1.Easy
In SBAR communication, what does the letter R stand for?
- AResponse
- BRecommendation
- CResult
- DReassessment
2.Easy
A patient has a new deep vein thrombosis and also says they feel lonely on the ward. Using Maslow’s hierarchy, which need comes first?
- AThe need for esteem and respect
- BThe physiological need related to the thrombosis
- CThe need for self-actualization
- DThe need for love and belonging during the hospital stay
3.Easy
In the AVPU scale, what does the P mean?
- APain score below 5
- BPupils equal and reactive
- CPulse present and regular
- DResponds only to pain
4.Medium
A registered nurse tells a nursing assistant, “Check on the patient in room 12.” Which right of delegation is missing?
- ARight directions and communication
- BRight task for the setting
- CRight person for the task
- DRight circumstance
5.Medium
Which infant with gastroenteritis should the nurse see first?
- ALethargic, sunken fontanel, no wet diaper for 8 hours
- BMild diaper rash, otherwise playful
- CAlert, crying with tears, had a wet diaper an hour ago
- DTwo loose stools today, feeding well
6.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
- BCarry out the order first and ask the provider to confirm it later
- CRemember the order and write it in the chart at the end of the shift
- DAsk the ward clerk to take the order on the nurse’s behalf instead
7.Hard
A patient has a new spinal cord injury at C4. Which assessment is the priority?
- AAbility to feed themselves
- BBowel sounds in all four abdominal quadrants
- CSkin over the sacrum and heels
- DBreathing effort and ability to cough
8.Hard
After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?
- AA full bladder pushing the uterus aside
- BNormal lochia for the first hour
- CUterine atony that needs more massage
- DA tear in the birth canal or cervix
Answer key
- 1. B · Recommendation
- 2. B · The physiological need related to the thrombosis
- 3. D · Responds only to pain
- 4. A · Right directions and communication
- 5. A · Lethargic, sunken fontanel, no wet diaper for 8 hours
- 6. A · Write the order down and read it back to the provider to confirm it
- 7. D · Breathing effort and ability to cough
- 8. D · A tear in the birth canal or cervix
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