1.Easy
Which of these is one of the standard “rights” of medication administration?
- ARight brand
- BRight ward
- CRight colleague
- DRight patient
2.Easy
What is a transient ischemic attack (TIA)?
- AA stroke that leaves permanent weakness or paralysis on one side of the body
- BBrief stroke-like symptoms that resolve, warning of a possible stroke
- CA heart attack that affects the brain
- DA type of migraine with no link to stroke
3.Easy
A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?
- AAbnormally fast and needing assessment
- BWithin the normal adult range
- CNormal after a meal
- DSlow, and expected while the patient is asleep
4.Medium
Which action helps prevent a catheter-associated urinary tract infection?
- ALeaving the catheter in place longer than needed
- BKeeping the drainage bag below the level of the bladder
- CRaising the drainage bag above the bladder when walking
- DDisconnecting the bag every shift to empty it
5.Medium
An adult patient eating in the dayroom suddenly clutches their throat and cannot speak, breathe or cough. What should the nurse do first?
- AGive the patient a glass of water to wash the food down
- BDo a blind finger sweep of the mouth
- CWait to see whether the patient can cough it out
- DCall for help and give back blows and abdominal thrusts
6.Medium
Which nursing assistant task is appropriate for a patient two days after hip replacement?
- ATeaching the patient the hip precautions before discharge
- BHelping the patient into a chair, following the hip precautions
- CEvaluating whether the last dose of pain medication controlled the pain
- DChecking the incision for redness, warmth and drainage
7.Hard
A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?
- AThe risk of wound infection
- BThe suspected tension pneumothorax
- CThe pain from the fracture
- DThe open fracture of the leg
8.Hard
A patient with an upper GI bleed has a heart rate of 128/min and a blood pressure of 84/50 mmHg. All of these are prescribed. Which does the nurse start first?
- AAn IV proton pump inhibitor infusion
- BOral iron tablets
- CBooking the diagnostic endoscopy for the next morning
- DIV fluid or blood through large-bore cannulas
Answer key
- 1. D · Right patient
- 2. B · Brief stroke-like symptoms that resolve, warning of a possible stroke
- 3. A · Abnormally fast and needing assessment
- 4. B · Keeping the drainage bag below the level of the bladder
- 5. D · Call for help and give back blows and abdominal thrusts
- 6. B · Helping the patient into a chair, following the hip precautions
- 7. B · The suspected tension pneumothorax
- 8. D · IV fluid or blood through large-bore cannulas
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