1.Easy
Which type of stroke is the most common?
- AHemorrhagic stroke
- BIschemic stroke
- CVenous sinus thrombosis
- DSubarachnoid hemorrhage
2.Easy
To which patients do standard precautions apply?
- AOnly patients with an open wound
- BOnly patients in intensive care
- CAll patients, whether or not an infection is known
- DOnly patients with a confirmed infection on a lab test
3.Easy
What is triage?
- AMoving patients between units by bed availability
- BTreating patients strictly in the order they arrive
- CSorting patients by how urgently they need care
- DSharing patients equally between the nurses on duty
4.Medium
An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?
- AGive IV sodium bicarbonate as soon as it can be found
- BGive oxygen at the highest flow and leave the room
- CStay with the patient and coach slow, calm breathing
- DEncourage the patient to breathe even faster
5.Medium
Which statement shows correct understanding of accountability in delegation?
- A“I stay accountable for deciding to delegate and for following up on the result.”
- B“Once I delegate a task, it is no longer my concern.”
- C“The nursing assistant is accountable for whether the task was right to delegate.”
- D“If the task goes wrong, only the assistant is responsible.”
6.Medium
Which medication order should the nurse question?
- APotassium chloride diluted in an IV bag via a pump
- BPotassium chloride by IV push
- COral potassium chloride with food
- DPotassium chloride oral solution diluted in juice
7.Hard
A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?
- ASkin condition over the heels
- BThe patient’s mood and coping
- CMuscle strength in the feet and ankles at the start of each morning
- DBreathing strength, such as vital capacity and the ability to cough
8.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?
- AAn IV proton pump inhibitor infusion
- BIV fluid or blood through large-bore cannulas
- COral iron tablets
- DBooking the diagnostic endoscopy for the next morning
Answer key
- 1. B · Ischemic stroke
- 2. C · All patients, whether or not an infection is known
- 3. C · Sorting patients by how urgently they need care
- 4. C · Stay with the patient and coach slow, calm breathing
- 5. A · “I stay accountable for deciding to delegate and for following up on the result.”
- 6. B · Potassium chloride by IV push
- 7. D · Breathing strength, such as vital capacity and the ability to cough
- 8. B · IV fluid or blood through large-bore cannulas
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