1.Easy
To which patients do standard precautions apply?
- AOnly patients with an open wound
- BOnly patients in intensive care
- COnly patients with a confirmed infection on a lab test
- DAll patients, whether or not an infection is known
2.Easy
Which phrase in a question usually signals a priority question?
- A“Which term means inflammation of the liver?”
- B“Which action should the nurse take first?”
- C“Which statement describes this drug’s class?”
- D“Which bone is found in the forearm?”
3.Easy
In the ABC framework for setting nursing priorities, which need is addressed first?
- ABreathing
- BCirculation
- CPain
- DAirway
4.Medium
A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?
- AEncourage a large meal to settle the stomach
- BWait until tomorrow to see if the vomiting settles
- CStop all insulin until the patient is able to eat normally again
- DCheck the blood glucose and ketones and contact the provider
5.Medium
Which telephone call should a clinic nurse return first?
- AAn adult asking for a repeat prescription for a statin
- BA parent of a 5-year-old with a runny nose for two days
- CA parent of a 6-week-old with a temperature of 38.3 °C
- DAn adult who wants to move a routine blood test appointment
6.Medium
Which medication order should the nurse question?
- APotassium chloride diluted in an IV bag via a pump
- BPotassium chloride oral solution diluted in juice
- CPotassium chloride by IV push
- DOral potassium chloride with food
7.Hard
Which patient is the best choice to move out of intensive care to make room for a new admission?
- AIntubated 1 hour ago for respiratory failure, still sedated
- BExtubated 2 days ago, stable on 2 L/min nasal oxygen, no vasoactive infusions
- CAdmitted overnight with a GI bleed and still receiving blood
- DOn a norepinephrine infusion whose dose was increased this morning
8.Hard
A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?
- ABreathing strength, such as vital capacity and the ability to cough
- BMuscle strength in the feet and ankles at the start of each morning
- CSkin condition over the heels
- DThe patient’s mood and coping
Answer key
- 1. D · All patients, whether or not an infection is known
- 2. B · “Which action should the nurse take first?”
- 3. D · Airway
- 4. D · Check the blood glucose and ketones and contact the provider
- 5. C · A parent of a 6-week-old with a temperature of 38.3 °C
- 6. C · Potassium chloride by IV push
- 7. B · Extubated 2 days ago, stable on 2 L/min nasal oxygen, no vasoactive infusions
- 8. A · Breathing strength, such as vital capacity and the ability to cough
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