1.Easy
In mmHg, what is the normal range for arterial PaCO₂?
- A7.35–7.45 mmHg
- B35–45 mmHg
- C80–100 mmHg
- D22–26 mmHg
2.Easy
A patient has a Glasgow Coma Scale score of 8. What is the main concern?
- AThe patient is fully alert and oriented
- BThe patient can safely eat and drink without help
- CThe patient only has a mild headache
- DThe patient may not be able to protect the airway
3.Easy
What is the main purpose of an incident report?
- ATo decide which staff member should be punished
- BTo improve safety by finding out why events happen
- CTo replace the nurse’s notes in the patient’s record
- DTo inform the patient’s insurance company
4.Medium
Which nursing assistant task is appropriate for a patient two days after hip replacement?
- AChecking the incision for redness, warmth and drainage
- BTeaching the patient the hip precautions before discharge
- CEvaluating whether the last dose of pain medication controlled the pain
- DHelping the patient into a chair, following the hip precautions
5.Medium
A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?
- AAdvise the patient to use ear drops
- BHold the next dose and report it promptly
- CReassure the patient that it is a normal effect
- DGive the next dose early to finish the course
6.Medium
During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?
- AStop or slow the infusion and inform the provider
- BIgnore it, because flushing is always harmless and passes
- CApply a warm compress to the face and neck
- DSpeed up the infusion to finish it quickly
7.Hard
In an emergency department, which patient should go straight to a treatment room?
- AA 25-year-old with a sprained wrist and normal vital signs
- BA 60-year-old with chest pressure, sweating and nausea for 20 minutes
- CA 30-year-old with a sore throat for two days and a temperature of 38.0 °C
- DA 45-year-old asking for a repeat prescription
8.Hard
At 08:00 a nurse has four tasks. Which order is best?
- AGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
- BCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
- CGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
- DUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
Answer key
- 1. B · 35–45 mmHg
- 2. D · The patient may not be able to protect the airway
- 3. B · To improve safety by finding out why events happen
- 4. D · Helping the patient into a chair, following the hip precautions
- 5. B · Hold the next dose and report it promptly
- 6. A · Stop or slow the infusion and inform the provider
- 7. B · A 60-year-old with chest pressure, sweating and nausea for 20 minutes
- 8. B · Check the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
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