1.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
- CBrief stroke-like symptoms that resolve, warning of a possible stroke
- DA type of migraine with no link to stroke
2.Easy
Which blood pressure in an adult suggests hypotension?
- A82/48 mmHg
- B118/76 mmHg
- C110/70 mmHg
- D126/82 mmHg
3.Easy
Where is intramuscular epinephrine usually injected for anaphylaxis?
- AThe buttock
- BA vein in the hand
- CThe abdomen under the skin
- DThe outer middle thigh
4.Medium
A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?
- AThe pain score
- BThe surgical dressing and the drains
- CUrine output
- DAirway patency and breathing
5.Medium
A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?
- A“I will stop the tablets as soon as I feel better.”
- B“I will report signs of infection early.”
- C“I will take the tablets with food.”
- D“I will tell my dentist and other doctors that I take a steroid.”
6.Medium
A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?
- AApply extra blankets to keep the patient warm and calm
- BSit the patient upright with the legs lowered
- CGive a warm drink and recheck the blood pressure in an hour
- DLay the patient flat with the legs raised
7.Hard
During START triage, an adult is not breathing. The airway is repositioned and the victim still does not breathe. What is the correct category?
- ABlack (deceased or expectant)
- BYellow, and come back later
- CRed, because no breathing is the most urgent finding
- DRed, and start CPR at once
8.Hard
After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?
- AThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
- BThe RN reassesses the patient’s learning needs and adjusts the teaching
- CThe patient is discharged with a leaflet to read at home
- DThe nursing assistant shows the patient again at lunch
Answer key
- 1. C · Brief stroke-like symptoms that resolve, warning of a possible stroke
- 2. A · 82/48 mmHg
- 3. D · The outer middle thigh
- 4. D · Airway patency and breathing
- 5. A · “I will stop the tablets as soon as I feel better.”
- 6. B · Sit the patient upright with the legs lowered
- 7. A · Black (deceased or expectant)
- 8. B · The RN reassesses the patient’s learning needs and adjusts the teaching
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