1.Easy
For a patient with a suspected heart attack and no contraindications, which drug is usually given early?
- AAspirin, chewed
- BAcetaminophen (paracetamol)
- CIbuprofen
- DCodeine
2.Easy
Which serum potassium result should the nurse report to the provider promptly?
- A3.8 mEq/L (3.8 mmol/L)
- B6.4 mEq/L (6.4 mmol/L)
- C4.9 mEq/L (4.9 mmol/L)
- D4.2 mEq/L (4.2 mmol/L)
3.Easy
Which protective equipment is needed for airborne precautions?
- AA fit-tested N95 or FFP3 respirator
- BA simple surgical mask worn loosely
- CGloves only
- DA plastic apron only
4.Medium
Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?
- ALevel 1
- BLevel 2
- CLevel 4
- DLevel 5
5.Medium
A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?
- ARecheck the temperature in four hours before telling anyone
- BReport it at once, because cultures and antibiotics are needed quickly
- CDocument the reading and mention it at the next handover
- DGive a cool shower and offer extra fluids, then wait and see what happens
6.Medium
A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?
- AApply extra blankets to keep the patient warm and calm
- BLay the patient flat with the legs raised
- CSit the patient upright with the legs lowered
- DGive a warm drink and recheck the blood pressure in an hour
7.Hard
A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?
- AA surgical mask
- BGloves and a gown only
- CA fit-tested N95 respirator
- DNothing, if the trip is short
8.Hard
A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?
- AAcute arterial occlusion, which is an emergency
- BA muscle cramp that will pass with stretching
- CA deep vein thrombosis that can be treated next week
- DChronic venous insufficiency that needs elevation
Answer key
- 1. A · Aspirin, chewed
- 2. B · 6.4 mEq/L (6.4 mmol/L)
- 3. A · A fit-tested N95 or FFP3 respirator
- 4. B · Level 2
- 5. B · Report it at once, because cultures and antibiotics are needed quickly
- 6. C · Sit the patient upright with the legs lowered
- 7. A · A surgical mask
- 8. A · Acute arterial occlusion, which is an emergency
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