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Name: ____________________ Date: ____________
1.Easy
What does a root cause analysis look for after a serious event?
AThe single staff member who should be blamed
BHow much the event cost the hospital
CThe underlying system causes of the event
DWhich patient made the complaint
2.Easy
Which white blood cell count suggests an infection or inflammation?
A6,500/mm³ (6.5 × 10⁹/L)
B18,000/mm³ (18 × 10⁹/L)
C8,200/mm³ (8.2 × 10⁹/L)
D7,000/mm³ (7 × 10⁹/L)
3.Easy
In Maslow’s hierarchy, which level comes directly after physiological needs?
AEsteem and recognition
BSafety and security
CSelf-actualization
DLove and belonging
4.Medium
Which patient is at the highest risk of falling?
AA 45-year-old with asthma who is alert and independent
BAn 84-year-old taking a diuretic who has fallen before and gets up at night
CA 30-year-old after an appendectomy who walks with steady steps
DA 60-year-old admitted for chest pain that has since been ruled out by tests
5.Medium
A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?
AKeep the left arm wrapped tightly in a bandage at night
BHelp the patient carry shopping bags on the left arm
CMeasure blood pressure on the left arm only, every 4 hours
DDo not measure blood pressure on the left arm
6.Medium
A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?
AIV isotonic fluid such as 0.9% sodium chloride
BSubcutaneous long-acting insulin only, given once
CA high-carbohydrate meal
DOral potassium tablets
7.Hard
A patient with raised intracranial pressure is being nursed on the ward. Which position is best?
AHead of the bed at about 30 degrees with the neck straight
BFlat on the back with the head turned well over to one side
CHead down with the legs raised above the heart
DSitting forward with the chin on the chest
8.Hard
Four patients arrive at the emergency department together. Who should be seen first?
AA 2-year-old who is drooling, sitting forward and has stridor
BA teenager with a cut on the arm whose bleeding is controlled
CAn adult with a migraine and a blood pressure of 150/90 mmHg
DAn adult with a deformed ankle and a normal pulse in the foot
Answer key
1. C · The underlying system causes of the event
2. B · 18,000/mm³ (18 × 10⁹/L)
3. B · Safety and security
4. B · An 84-year-old taking a diuretic who has fallen before and gets up at night
5. D · Do not measure blood pressure on the left arm
6. A · IV isotonic fluid such as 0.9% sodium chloride
7. A · Head of the bed at about 30 degrees with the neck straight
8. A · A 2-year-old who is drooling, sitting forward and has stridor
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