1.Easy
In mass-casualty triage, what does a yellow tag usually mean?
- AImmediate: life-threatening injuries that are survivable with quick care
- BDeceased or not expected to survive
- CDelayed: serious injuries, but care can safely wait a little
- DMinor: the walking wounded
2.Easy
When a priority question asks what to do “first”, what is it asking for?
- AThe step that comes before the others, even if all are correct
- BThe action that nurses perform most often during a typical shift
- CThe only option that is correct; the others are wrong
- DThe action that takes the most time to complete
3.Easy
Which symptoms suggest high blood glucose (hyperglycemia)?
- AConfusion that improves quickly with juice
- BSweating, shaking and a fast pulse
- CSudden hunger with cold, clammy skin
- DIncreased thirst and passing more urine
4.Medium
A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?
- AAsk the family to lower the bed when they next visit
- BLeave it because the patient is asleep
- CWrite it in the assistant’s yearly review only
- DLower the bed now and remind the assistant why it matters
5.Medium
A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?
- AUrine output
- BThe pain score
- CAirway patency and breathing
- DThe surgical dressing and the drains
6.Medium
Which nursing assistant task is appropriate for a patient two days after hip replacement?
- ATeaching the patient the hip precautions before discharge
- BEvaluating whether the last dose of pain medication controlled the pain
- CChecking the incision for redness, warmth and drainage
- DHelping the patient into a chair, following the hip precautions
7.Hard
An LPN/LVN reports that a stable patient now has new chest pain. What should the RN do?
- ATell the LPN/LVN to give the as-needed nitroglycerin without assessment
- BAssess the patient personally and decide on the next steps
- CAsk the LPN/LVN to handle it and report back at the end of the shift
- DAsk the nursing assistant to take an ECG and wait for the result
8.Hard
On an addiction unit, which patient should the nurse assess first?
- AYawning, with a runny nose and dilated pupils
- BAnxious, with goose bumps, stomach cramps and loose stools
- CAsking for an extra blanket and a hot drink
- DDrowsy with pinpoint pupils and a respiratory rate of 7/min
Answer key
- 1. C · Delayed: serious injuries, but care can safely wait a little
- 2. A · The step that comes before the others, even if all are correct
- 3. D · Increased thirst and passing more urine
- 4. D · Lower the bed now and remind the assistant why it matters
- 5. C · Airway patency and breathing
- 6. D · Helping the patient into a chair, following the hip precautions
- 7. B · Assess the patient personally and decide on the next steps
- 8. D · Drowsy with pinpoint pupils and a respiratory rate of 7/min
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