1.Easy
Which resting heart rate in an adult is bradycardia?
- A64/min
- B72/min
- C46/min
- D88/min
2.Easy
In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?
- AReinforcing teaching already given
- BGiving an IV push medication
- CMeasuring vital signs
- DGiving scheduled oral medications
3.Easy
In the ABC framework, which problem is a circulation problem?
- AAnxiety
- BUncontrolled bleeding
- CStridor
- DA respiratory rate of 32/min
4.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
- CSpeed up the infusion to finish it quickly
- DApply a warm compress to the face and neck
5.Medium
During START triage at a mass-casualty scene, a victim can walk to the designated area when asked. Which category is the victim given?
- ARed (immediate)
- BBlack (expectant)
- CYellow (delayed)
- DGreen (minor)
6.Medium
Which patient should a nurse see first after report?
- AA patient with a new cast who says the foot feels numb and the toes are cool
- BA patient on a diuretic who has passed 400 mL of urine since 08:00
- CA patient with osteoarthritis who reports stiffness every morning
- DA patient who wants help to shower before visitors arrive
7.Hard
A patient’s serum potassium is 6.1 mEq/L. Which of the patient’s medications should the nurse question first?
- AFurosemide
- BHydrochlorothiazide
- COmeprazole
- DSpironolactone
8.Hard
Two patients on the unit have the same surname. What should the nurse do before giving a medication?
- AAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
- BUse the room number as the main identifier
- CAsk a nursing assistant which patient is which
- DCheck two identifiers against the wristband and the medication record
Answer key
- 1. C · 46/min
- 2. B · Giving an IV push medication
- 3. B · Uncontrolled bleeding
- 4. A · Stop or slow the infusion and inform the provider
- 5. D · Green (minor)
- 6. A · A patient with a new cast who says the foot feels numb and the toes are cool
- 7. D · Spironolactone
- 8. D · Check two identifiers against the wristband and the medication record
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