1.Easy
When taking off protective equipment, which item is usually removed first?
- AGown
- BMask
- CGloves
- DGoggles
2.Easy
What is a transient ischemic attack (TIA)?
- AA heart attack that affects the brain
- BA stroke that leaves permanent weakness or paralysis on one side of the body
- CA type of migraine with no link to stroke
- DBrief stroke-like symptoms that resolve, warning of a possible stroke
3.Easy
After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?
- AWash with soap and water
- BUse alcohol hand rub only
- CWipe hands on a clean towel
- DNo hand hygiene is needed if gloves were worn
4.Medium
A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?
- AForgetting to take the blood pressure tablet this morning
- BA history of high blood pressure for ten years
- CNew chest pain or confusion suggesting organ damage
- DMild anxiety about the high reading on the monitor
5.Medium
A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?
- A“I will breathe in through my mouth and out quickly through my nose.”
- B“I will make my breath out about twice as long as my breath in.”
- C“I will breathe out slowly through pursed lips.”
- D“I will breathe in slowly through my nose.”
6.Medium
A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?
- AApply a heat pad to the area to increase circulation
- BRelieve pressure on the area by changing position regularly
- CMassage the area firmly to improve the blood flow to the skin
- DKeep the patient lying on the back to protect the area
7.Hard
A patient takes lithium. Which statement shows a need for further teaching?
- A“I will go for my blood tests as planned.”
- B“I will drink enough fluid every day.”
- C“I will keep my daily salt intake about the same as usual.”
- D“I will take ibuprofen every day for my headaches.”
8.Hard
A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?
- AA mild concussion that is settling
- BNormal tiredness after a fall
- CAn epidural hematoma
- DLow blood sugar from missing a meal
Answer key
- 1. C · Gloves
- 2. D · Brief stroke-like symptoms that resolve, warning of a possible stroke
- 3. A · Wash with soap and water
- 4. C · New chest pain or confusion suggesting organ damage
- 5. A · “I will breathe in through my mouth and out quickly through my nose.”
- 6. B · Relieve pressure on the area by changing position regularly
- 7. D · “I will take ibuprofen every day for my headaches.”
- 8. C · An epidural hematoma
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