1.Easy
Which medication reverses opioid-induced respiratory depression?
- AProtamine sulfate
- BVitamin K
- CNaloxone
- DFlumazenil
2.Easy
In Maslow’s hierarchy of needs, which level sits at the top?
- AEsteem
- BSafety and security
- CLove and belonging
- DSelf-actualization
3.Easy
In delegation, what does supervision mean?
- AGuidance, follow-up and evaluation of the delegated task by the nurse
- BLeaving the delegate to finish without any contact
- CDoing every delegated task yourself to make sure that it is done right
- DSigning the delegate’s documentation without checking it
4.Medium
A patient taking clozapine reports a sore throat and fever. What is the priority action?
- AAdvise the patient to gargle with warm salt water and rest in bed
- BOffer throat lozenges and continue the usual dose
- CIncrease the dose because the symptoms suggest a relapse
- DHold the dose and report so the white cell count can be checked
5.Medium
An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?
- ARh immunoglobulin within 72 hours
- BVitamin K to the mother
- CA dose of the hepatitis B vaccine instead
- DNo treatment is needed
6.Medium
A nursing assistant reports that a patient’s blood pressure is 168/98 mmHg (it was 130/80 earlier) and the patient has a headache. What should the RN do?
- AAssess the patient, recheck the blood pressure and look for symptoms
- BDocument the value and continue with the medication round
- CAsk the assistant to give the as-needed antihypertensive medication now
- DAsk the assistant to recheck the blood pressure in an hour
7.Hard
A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?
- AA spiral fracture in an infant is always caused by birth trauma
- BNo further action is needed once the fracture is treated
- CThe injury does not fit the infant’s development, so possible abuse must be reported
- DInfants of this age often roll off furniture and break bones in this way
8.Hard
A nurse has a needlestick injury from a used needle. What should the nurse do first?
- AWash the area with soap and water
- BFinish the shift and report it tomorrow
- CScrub the area with bleach
- DSqueeze the wound hard and suck it
Answer key
- 1. C · Naloxone
- 2. D · Self-actualization
- 3. A · Guidance, follow-up and evaluation of the delegated task by the nurse
- 4. D · Hold the dose and report so the white cell count can be checked
- 5. A · Rh immunoglobulin within 72 hours
- 6. A · Assess the patient, recheck the blood pressure and look for symptoms
- 7. C · The injury does not fit the infant’s development, so possible abuse must be reported
- 8. A · Wash the area with soap and water
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