1.Easy
In general, which type of problem is addressed before the others?
- AA risk problem that might develop later
- BAn actual problem the patient has now
- CA learning need for discharge
- DA problem listed in an older care plan
2.Easy
What does “scope of practice” mean?
- AThe activities a nurse is educated, competent and legally allowed to do
- BThe highest number of patients a nurse may care for during a single shift
- CThe hospital areas where a nurse is allowed to work
- DThe salary range that applies to each nursing role
3.Easy
What are Kussmaul respirations?
- AShort pauses in breathing during normal sleep
- BSlow, shallow breathing after an opioid overdose
- CNoisy, high-pitched breathing caused by a blocked upper airway
- DDeep, rapid breathing seen in metabolic acidosis such as DKA
4.Medium
A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?
- A“I will wear shoes that fit well, even at home.”
- B“I will check the soles of my feet every day with a mirror.”
- C“I will soak my feet in hot water every evening.”
- D“I will dry well between my toes after washing.”
5.Medium
A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?
- AThe surgical dressing and the drains
- BUrine output
- CAirway patency and breathing
- DThe pain score
6.Medium
A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?
- AMeasure blood pressure on the left arm only, every 4 hours
- BKeep the left arm wrapped tightly in a bandage at night
- CDo not measure blood pressure on the left arm
- DHelp the patient carry shopping bags on the left arm
7.Hard
A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?
- ATremor
- BTachycardia
- CSweating
- DPalpitations
8.Hard
A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?
- ANormal pain after a fracture
- BAlcohol withdrawal
- CFat embolism syndrome
- DAn allergic reaction to the cast
Answer key
- 1. B · An actual problem the patient has now
- 2. A · The activities a nurse is educated, competent and legally allowed to do
- 3. D · Deep, rapid breathing seen in metabolic acidosis such as DKA
- 4. C · “I will soak my feet in hot water every evening.”
- 5. C · Airway patency and breathing
- 6. C · Do not measure blood pressure on the left arm
- 7. C · Sweating
- 8. C · Fat embolism syndrome
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