1.Easy
What does NPO mean on a patient’s care plan?
- ANothing by mouth
- BNo pain observed
- CNot for physical therapy
- DNormal patient observations
2.Easy
What is the main purpose of a rapid response team?
- ATo transport stable patients between hospital units
- BTo review medication errors and falls after they have happened on the unit
- CTo assess and treat a deteriorating patient before an arrest happens
- DTo handle complaints from patients and families
3.Easy
In delegation, what does the “right task” mean?
- AThe task can be finished in under ten minutes
- BThe task is one that may be delegated for this patient
- CThe task has been requested by the patient or the patient’s family
- DThe task is the one the nurse likes least
4.Medium
Using the Emergency Severity Index, which patient receives the highest acuity level?
- AA patient with a possible ankle fracture
- BA patient with a sore throat for three days and normal vital signs
- CA patient with chest pain and normal vital signs
- DAn unresponsive patient with gasping, irregular breaths
5.Medium
A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?
- AThe surgical dressing and the drains
- BThe pain score
- CUrine output
- DAirway patency and breathing
6.Medium
Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?
- AChange both of their assignments without any discussion
- BReport them to human resources at once
- CIgnore it and hope they sort it out
- DMeet both of them privately to hear each side
7.Hard
A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?
- AA raised risk of suicide, because she may have made a decision
- BA full recovery, so observation can be reduced
- CThat she is getting ready for discharge as planned
- DA side effect of her antidepressant medicine that needs no special action
8.Hard
A patient rescued from a house fire has burns to the face, singed nasal hair and a hoarse voice. What is the priority?
- AStarting IV fluid resuscitation calculated from the burn size
- BProtecting the airway, preparing for early airway support
- CCleaning and dressing the facial burns
- DGiving pain relief
Answer key
- 1. A · Nothing by mouth
- 2. C · To assess and treat a deteriorating patient before an arrest happens
- 3. B · The task is one that may be delegated for this patient
- 4. D · An unresponsive patient with gasping, irregular breaths
- 5. D · Airway patency and breathing
- 6. D · Meet both of them privately to hear each side
- 7. A · A raised risk of suicide, because she may have made a decision
- 8. B · Protecting the airway, preparing for early airway support
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