1.Easy
When a priority question offers both an assessment and an action, which is usually correct first when the situation is not an emergency?
- ADocumenting the concern in the chart
- BAssessing the patient to collect more information
- CAsking a nursing assistant to go and check the patient
- DCalling the provider before seeing the patient
2.Easy
Which of these is one of the five rights of delegation?
- ARight route and site of injection
- BRight supervision and evaluation
- CRight time and frequency
- DRight dose and strength
3.Easy
In mmHg, what is the normal range for arterial PaCO₂?
- A7.35–7.45 mmHg
- B35–45 mmHg
- C22–26 mmHg
- D80–100 mmHg
4.Medium
A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?
- AAt the end of the shift
- BAt the next routine round in four hours
- COnly when the patient asks for more
- DWithin about 15–30 minutes
5.Medium
A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?
- A“I will use a soft toothbrush.”
- B“I will keep my INR blood test appointments.”
- C“If I miss a dose, I will take two the next day.”
- D“I will tell my dentist and pharmacist that I take warfarin.”
6.Medium
A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?
- AFollow the DNR order and do not start CPR
- BStart CPR and stop when the family arrives
- CCall the cardiac arrest team and let them decide
- DStart chest compressions but not rescue breaths
7.Hard
A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?
- ALay the child flat on their back
- BPlace the child in a knee-to-chest position
- CGive a large drink of water to calm the child
- DEncourage the child to keep crying to open the lungs
8.Hard
On a cardiac unit, which patient should the nurse see first?
- AA patient with atrial fibrillation whose heart rate is 88/min and irregular, as before
- BA patient taking digoxin with a pulse of 48/min, nausea and a potassium of 3.0 mEq/L
- CA patient with heart failure who has gained 0.3 kg since yesterday
- DA patient who has been asked to fast before a scan tomorrow
Answer key
- 1. B · Assessing the patient to collect more information
- 2. B · Right supervision and evaluation
- 3. B · 35–45 mmHg
- 4. D · Within about 15–30 minutes
- 5. C · “If I miss a dose, I will take two the next day.”
- 6. A · Follow the DNR order and do not start CPR
- 7. B · Place the child in a knee-to-chest position
- 8. B · A patient taking digoxin with a pulse of 48/min, nausea and a potassium of 3.0 mEq/L
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