1.Easy
Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?
- APull the fire alarm
- BRescue patients in immediate danger
- CClose doors to contain the fire and smoke
- DUse an extinguisher on the fire
2.Easy
In delegation, what does the “right task” mean?
- AThe task has been requested by the patient or the patient’s family
- BThe task can be finished in under ten minutes
- CThe task is the one the nurse likes least
- DThe task is one that may be delegated for this patient
3.Easy
Which fasting blood glucose value is normal for an adult without diabetes?
- A145 mg/dL (8.0 mmol/L)
- B210 mg/dL (11.7 mmol/L)
- C55 mg/dL (3.1 mmol/L)
- D85 mg/dL (4.7 mmol/L)
4.Medium
A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?
- ARemove the oxygen to see if the SpO₂ changes
- BRecheck the SpO₂ at the next routine set of observations in four hours
- CTurn the nasal cannula up to 15 L/min
- DReport it, because a different oxygen device is likely to be needed
5.Medium
A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?
- A“I will go for a short run to open up my lungs.”
- B“I will wait until tomorrow morning to see if the reading gets better on its own.”
- C“I will use my reliever inhaler and get emergency help straight away.”
- D“I will stop all my inhalers until the reading is back up.”
6.Medium
Which action by a nursing assistant needs the nurse to step in?
- ACleaning hands before entering the room
- BLowering the bed to its lowest position and locking the wheels after care
- CTaking an oral temperature just after the patient drank cold water
- DPutting the call light within the patient’s reach
7.Hard
A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?
- AFull assessment inside the main department straight away
- BTaking the victim straight to the X-ray department
- CDecontamination before the victim enters the treatment area
- DPlacing the victim in the waiting room until a doctor is free
8.Hard
During a busy shift, four tasks are due. Which should the nurse do first?
- AHelp a stable patient fill in tomorrow’s menu card
- BFirst dose of IV antibiotic for a patient with suspected sepsis
- CUpdate the nursing care plan before the managers’ audit
- DGive a routine daily vitamin tablet that is due at the same time
Answer key
- 1. B · Rescue patients in immediate danger
- 2. D · The task is one that may be delegated for this patient
- 3. D · 85 mg/dL (4.7 mmol/L)
- 4. D · Report it, because a different oxygen device is likely to be needed
- 5. C · “I will use my reliever inhaler and get emergency help straight away.”
- 6. C · Taking an oral temperature just after the patient drank cold water
- 7. C · Decontamination before the victim enters the treatment area
- 8. B · First dose of IV antibiotic for a patient with suspected sepsis
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