1.Easy
Before moving a patient, what should the nurse do with the bed height?
- AAdjust it to about the nurse's waist height
- BLower it as far as it will go to protect the nurse's back
- CLeave it wherever it was
- DRaise it as high as it will go
2.Easy
Which of these is subjective data?
- AThe patient's skin is pale and moist
- BThe patient vomited 150 mL
- CThe patient says she feels sick
- DThe patient's temperature is 37.9 °C
3.Easy
On a 0–10 numeric pain rating scale, what does 0 mean?
- AMild pain
- BThe worst pain imaginable
- CPain that is well controlled with medication
- DNo pain
4.Medium
Which nursing record entry is the best example of objective documentation?
- A"Had a good appetite today and enjoyed lunch."
- B"Seemed to enjoy the meal."
- C"Ate half of lunch; drank 200 mL of water."
- D"Ate well, as usual."
5.Medium
A patient tells the nurse about abuse and asks them to keep it a secret. What should the nurse say?
- AThat they cannot listen to this and the patient should tell a doctor
- BThat they cannot promise secrecy if someone is at risk of harm
- CThat they will tell everyone on the ward so the patient is safe
- DThat they promise to keep it secret, so the patient keeps trusting them
6.Medium
Which care best protects the skin of a patient with frequent urinary incontinence?
- AApplying talcum powder thickly after each episode
- BGentle cleansing after each episode and a barrier product
- CLeaving the skin wet so it does not dry out
- DScrubbing the area with soap and hot water twice a day
7.Hard
On the sacrum there is a shallow open area with a pink wound bed and no slough. How is this pressure ulcer classified?
- ACategory 4
- BCategory 3
- CCategory 1
- DCategory 2
8.Hard
An older patient with diarrhoea for three days is dizzy on standing and passing small amounts of dark urine. What is the most likely problem?
- AFluid overload from drinking too much
- BDehydration from fluid loss
- CNormal ageing that needs no action
- DUrinary retention caused by a full bladder
Answer key
- 1. A · Adjust it to about the nurse's waist height
- 2. C · The patient says she feels sick
- 3. D · No pain
- 4. C · "Ate half of lunch; drank 200 mL of water."
- 5. B · That they cannot promise secrecy if someone is at risk of harm
- 6. B · Gentle cleansing after each episode and a barrier product
- 7. D · Category 2
- 8. B · Dehydration from fluid loss
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