1.Easy
Which term means being answerable for your own actions and their results?
- AAuthority
- BDelegation
- CAccountability
- DAssignment
2.Easy
Which term describes a patient who is unable to understand and decide about their own care?
- AFully competent
- BExercising autonomy
- CProviding valid informed consent
- DLacking decision-making capacity
3.Easy
In a three-level triage system, a patient with a twisted ankle, normal vital signs and mild pain is usually classified as:
- AExpectant
- BUrgent
- CEmergent
- DNon-urgent
4.Medium
A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?
- A“Increase the rate a little so the alarm clears.”
- B“Silence the alarm and I will check it at the end of the shift.”
- C“I will come and check the pump and the IV site now.”
- D“Turn the pump off and on again until it stops.”
5.Medium
Which two patients can most safely share a room?
- AA patient with influenza and a patient with COPD
- BA patient with chickenpox and a patient on chemotherapy
- CA patient with MRSA in a wound and a patient after surgery
- DTwo patients who both have C. difficile infection
6.Medium
A patient has a sudden nosebleed, is alert and is breathing normally. What does the nurse do first?
- AAsk the patient to blow the nose hard to clear the clots
- BLie the patient flat on their back with a pillow under the knees
- CSit the patient up, lean them forward and pinch the soft part of the nose
- DTilt the head back and apply ice to the back of the neck
7.Hard
A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?
- ASerum cholesterol
- BSerum amylase
- CSerum phosphate
- DThyroid hormone
8.Hard
Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?
- ARaise the head of the bed so the patient can sit up
- BApply firm, direct pressure just above the puncture site
- CAsk the patient to bend the leg at the hip to stop the bleeding
- DRemove the dressing and leave the site open to the air
Answer key
- 1. C · Accountability
- 2. D · Lacking decision-making capacity
- 3. D · Non-urgent
- 4. C · “I will come and check the pump and the IV site now.”
- 5. D · Two patients who both have C. difficile infection
- 6. C · Sit the patient up, lean them forward and pinch the soft part of the nose
- 7. C · Serum phosphate
- 8. B · Apply firm, direct pressure just above the puncture site
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