1.Easy
What does the Braden Scale measure?
- AThe risk of falling during a hospital stay
- BThe level of consciousness after a head injury
- CThe severity of alcohol withdrawal symptoms
- DThe risk of developing a pressure injury
2.Easy
Which drug is used to reverse the effect of warfarin?
- ANaloxone
- BFlumazenil
- CVitamin K
- DProtamine sulfate
3.Easy
In delegation, what does the “right task” mean?
- AThe task is the one the nurse likes least
- BThe task can be finished in under ten minutes
- CThe task is one that may be delegated for this patient
- DThe task has been requested by the patient or the patient’s family
4.Medium
A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?
- A“I add extra salt to my food so it tastes better.”
- B“I will call if my weight goes up quickly over a day or two.”
- C“I will take my water tablet in the morning.”
- D“I will weigh myself every morning after I use the toilet.”
5.Medium
A nurse delegates routine vital signs to a nursing assistant for a patient whose blood pressure has been falling for the past hour. Which right of delegation is not met?
- ARight circumstance
- BRight directions and communication
- CRight person
- DRight task, because vital signs can never be delegated
6.Medium
When making patient assignments, what should the charge nurse consider first?
- AGiving each nurse patients in rooms next to each other
- BMatching each patient’s needs to staff competence
- CGiving the newest staff the most complex patients
- DLetting staff choose the patients they prefer
7.Hard
After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?
- ACardiac tamponade
- BLeft-sided heart failure
- CA blocked urinary catheter
- DHypovolemic shock from dehydration
8.Hard
Which assignment by the charge nurse should be changed?
- AAn RN is assigned to a patient receiving a blood transfusion
- BAn LPN/LVN is assigned to admit a new patient from the emergency department
- CAn LPN/LVN is assigned to give oral medications to stable patients
- DA nursing assistant is assigned to help several stable patients with their meals
Answer key
- 1. D · The risk of developing a pressure injury
- 2. C · Vitamin K
- 3. C · The task is one that may be delegated for this patient
- 4. A · “I add extra salt to my food so it tastes better.”
- 5. A · Right circumstance
- 6. B · Matching each patient’s needs to staff competence
- 7. A · Cardiac tamponade
- 8. B · An LPN/LVN is assigned to admit a new patient from the emergency department
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