1.Easy
What is the range of possible scores on the Glasgow Coma Scale?
- A3 to 15
- B1 to 20
- C0 to 15
- D0 to 10
2.Easy
In the Emergency Severity Index (ESI), which patient fits level 2?
- AA stable patient who needs no resources
- BA patient who needs an immediate life-saving intervention to survive
- CA stable patient who needs one resource
- DA high-risk situation, new confusion, or severe pain or distress
3.Easy
Which task should the registered nurse not delegate to a nursing assistant?
- AEvaluating whether the patient understood discharge teaching
- BGiving a bed bath to a stable patient
- CWalking a stable patient up and down the corridor after lunch
- DMaking an occupied bed
4.Medium
A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?
- AWait 15 minutes and recheck the glucose
- BGive the scheduled dose of insulin
- CGive IV dextrose or glucagon as prescribed
- DPour orange juice into the patient’s mouth
5.Medium
During START triage at a mass-casualty scene, a victim can walk to the designated area when asked. Which category is the victim given?
- AYellow (delayed)
- BBlack (expectant)
- CGreen (minor)
- DRed (immediate)
6.Medium
A nurse finds a patient on the floor next to the bed. What is the first action?
- AAssess the patient for responsiveness and injury before moving them
- BHelp the patient straight back into bed with the help of a colleague
- CComplete an incident report while the details are fresh
- DCall the patient’s family to explain what happened
7.Hard
A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?
- APalpitations
- BTachycardia
- CSweating
- DTremor
8.Hard
A patient rescued from a house fire has burns to the face, singed nasal hair and a hoarse voice. What is the priority?
- AGiving pain relief
- BCleaning and dressing the facial burns
- CProtecting the airway, preparing for early airway support
- DStarting IV fluid resuscitation calculated from the burn size
Answer key
- 1. A · 3 to 15
- 2. D · A high-risk situation, new confusion, or severe pain or distress
- 3. A · Evaluating whether the patient understood discharge teaching
- 4. C · Give IV dextrose or glucagon as prescribed
- 5. C · Green (minor)
- 6. A · Assess the patient for responsiveness and injury before moving them
- 7. C · Sweating
- 8. C · Protecting the airway, preparing for early airway support
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