1.Easy
What is the normal range for arterial bicarbonate (HCO₃⁻)?
- A3.5–5.0 mEq/L
- B80–100 mEq/L
- C35–45 mEq/L
- D22–26 mEq/L
2.Easy
What does a “PRN” medication order mean?
- AGive the drug when needed, within the prescribed limits
- BGive the drug once only, immediately
- CGive the drug at exactly the same time every single day
- DGive the drug only before surgery
3.Easy
After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?
- ABleeding
- BInfection
- CDehydration
- DHypertension
4.Medium
A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?
- ALet him lie down and see if it improves
- BBook an appointment with his doctor next week
- CCall emergency services now and note the time it started
- DDrive him to the hospital yourself after he has eaten dinner
5.Medium
A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?
- AStop the heparin infusion and inform the provider
- BGive a dose of vitamin K by mouth
- CCheck the pump rate and leave the infusion running
- DOffer an iron-rich meal to replace the lost blood
6.Medium
A patient has a serum potassium of 6.8 mEq/L. Which action comes first?
- ARecheck the level next week
- BPlace the patient on a cardiac monitor
- CEncourage foods high in potassium
- DGive the patient’s scheduled potassium supplement
7.Hard
A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?
- ALevel 5
- BLevel 4
- CLevel 1
- DLevel 2
8.Hard
Which patient finding is unexpected and needs action after a transurethral resection of the prostate with continuous bladder irrigation?
- ALight pink urine that becomes clearer over the day
- BBright red urine with clots and reduced flow out of the catheter
- CA feeling of needing to pass urine despite the catheter
- DMild bladder spasms that ease with the prescribed antispasmodic medication
Answer key
- 1. D · 22–26 mEq/L
- 2. A · Give the drug when needed, within the prescribed limits
- 3. B · Infection
- 4. C · Call emergency services now and note the time it started
- 5. A · Stop the heparin infusion and inform the provider
- 6. B · Place the patient on a cardiac monitor
- 7. D · Level 2
- 8. B · Bright red urine with clots and reduced flow out of the catheter
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