1.Easy
In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?
- AGiving scheduled oral medications
- BReinforcing teaching already given
- CMeasuring vital signs
- DGiving an IV push medication
2.Easy
Which platelet count is within the normal adult range?
- A40,000/mm³ (40 × 10⁹/L)
- B250,000/mm³ (250 × 10⁹/L)
- C700,000/mm³ (700 × 10⁹/L)
- D90,000/mm³ (90 × 10⁹/L)
3.Easy
Which of these is one of the standard “rights” of medication administration?
- ARight patient
- BRight brand
- CRight ward
- DRight colleague
4.Medium
A nurse cannot read part of a medication order. What should the nurse do?
- AGive the usual dose of the drug the nurse thinks was meant
- BAsk another nurse to guess what the order most likely says, then give it
- CContact the prescriber to clarify the order before giving the drug
- DSkip the drug and not tell anyone until the next ward round
5.Medium
Which scheduled medication is the most time-critical?
- AA daily stool softener due with breakfast
- BA daily multivitamin tablet due at 08:00
- CA daily cholesterol-lowering statin tablet due with breakfast at 08:00
- DRapid-acting insulin due with a breakfast tray that has arrived
6.Medium
Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?
- AMild bruising around the fracture site on the second day
- BItching under the cast during the first week after it was applied
- CA strong pedal pulse with warm, pink toes and pain that settles with analgesia
- DPain out of proportion to the injury that worsens when the toes are stretched
7.Hard
A patient with suspected sepsis has four prescribed orders. Which should usually be done first?
- AArrange a chest X-ray for later today
- BRepeat the lactate in six hours
- CTake blood cultures
- DGive the IV antibiotic
8.Hard
A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?
- ALeave meals in the room and let the patient eat whenever and whatever they choose
- BOffer high-calorie finger foods and drinks the patient can take while moving
- CInsist that the patient sits at the table until the meal is finished
- DWait until the mania settles before worrying about nutrition
Answer key
- 1. D · Giving an IV push medication
- 2. B · 250,000/mm³ (250 × 10⁹/L)
- 3. A · Right patient
- 4. C · Contact the prescriber to clarify the order before giving the drug
- 5. D · Rapid-acting insulin due with a breakfast tray that has arrived
- 6. D · Pain out of proportion to the injury that worsens when the toes are stretched
- 7. C · Take blood cultures
- 8. B · Offer high-calorie finger foods and drinks the patient can take while moving
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