compressions be given during adult CPR?
- A60–80 per minute
- B140–160 per minute
- C100–120 per minute
- D80–90 per minute
4.Medium
How can nurses help patients sleep better on a hospital ward at night?
- AKeep the main lights on so staff can see clearly
- BGive every patient a sleeping tablet
- CGroup care and observations so patients are disturbed less often
- DDo routine tasks such as bed changes at midnight while it is quiet
5.Medium
How should the ear be positioned when taking a tympanic temperature in an adult?
- APush the outer ear forward against the cheek
- BGently pull the outer ear down and back
- CGently pull the outer ear up and back
- DLeave the ear alone and insert the probe deeply
6.Medium
A registered nurse delegates a task to a healthcare assistant. Who is accountable for the decision to delegate?
- AThe patient
- BThe registered nurse
- COnly the healthcare assistant
- DNobody, once the task is handed over
7.Hard
A dying patient's breathing gets deeper and faster, then shallower, followed by a pause with no breathing, in a repeating cycle. What is this pattern called?
- AKussmaul breathing
- BCheyne–Stokes breathing
- CBiot's breathing
- DParadoxical breathing
8.Hard
Two days after surgery a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. What is the most helpful nursing action, alongside reporting it?
- AKeep the patient lying flat in bed so they can rest and save energy
- BStop all pain relief so the patient stays alert
- CRestrict all fluids to dry the secretions
- DEncourage deep breathing, coughing and getting out of bed
Answer key
- 1. A · Raise the concern through the proper channels
- 2. B · The patient says she feels sick
- 3. C · 100–120 per minute
- 4. C · Group care and observations so patients are disturbed less often
- 5. C · Gently pull the outer ear up and back
- 6. B · The registered nurse
- 7. B · Cheyne–Stokes breathing
- 8. D · Encourage deep breathing, coughing and getting out of bed
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