1.Easy
In delegation, what does supervision mean?
- ALeaving the delegate to finish without any contact
- BGuidance, follow-up and evaluation of the delegated task by the nurse
- CSigning the delegate’s documentation without checking it
- DDoing every delegated task yourself to make sure that it is done right
2.Easy
Which of these is one of the standard “rights” of medication administration?
- ARight patient
- BRight ward
- CRight brand
- DRight colleague
3.Easy
In the ABC framework, which problem is a circulation problem?
- AAnxiety
- BA respiratory rate of 32/min
- CStridor
- DUncontrolled bleeding
4.Medium
After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?
- AA urinary tract infection
- BDislocation of the new hip
- CA pressure injury on the heel
- DNormal pain after surgery
5.Medium
A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?
- A“I will carry the tablets with me when I go out.”
- B“If the pain has not eased as my action plan says, I will call emergency services.”
- C“I will sit or lie down when I take a tablet.”
- D“I will take five tablets one after the other before I call for help.”
6.Medium
An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?
- ADelirium, which needs the cause found quickly
- BNormal aging that needs no action
- CA personality change that is permanent and expected
- DLong-standing dementia that is expected
7.Hard
A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?
- A7
- B9
- C13
- D11
8.Hard
Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?
- ASharp chest pain that is worse on deep breathing
- BA small air leak seen on a routine chest X-ray
- CTrachea shifted away from the affected side, with low blood pressure
- DMild breathlessness with reduced breath sounds on one side of the chest only
Answer key
- 1. B · Guidance, follow-up and evaluation of the delegated task by the nurse
- 2. A · Right patient
- 3. D · Uncontrolled bleeding
- 4. B · Dislocation of the new hip
- 5. D · “I will take five tablets one after the other before I call for help.”
- 6. A · Delirium, which needs the cause found quickly
- 7. B · 9
- 8. C · Trachea shifted away from the affected side, with low blood pressure
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