1.Easy
Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?
- AA raised serum creatinine
- BA low serum creatinine
- CA platelet count of 900,000/mm³
- DA serum sodium of 160 mEq/L
2.Easy
In mass-casualty triage, what does a black tag mean?
- AMinor injuries that can wait for many hours
- BThe highest treatment priority of all victims
- CContaminated, needing full decontamination before any care is given
- DDeceased, or unlikely to survive with the resources available
3.Easy
Which blood pressure in an adult suggests hypotension?
- A126/82 mmHg
- B82/48 mmHg
- C110/70 mmHg
- D118/76 mmHg
4.Medium
A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?
- AA patient with type 2 diabetes who needs insulin teaching before discharge
- BA patient after a hip replacement
- CA patient with a sealed radioactive implant for cervical cancer
- DA patient with a fractured wrist
5.Medium
One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?
- AMassage the fundus
- BApply an ice pack to the perineum
- COffer a meal and fluids
- DEncourage the patient to rest quietly
6.Medium
Which patient should a nurse see first after report?
- AA patient on a diuretic who has passed 400 mL of urine since 08:00
- BA patient who wants help to shower before visitors arrive
- CA patient with a new cast who says the foot feels numb and the toes are cool
- DA patient with osteoarthritis who reports stiffness every morning
7.Hard
A patient is going home on a new oral anticoagulant. There is only a short time for teaching. Which topic is most important?
- AHow to cook low-fat meals
- BSigns of bleeding and when to seek help
- CWhich television programs help with relaxation
- DHow to choose comfortable walking shoes
8.Hard
A patient is receiving IV potassium chloride through a peripheral line and complains of burning at the site, which looks red. What does the nurse do first?
- AIncrease the infusion rate to finish the dose sooner
- BStop the infusion and assess the IV site
- CApply a warm pack and continue the infusion
- DTell the patient that burning is expected and continue
Answer key
- 1. A · A raised serum creatinine
- 2. D · Deceased, or unlikely to survive with the resources available
- 3. B · 82/48 mmHg
- 4. C · A patient with a sealed radioactive implant for cervical cancer
- 5. A · Massage the fundus
- 6. C · A patient with a new cast who says the foot feels numb and the toes are cool
- 7. B · Signs of bleeding and when to seek help
- 8. B · Stop the infusion and assess the IV site
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