1.Easy
What is the main purpose of a rapid response team?
- ATo review medication errors and falls after they have happened on the unit
- BTo handle complaints from patients and families
- CTo assess and treat a deteriorating patient before an arrest happens
- DTo transport stable patients between hospital units
2.Easy
Which protective equipment is needed for airborne precautions?
- AA fit-tested N95 or FFP3 respirator
- BA simple surgical mask worn loosely
- CGloves only
- DA plastic apron only
3.Easy
Which body temperature is a fever in an adult?
- A36.4 °C
- B37.1 °C
- C36.8 °C
- D38.5 °C
4.Medium
Before accessing a central venous catheter, what should the nurse do to prevent infection?
- ARinse the hub with tap water and dry it
- BTouch the hub to check it is clean
- CScrub the hub with an antiseptic such as chlorhexidine and let it dry
- DBlow on the hub to remove any dust before connecting the syringe or line
5.Medium
Which patient is most appropriate to assign to an LPN/LVN?
- AA patient with stable chronic heart failure who needs oral medications
- BA patient arriving from the recovery room who needs an initial assessment
- CA patient about to receive a first unit of red blood cells
- DA patient admitted 30 minutes ago with new chest pain
6.Medium
A nurse who usually works in obstetrics floats to an adult medical unit. Which patient is most appropriate to assign to this nurse?
- AA patient with an active upper gastrointestinal bleed
- BA patient with a new tracheostomy
- CA patient with pneumonia who is stable on oral antibiotics
- DA patient on a continuous insulin infusion for diabetic ketoacidosis
7.Hard
A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?
- ARestlessness and a rising heart rate while the blood pressure is still normal
- BA very low blood pressure with fixed, dilated pupils
- CLoss of consciousness with gasping breaths
- DA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
8.Hard
Several patients on a unit develop diarrhea within two days. What should the nurse do first?
- AGive all patients antidiarrheal drugs without assessment
- BMove the affected patients into shared rooms with other patients to free up beds
- CPlace affected patients on contact precautions and inform infection control
- DWait to see if more patients become unwell
Answer key
- 1. C · To assess and treat a deteriorating patient before an arrest happens
- 2. A · A fit-tested N95 or FFP3 respirator
- 3. D · 38.5 °C
- 4. C · Scrub the hub with an antiseptic such as chlorhexidine and let it dry
- 5. A · A patient with stable chronic heart failure who needs oral medications
- 6. C · A patient with pneumonia who is stable on oral antibiotics
- 7. A · Restlessness and a rising heart rate while the blood pressure is still normal
- 8. C · Place affected patients on contact precautions and inform infection control
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