1.Easy
What does “scope of practice” mean?
- AThe highest number of patients a nurse may care for during a single shift
- BThe hospital areas where a nurse is allowed to work
- CThe salary range that applies to each nursing role
- DThe activities a nurse is educated, competent and legally allowed to do
2.Easy
Which of these is one of the standard “rights” of medication administration?
- ARight brand
- BRight colleague
- CRight ward
- DRight patient
3.Easy
In nursing management, what is an “assignment”?
- AHanding legal accountability for a patient over to a nursing colleague
- BGiving staff care activities that are within their own role and scope
- CAsking a colleague to do a task outside their usual scope
- DA written order from a prescriber for a treatment
4.Medium
A nurse asks a nursing assistant to “assess the patient’s pain and decide if the patient needs more medication”. Which right of delegation is violated?
- ARight circumstance
- BRight task
- CRight person
- DRight supervision and evaluation
5.Medium
A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?
- A“I will use my reliever inhaler and get emergency help straight away.”
- B“I will wait until tomorrow morning to see if the reading gets better on its own.”
- C“I will stop all my inhalers until the reading is back up.”
- D“I will go for a short run to open up my lungs.”
6.Medium
A stable adult with normal vital signs has a cut on the hand that needs sutures and nothing else. Which ESI level fits?
- ALevel 5
- BLevel 3
- CLevel 4
- DLevel 2
7.Hard
A nurse returns to the station to find four messages. Which one is answered first?
- AA family member wants an update on their father’s progress
- BA colleague asks to swap shifts with them next week because of a family wedding
- CThe pharmacy asks when the next delivery should be scheduled
- DThe laboratory is calling with a critical potassium result of 2.6 mEq/L
8.Hard
A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?
- ATighten the restraint so the patient moves less
- BRaise the arm on a pillow and check again in two hours
- CDocument the finding and continue with the medication round
- DLoosen the restraint and assess the circulation
Answer key
- 1. D · The activities a nurse is educated, competent and legally allowed to do
- 2. D · Right patient
- 3. B · Giving staff care activities that are within their own role and scope
- 4. B · Right task
- 5. A · “I will use my reliever inhaler and get emergency help straight away.”
- 6. C · Level 4
- 7. D · The laboratory is calling with a critical potassium result of 2.6 mEq/L
- 8. D · Loosen the restraint and assess the circulation
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