1.Easy
What is the usual adult reference range for serum potassium?
- AAbout 1.5–2.5 mEq/L
- BAbout 6.0–8.0 mEq/L
- CAbout 3.5–5.0 mEq/L
- DAbout 135–145 mEq/L
2.Easy
An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?
- AAn exercise stress test
- BA lipid profile
- CA 12-lead ECG
- DA chest CT scan
3.Easy
Which teaching activity belongs to the registered nurse rather than the LPN/LVN?
- AReminding a patient to use the incentive spirometer hourly
- BReinforcing teaching the RN has already given
- CFirst teaching about a new diagnosis and its treatment
- DHanding out a leaflet the RN has already explained
4.Medium
A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?
- AWait for the provider to arrive before doing anything else
- BRemove the tube and cover the site
- CPlace the end of the tube in a bottle of sterile water
- DClamp the tube for the rest of the shift
5.Medium
A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?
- AGive acetaminophen (paracetamol) and reassess in four hours
- BTreat it as an emergency and escalate at once
- CApply a soothing cream to the rash
- DAdvise the family to see their doctor next week
6.Medium
Which action by a nursing assistant needs the nurse to step in?
- ACleaning hands before entering the room
- BPutting the call light within the patient’s reach
- CTaking an oral temperature just after the patient drank cold water
- DLowering the bed to its lowest position and locking the wheels after care
7.Hard
A patient with an upper GI bleed has a heart rate of 128/min and a blood pressure of 84/50 mmHg. All of these are prescribed. Which does the nurse start first?
- AIV fluid or blood through large-bore cannulas
- BOral iron tablets
- CAn IV proton pump inhibitor infusion
- DBooking the diagnostic endoscopy for the next morning
8.Hard
A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?
- AA full lipid profile to check cholesterol
- BA brain scan to rule out bleeding
- CAn echocardiogram to look for clots
- DA swallow test with a cup of water
Answer key
- 1. C · About 3.5–5.0 mEq/L
- 2. C · A 12-lead ECG
- 3. C · First teaching about a new diagnosis and its treatment
- 4. C · Place the end of the tube in a bottle of sterile water
- 5. B · Treat it as an emergency and escalate at once
- 6. C · Taking an oral temperature just after the patient drank cold water
- 7. A · IV fluid or blood through large-bore cannulas
- 8. B · A brain scan to rule out bleeding
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