1.Easy
A medication error has just reached a patient. What is the nurse’s first action?
- AAssess the patient for any effects of the error
- BTell the nurse manager at the end of the shift
- CCorrect the entry on the medication record
- DComplete an incident report before doing anything else
2.Easy
What does NPO mean on a patient’s care plan?
- ANormal patient observations
- BNothing by mouth
- CNo pain observed
- DNot for physical therapy
3.Easy
What does “scope of practice” mean?
- AThe salary range that applies to each nursing role
- BThe hospital areas where a nurse is allowed to work
- CThe activities a nurse is educated, competent and legally allowed to do
- DThe highest number of patients a nurse may care for during a single shift
4.Medium
A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?
- AVitamin C (ascorbic acid)
- BThiamine (vitamin B1)
- CVitamin D (calciferol)
- DVitamin K (phytonadione)
5.Medium
A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?
- APlace the end of the tube in a bottle of sterile water
- BClamp the tube for the rest of the shift
- CWait for the provider to arrive before doing anything else
- DRemove the tube and cover the site
6.Medium
A nurse who usually works in obstetrics floats to an adult medical unit. Which patient is most appropriate to assign to this nurse?
- AA patient with pneumonia who is stable on oral antibiotics
- BA patient with a new tracheostomy
- CA patient on a continuous insulin infusion for diabetic ketoacidosis
- DA patient with an active upper gastrointestinal bleed
7.Hard
Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?
- AApply firm, direct pressure just above the puncture site
- BRaise the head of the bed so the patient can sit up
- CAsk the patient to bend the leg at the hip to stop the bleeding
- DRemove the dressing and leave the site open to the air
8.Hard
A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?
- A9
- B13
- C11
- D7
Answer key
- 1. A · Assess the patient for any effects of the error
- 2. B · Nothing by mouth
- 3. C · The activities a nurse is educated, competent and legally allowed to do
- 4. B · Thiamine (vitamin B1)
- 5. A · Place the end of the tube in a bottle of sterile water
- 6. A · A patient with pneumonia who is stable on oral antibiotics
- 7. A · Apply firm, direct pressure just above the puncture site
- 8. A · 9
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