1.Easy
Which term describes a patient who is unable to understand and decide about their own care?
- AExercising autonomy
- BLacking decision-making capacity
- CProviding valid informed consent
- DFully competent
2.Easy
How many levels does the Emergency Severity Index have?
- AThree
- BFive
- CSix
- DFour
3.Easy
Which of these is a physiological need in Maslow’s hierarchy?
- ABeing respected by others
- BFeeling safe at home
- CFeeling part of a family
- DElimination of urine and stool
4.Medium
Which statement shows correct understanding of accountability in delegation?
- A“Once I delegate a task, it is no longer my concern.”
- B“If the task goes wrong, only the assistant is responsible.”
- C“I stay accountable for deciding to delegate and for following up on the result.”
- D“The nursing assistant is accountable for whether the task was right to delegate.”
5.Medium
Straight after birth, what is the first priority for a healthy-looking newborn?
- AGive the vitamin K injection before anything else is done
- BWeigh and measure the baby on the scale
- CDry and warm the baby while checking that it is breathing
- DGive the first bath to remove the blood and vernix
6.Medium
A nurse asks a nursing assistant to “assess the patient’s pain and decide if the patient needs more medication”. Which right of delegation is violated?
- ARight person
- BRight task
- CRight circumstance
- DRight supervision and evaluation
7.Hard
Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?
- AThe patient is level 4 because the blood tests and the scan count as one resource
- BVital signs never change the ESI level
- CThe nurse should consider level 2 because of the danger-zone vital sign
- DThe patient is level 5 because the pain is not severe
8.Hard
Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?
- ATrachea shifted away from the affected side, with low blood pressure
- BMild breathlessness with reduced breath sounds on one side of the chest only
- CSharp chest pain that is worse on deep breathing
- DA small air leak seen on a routine chest X-ray
Answer key
- 1. B · Lacking decision-making capacity
- 2. B · Five
- 3. D · Elimination of urine and stool
- 4. C · “I stay accountable for deciding to delegate and for following up on the result.”
- 5. C · Dry and warm the baby while checking that it is breathing
- 6. B · Right task
- 7. C · The nurse should consider level 2 because of the danger-zone vital sign
- 8. A · Trachea shifted away from the affected side, with low blood pressure
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