1.Easy
How many levels does the Emergency Severity Index have?
- AThree
- BFour
- CFive
- DSix
2.Easy
Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?
- AHeart rate below 60/min
- BRespiratory rate of 22/min or more
- CTemperature below 36.5 °C on one reading
- DBlood glucose above 100 mg/dL
3.Easy
How many rights of delegation are commonly taught?
- ATen
- BFive
- CThree
- DSeven
4.Medium
Which patient with diabetes should the nurse see first?
- ANeeds foot care teaching before discharge tomorrow
- BGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
- CGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well
- DHbA1c result of 8.2%, asking about diet
5.Medium
A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?
- ACall the cardiac arrest team and let them decide
- BStart chest compressions but not rescue breaths
- CFollow the DNR order and do not start CPR
- DStart CPR and stop when the family arrives
6.Medium
A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?
- A“I will call if my child has trouble breathing.”
- B“I will give my child plenty of fluids.”
- C“I will give my child aspirin to bring the fever down.”
- D“I will keep my child home from school and away from others while unwell.”
7.Hard
At 08:00 a nurse has four tasks. Which order is best?
- AUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
- BGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
- CGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
- DCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
8.Hard
A patient with diabetes is sweaty and confused, and no glucose meter is available. The patient can swallow. What should the nurse do?
- AAsk the patient to lie down and sleep it off
- BTreat for hypoglycemia with fast-acting oral carbohydrate
- CWithhold all food and fluids until a meter is found
- DGive a dose of rapid-acting insulin in case the glucose is high
Answer key
- 1. C · Five
- 2. B · Respiratory rate of 22/min or more
- 3. B · Five
- 4. B · Glucose 48 mg/dL (2.7 mmol/L), sweating and confused
- 5. C · Follow the DNR order and do not start CPR
- 6. C · “I will give my child aspirin to bring the fever down.”
- 7. D · Check the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
- 8. B · Treat for hypoglycemia with fast-acting oral carbohydrate
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