1.Easy
Which finding in an infant is a sign of breathing difficulty?
- AWet diapers every few hours
- BNasal flaring
- CA strong cry
- DPink, warm hands and feet
2.Easy
Which blood pressure in an adult suggests hypotension?
- A118/76 mmHg
- B126/82 mmHg
- C82/48 mmHg
- D110/70 mmHg
3.Easy
In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?
- AMeasuring vital signs
- BGiving an IV push medication
- CGiving scheduled oral medications
- DReinforcing teaching already given
4.Medium
A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?
- AStay with the patient, give oxygen as prescribed and have recent vital signs ready
- BGive a dose of every as-needed medication on the chart
- CLeave the patient for a few minutes to find the relatives and explain what is happening
- DGo to the station to finish documentation for other patients
5.Medium
A patient has a tonic-clonic seizure in bed. What should the nurse do first?
- AHold the arms and legs down firmly to stop the jerking movements quickly
- BPlace a tongue depressor between the teeth
- CGive a drink of water to help the patient wake
- DProtect the head and turn the patient on their side when possible
6.Medium
On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?
- AEncourage the patient to walk to improve the circulation
- BMassage the patient’s calves to ease any muscle cramp
- CGive the next dose of oral analgesia and reassess the patient in an hour
- DRaise the head of the bed, give oxygen and call for urgent help
7.Hard
A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?
- A11
- B7
- C9
- D13
8.Hard
A patient has a heart rate of 38/min, feels dizzy and has a blood pressure of 80/50 mmHg. Which drug is usually given first, as prescribed?
- AMetoprolol
- BDigoxin
- CDiltiazem
- DAtropine
Answer key
- 1. B · Nasal flaring
- 2. C · 82/48 mmHg
- 3. B · Giving an IV push medication
- 4. A · Stay with the patient, give oxygen as prescribed and have recent vital signs ready
- 5. D · Protect the head and turn the patient on their side when possible
- 6. D · Raise the head of the bed, give oxygen and call for urgent help
- 7. C · 9
- 8. D · Atropine
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