1.Easy
Which of these is one of the five rights of delegation?
- ARight supervision and evaluation
- BRight time and frequency
- CRight dose and strength
- DRight route and site of injection
2.Easy
Which serum potassium result should the nurse report to the provider promptly?
- A4.9 mEq/L (4.9 mmol/L)
- B4.2 mEq/L (4.2 mmol/L)
- C3.8 mEq/L (3.8 mmol/L)
- D6.4 mEq/L (6.4 mmol/L)
3.Easy
A patient has a new deep vein thrombosis and also says they feel lonely on the ward. Using Maslow’s hierarchy, which need comes first?
- AThe physiological need related to the thrombosis
- BThe need for love and belonging during the hospital stay
- CThe need for self-actualization
- DThe need for esteem and respect
4.Medium
On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?
- ARestrict oral fluids so that the lungs do not fill up with extra fluid
- BGive a cough suppressant so that the incision is not strained
- CEncourage deep breathing, coughing and use of the incentive spirometer
- DKeep the patient lying flat in bed to rest the incision fully
5.Medium
A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?
- AHair growth and skin color
- BThoughts of suicide or self-harm
- CRising blood glucose levels
- DWeight loss from too much appetite
6.Medium
Which action helps prevent a catheter-associated urinary tract infection?
- ARaising the drainage bag above the bladder when walking
- BLeaving the catheter in place longer than needed
- CDisconnecting the bag every shift to empty it
- DKeeping the drainage bag below the level of the bladder
7.Hard
Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?
- AThe patient in pain after surgery
- BWhichever patient’s room is closer to the station
- CThe confused patient climbing out of bed
- DThe patient whose call light went on first
8.Hard
Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?
- AVital signs never change the ESI level
- BThe patient is level 4 because the blood tests and the scan count as one resource
- CThe patient is level 5 because the pain is not severe
- DThe nurse should consider level 2 because of the danger-zone vital sign
Answer key
- 1. A · Right supervision and evaluation
- 2. D · 6.4 mEq/L (6.4 mmol/L)
- 3. A · The physiological need related to the thrombosis
- 4. C · Encourage deep breathing, coughing and use of the incentive spirometer
- 5. B · Thoughts of suicide or self-harm
- 6. D · Keeping the drainage bag below the level of the bladder
- 7. C · The confused patient climbing out of bed
- 8. D · The nurse should consider level 2 because of the danger-zone vital sign
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