1.Easy
Which statement about the nursing process is correct when setting priorities?
- AImplementation comes first, so care starts quickly
- BAssessment comes first, because the other steps depend on it
- CEvaluation comes first, before any patient data have been collected
- DPlanning comes first, before seeing the patient
2.Easy
Which body temperature is a fever in an adult?
- A38.5 °C
- B36.8 °C
- C36.4 °C
- D37.1 °C
3.Easy
Does asking a patient directly about suicidal thoughts increase their risk?
- AOnly when the question is asked in writing
- BYes; asking about it may give the patient the idea
- COnly if the patient is over 65 years old
- DNo; asking directly is safe and helps assess the risk
4.Medium
A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?
- A“I add extra salt to my food so it tastes better.”
- B“I will call if my weight goes up quickly over a day or two.”
- C“I will take my water tablet in the morning.”
- D“I will weigh myself every morning after I use the toilet.”
5.Medium
Which action by a nursing assistant needs the nurse to step in?
- ALowering the bed to its lowest position and locking the wheels after care
- BTaking an oral temperature just after the patient drank cold water
- CPutting the call light within the patient’s reach
- DCleaning hands before entering the room
6.Medium
A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?
- AWithin about 15–30 minutes
- BAt the next routine round in four hours
- COnly when the patient asks for more
- DAt the end of the shift
7.Hard
A patient takes lithium. Which statement shows a need for further teaching?
- A“I will drink enough fluid every day.”
- B“I will keep my daily salt intake about the same as usual.”
- C“I will take ibuprofen every day for my headaches.”
- D“I will go for my blood tests as planned.”
8.Hard
A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?
- AMuscle strain that needs a warm compress
- BIndigestion that is best treated with an antacid and a glass of milk
- CA possible myocardial infarction that needs urgent action
- DStable angina that will pass without treatment
Answer key
- 1. B · Assessment comes first, because the other steps depend on it
- 2. A · 38.5 °C
- 3. D · No; asking directly is safe and helps assess the risk
- 4. A · “I add extra salt to my food so it tastes better.”
- 5. B · Taking an oral temperature just after the patient drank cold water
- 6. A · Within about 15–30 minutes
- 7. C · “I will take ibuprofen every day for my headaches.”
- 8. C · A possible myocardial infarction that needs urgent action
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