1.Easy
Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?
- A36%
- B18%
- C9%
- D1%
2.Easy
In the ABC framework, which finding is mainly a breathing problem?
- AStridor caused by a swollen throat
- BA blood glucose of 60 mg/dL (3.3 mmol/L)
- CShallow breaths with an SpO₂ of 85% on room air
- DHeart rate 150/min with a low blood pressure and cold skin
3.Easy
Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?
- ARescue patients in immediate danger
- BPull the fire alarm
- CUse an extinguisher on the fire
- DClose doors to contain the fire and smoke
4.Medium
A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?
- ALet him lie down and see if it improves
- BDrive him to the hospital yourself after he has eaten dinner
- CBook an appointment with his doctor next week
- DCall emergency services now and note the time it started
5.Medium
A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?
- AVitamin D (calciferol)
- BVitamin C (ascorbic acid)
- CVitamin K (phytonadione)
- DThiamine (vitamin B1)
6.Medium
A patient wants to leave the hospital against medical advice. What should the nurse do?
- ALock the door so the patient cannot leave the unit
- BLet the patient leave without telling anyone
- CHide the patient’s clothes and belongings until the provider arrives
- DInform the provider, explain the risks and document the discussion
7.Hard
A patient with heart failure is short of breath with crackles in both lungs. Which order of actions is correct?
- AGive the scheduled oral medicines first, then sit the patient up
- BSit up, give oxygen as prescribed, then call the provider
- CLay the patient flat to rest, then start the IV maintenance fluids
- DWeigh the patient first, then reassess the breathing in four hours
8.Hard
A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?
- AWrap the legs tightly with compression bandages
- BSit with the legs crossed to improve blood flow
- CKeep the legs level or slightly lowered, not raised
- DKeep the legs raised above the heart as much as possible
Answer key
- 1. C · 9%
- 2. C · Shallow breaths with an SpO₂ of 85% on room air
- 3. A · Rescue patients in immediate danger
- 4. D · Call emergency services now and note the time it started
- 5. D · Thiamine (vitamin B1)
- 6. D · Inform the provider, explain the risks and document the discussion
- 7. B · Sit up, give oxygen as prescribed, then call the provider
- 8. C · Keep the legs level or slightly lowered, not raised
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