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Practice Final Pt. 3

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

A nurse calls a provider and says, “This is Mr. Lopez in room 12. His oxygen saturation is 88% on room air and he is using accessory muscles to breathe.” In SBAR format, this statement BEST fits which section?

a)

Background

b)

Assessment

c)

Situation

d)

Recommendation

2.

In SBAR, which statement BEST fits the “Background” section?

a)

I recommend starting a nebulizer treatment now.

b)

He has a history of asthma and was treated for pneumonia last year.

c)

He is wheezing and his respiratory rate is 30.

d)

He is currently having trouble breathing.

3.

A nurse reports: “Breath sounds are tight with diffuse wheezes; RR 30; SpO₂ 88%.” In SBAR, this information BEST fits which section?

a)

Situation

b)

Background

c)

Assessment

d)

Recommendation

4.

Which SBAR “Recommendation” is MOST appropriate for a patient with acute respiratory distress and low oxygen saturation?

a)

He has asthma and uses an inhaler at home.

b)

He is in room 12 and looks anxious.

c)

His oxygen saturation is low and his work of breathing is increased.

d)

Please evaluate the patient now and consider oxygen and a breathing treatment.

5.

During a blood draw, which action MOST directly reduces the risk of a wrong-patient specimen error?

a)

Warming the patient’s arm before venipuncture

b)

Asking the patient to confirm their full name and date of birth and matching it to the ID band

c)

Selecting the largest visible vein

d)

Applying the tourniquet for at least 2 minutes

6.

Which is the BEST practice regarding tube labeling after venipuncture?

a)

Label tubes at the nurses’ station to avoid slowing down the procedure

b)

Label tubes immediately at the bedside after collection

c)

Label tubes before the blood draw to save time

d)

Label tubes only if the patient is being admitted

7.

A patient’s IV site becomes cool, swollen, and tight, and the infusion rate slows. Which complication is MOST likely?

a)

Phlebitis

b)

Infiltration

c)

Air embolism

d)

Hemorrhage

8.

Which assessment finding MOST strongly supports that an IV site is normal and patent?

a)

Warmth and red streaking along the vein

b)

Firm swelling around the catheter site

c)

No pain, no swelling, and fluid infusing without resistance

d)

Sudden shortness of breath after IV flushing

9.

Which scenario BEST demonstrates verification of the “Right Route” for medication administration?

a)

Comparing the ordered dose to the medication label

b)

Confirming the patient’s identity using two identifiers

c)

Ensuring the medication ordered IV is not given orally

d)

Recording the medication after administration

10.

A nurse prepares to give insulin but is unsure because the order seems unusually high. Which “Right” is being prioritized by pausing and rechecking?

a)

Right documentation

b)

Right response

c)

Right dose

d)

Right time

11.

A single potassium value is 5.6 mmol/L (high). Which additional information would MOST strengthen clinical interpretation?

a)

The patient’s height and weight only

b)

The trend of potassium over the past 24–48 hours and the ECG rhythm

c)

The patient’s preferred diet

d)

The patient’s skin temperature

12.

A patient has fatigue and shortness of breath with low hemoglobin and low hematocrit. Which interpretation is MOST appropriate?

a)

The patient is likely dehydrated

b)

The patient likely has anemia with reduced oxygen-carrying capacity

c)

The patient has an increased clotting tendency

d)

The patient has an acute allergic reaction

13.

A patient receiving chemotherapy develops frequent infections and slow wound healing. Which lab abnormality would BEST explain this?

a)

Elevated HDL

b)

Low WBC count

c)

High platelet count

d)

Elevated hematocrit

14.

Which lab result MOST directly indicates acute injury to cardiac muscle?

a)

ALT

b)

Creatinine

c)

Troponin

d)

LDL

15.

A patient has chronic kidney disease. Which lab pattern is MOST consistent with decreased kidney filtration?

a)

Low BUN/creatinine and high GFR

b)

High BUN/creatinine and low GFR

c)

High ALT/AST and low HDL

d)

High troponin and high platelets

16.

Which statement BEST matches the epidermis to its primary protective feature?

a)

It contains large amounts of adipose tissue for insulation

b)

It contains keratinized cells forming a barrier to pathogens

c)

It contains most blood vessels that regulate temperature

d)

It contains synovial fluid to reduce friction

17.

Which pairing correctly matches the skin layer with a structure commonly found there?

a)

Epidermis — major blood vessels

b)

Dermis — sweat glands and nerve endings

c)

Hypodermis — melanocytes

d)

Dermis — keratinized outer barrier only

18.

Which sequence BEST describes the immune response concept behind vaccination?

a)

Antibodies become antigens, causing immediate inflammation

b)

Memory cells form after antigen exposure, enabling faster future response

c)

Platelets convert into WBCs after vaccination

d)

Sodium levels rise to activate immune cells

19.

Which statement BEST distinguishes an antigen from an antibody?

a)

An antigen is made by the body to tag pathogens, while an antibody is on the pathogen’s surface

b)

An antigen is a foreign marker recognized by the immune system, while an antibody is a protein made to bind that marker

c)

Antigens only exist on bacteria, while antibodies only target viruses

d)

Antigens and antibodies are the same thing, just different names

20.

Which mechanism BEST explains why anaphylaxis can be rapidly fatal?

a)

It causes slow red blood cell production over months

b)

It triggers airway swelling and systemic vasodilation leading to shock

c)

It causes localized itching without systemic effects

d)

It only affects the skin and does not involve circulation

21.

A skin lesion is asymmetric with irregular borders and multiple colors. Which diagnosis is MOST concerning?

a)

Cellulitis

b)

Malignant melanoma

c)

Staphylococcal folliculitis

d)

Contact dermatitis

22.

In leukemia, which underlying problem MOST directly causes fatigue and easy bruising?

a)

Excess normal RBC production increases blood viscosity

b)

Bone marrow crowding reduces normal RBCs and platelets

c)

Increased melanin production damages the skin

d)

Overactive sweat glands cause dehydration

23.

A patient has an infected wound with red, warm swelling and red streaks extending proximally. The MOST serious concern is:

a)

The infection is limited to the epidermis only

b)

The infection may spread through lymphatics and bloodstream (risk of sepsis)

c)

The condition is only cosmetic and self-limited

d)

The rash is likely allergic and not infectious

24.

After a crush injury, a patient develops muscle pain and dark “cola-colored” urine. Which complication is MOST urgent to prevent?

a)

Sunburn

b)

Joint dislocation

c)

Acute kidney injury from myoglobin release

d)

Hyperlipidemia

25.

Which scenario BEST represents compartment syndrome requiring emergent intervention?

a)

Mild soreness after exercise that improves with stretching

b)

Severe pain out of proportion to exam with tight swelling and numbness/tingling

c)

Intermittent knee clicking after a long run

d)

Gradual shoulder stiffness that improves with rest