1.Easy
What does the Braden Scale measure?
- AThe level of consciousness after a head injury
- BThe severity of alcohol withdrawal symptoms
- CThe risk of falling during a hospital stay
- DThe risk of developing a pressure injury
2.Easy
Which serum sodium value is within the normal adult range?
- A140 mEq/L (140 mmol/L)
- B152 mEq/L (152 mmol/L)
- C120 mEq/L (120 mmol/L)
- D128 mEq/L (128 mmol/L)
3.Easy
Which symptoms are classic signs of digoxin toxicity?
- ANausea, poor appetite and yellow-green visual halos
- BA rash, high fever and swollen lymph nodes in the neck
- CHigh blood sugar and increased thirst
- DHair loss and weight gain
4.Medium
A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?
- ATalking while eating to stay alert
- BDrinking thin fluids quickly through a straw between bites
- CSitting upright with the chin tucked down while swallowing
- DLying flat with the head tilted back
5.Medium
A nurse delegates the measurement of blood glucose to a trained assistant but never asks for the result. Which right of delegation is missing?
- ARight person for the task
- BRight task for the setting
- CRight circumstance
- DRight supervision and evaluation
6.Medium
A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?
- ATell the patient to wait until the next scheduled dose is due in two hours
- BGive the strongest analgesic on the chart straight away
- CAsk the nursing assistant to reposition the patient
- DAssess the location, character and onset of the pain and the vital signs
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
- BTake blood cultures
- CRepeat the lactate in six hours
- DGive the IV antibiotic
8.Hard
An older patient with pneumonia is newly confused. Which action comes first?
- AApply wrist restraints to stop the patient pulling at the IV
- BCheck oxygen saturation and the other vital signs
- CGive a prescribed as-needed sedative
- DAsk the family whether this is normal for the patient
Answer key
- 1. D · The risk of developing a pressure injury
- 2. A · 140 mEq/L (140 mmol/L)
- 3. A · Nausea, poor appetite and yellow-green visual halos
- 4. C · Sitting upright with the chin tucked down while swallowing
- 5. D · Right supervision and evaluation
- 6. D · Assess the location, character and onset of the pain and the vital signs
- 7. B · Take blood cultures
- 8. B · Check oxygen saturation and the other vital signs
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