1.Easy
Which task should the registered nurse keep rather than delegate to unlicensed assistive personnel?
- AMeasuring and recording intake and output
- BThe initial assessment of a newly admitted patient
- CBathing a stable patient
- DHelping a stable patient walk to the bathroom and back
2.Easy
Who is responsible for developing the nursing plan of care?
- AThe LPN/LVN alone
- BThe registered nurse
- CThe ward clerk
- DThe nursing assistant
3.Easy
In which situation can a pulse oximeter give a falsely normal reading?
- AA warm, well-perfused finger
- BCarbon monoxide poisoning
- CA patient breathing room air normally
- DA healthy adult at rest
4.Medium
A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?
- A“If the pain has not eased as my action plan says, I will call emergency services.”
- B“I will take five tablets one after the other before I call for help.”
- C“I will sit or lie down when I take a tablet.”
- D“I will carry the tablets with me when I go out.”
5.Medium
Which infant with gastroenteritis should the nurse see first?
- AAlert, crying with tears, had a wet diaper an hour ago
- BMild diaper rash, otherwise playful
- CTwo loose stools today, feeding well
- DLethargic, sunken fontanel, no wet diaper for 8 hours
6.Medium
A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?
- AChecking the tube’s position
- BGiving mouth care
- CIrrigating the tube when it blocks
- DAssessing the drainage for blood
7.Hard
Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?
- ADehydration from drinking too much
- BRejection of the transplant
- CA side effect of eating salty food
- DNormal healing of the transplant
8.Hard
An adult has burns over 40% of the body with no signs of airway injury. Which treatment is the priority during the first hours?
- AGiving a high-protein meal to support healing
- BStarting physiotherapy to prevent contractures straight away
- CApplying antibiotic cream to all the burns before anything else
- DLarge-volume IV fluids with close monitoring of urine output
Answer key
- 1. B · The initial assessment of a newly admitted patient
- 2. B · The registered nurse
- 3. B · Carbon monoxide poisoning
- 4. B · “I will take five tablets one after the other before I call for help.”
- 5. D · Lethargic, sunken fontanel, no wet diaper for 8 hours
- 6. B · Giving mouth care
- 7. B · Rejection of the transplant
- 8. D · Large-volume IV fluids with close monitoring of urine output
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