1.Easy
What is the normal range for arterial bicarbonate (HCO₃⁻)?
- A3.5–5.0 mEq/L
- B80–100 mEq/L
- C22–26 mEq/L
- D35–45 mEq/L
2.Easy
Which statement about the nursing process is correct when setting priorities?
- AImplementation comes first, so care starts quickly
- BAssessment comes first, because the other steps depend on it
- CPlanning comes first, before seeing the patient
- DEvaluation comes first, before any patient data have been collected
3.Easy
Which statement about pulse oximetry is correct?
- AIt shows the patient’s blood glucose
- BCold fingers or nail polish can give an inaccurate reading
- CIt measures the carbon dioxide in the blood
- DThe reading is always correct, whatever finger or hand is used
4.Medium
A nurse takes a telephone order from a provider. What must the nurse do?
- AWrite the order down and read it back to the provider to confirm it
- BAsk the ward clerk to take the order on the nurse’s behalf instead
- CRemember the order and write it in the chart at the end of the shift
- DCarry out the order first and ask the provider to confirm it later
5.Medium
Before giving a scheduled dose of metoprolol, which assessment is most important?
- ATemperature and the latest pain score
- BBlood glucose and weight
- CBowel sounds and urine color
- DApical pulse and blood pressure
6.Medium
A patient has a tonic-clonic seizure in bed. What should the nurse do first?
- AGive a drink of water to help the patient wake
- BPlace a tongue depressor between the teeth
- CProtect the head and turn the patient on their side when possible
- DHold the arms and legs down firmly to stop the jerking movements quickly
7.Hard
Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?
- AUrinary retention
- BA normal effect of the anesthetic
- CAcute kidney injury with no urine made
- DDehydration from fasting before surgery
8.Hard
At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?
- ALeave on time, because the shift has officially ended
- BStay and tell the charge nurse, and hand over before leaving
- CAsk a nursing assistant to watch the patients until someone comes
- DLeave a written note at the station and go home
Answer key
- 1. C · 22–26 mEq/L
- 2. B · Assessment comes first, because the other steps depend on it
- 3. B · Cold fingers or nail polish can give an inaccurate reading
- 4. A · Write the order down and read it back to the provider to confirm it
- 5. D · Apical pulse and blood pressure
- 6. C · Protect the head and turn the patient on their side when possible
- 7. A · Urinary retention
- 8. B · Stay and tell the charge nurse, and hand over before leaving
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