NEW
Font size
WorksheetsPractice Final Pt. 3
Total questions: 25
Worksheet time: 13mins
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?
Background
Assessment
Situation
Recommendation
In SBAR, which statement BEST fits the “Background” section?
I recommend starting a nebulizer treatment now.
He has a history of asthma and was treated for pneumonia last year.
He is wheezing and his respiratory rate is 30.
He is currently having trouble breathing.
A nurse reports: “Breath sounds are tight with diffuse wheezes; RR 30; SpO₂ 88%.” In SBAR, this information BEST fits which section?
Situation
Background
Assessment
Recommendation
Which SBAR “Recommendation” is MOST appropriate for a patient with acute respiratory distress and low oxygen saturation?
He has asthma and uses an inhaler at home.
He is in room 12 and looks anxious.
His oxygen saturation is low and his work of breathing is increased.
Please evaluate the patient now and consider oxygen and a breathing treatment.
During a blood draw, which action MOST directly reduces the risk of a wrong-patient specimen error?
Warming the patient’s arm before venipuncture
Asking the patient to confirm their full name and date of birth and matching it to the ID band
Selecting the largest visible vein
Applying the tourniquet for at least 2 minutes
Which is the BEST practice regarding tube labeling after venipuncture?
Label tubes at the nurses’ station to avoid slowing down the procedure
Label tubes immediately at the bedside after collection
Label tubes before the blood draw to save time
Label tubes only if the patient is being admitted
A patient’s IV site becomes cool, swollen, and tight, and the infusion rate slows. Which complication is MOST likely?
Phlebitis
Infiltration
Air embolism
Hemorrhage
Which assessment finding MOST strongly supports that an IV site is normal and patent?
Warmth and red streaking along the vein
Firm swelling around the catheter site
No pain, no swelling, and fluid infusing without resistance
Sudden shortness of breath after IV flushing
Which scenario BEST demonstrates verification of the “Right Route” for medication administration?
Comparing the ordered dose to the medication label
Confirming the patient’s identity using two identifiers
Ensuring the medication ordered IV is not given orally
Recording the medication after administration
A nurse prepares to give insulin but is unsure because the order seems unusually high. Which “Right” is being prioritized by pausing and rechecking?
Right documentation
Right response
Right dose
Right time
A single potassium value is 5.6 mmol/L (high). Which additional information would MOST strengthen clinical interpretation?
The patient’s height and weight only
The trend of potassium over the past 24–48 hours and the ECG rhythm
The patient’s preferred diet
The patient’s skin temperature
A patient has fatigue and shortness of breath with low hemoglobin and low hematocrit. Which interpretation is MOST appropriate?
The patient is likely dehydrated
The patient likely has anemia with reduced oxygen-carrying capacity
The patient has an increased clotting tendency
The patient has an acute allergic reaction
A patient receiving chemotherapy develops frequent infections and slow wound healing. Which lab abnormality would BEST explain this?
Elevated HDL
Low WBC count
High platelet count
Elevated hematocrit
Which lab result MOST directly indicates acute injury to cardiac muscle?
ALT
Creatinine
Troponin
LDL
A patient has chronic kidney disease. Which lab pattern is MOST consistent with decreased kidney filtration?
Low BUN/creatinine and high GFR
High BUN/creatinine and low GFR
High ALT/AST and low HDL
High troponin and high platelets
Which statement BEST matches the epidermis to its primary protective feature?
It contains large amounts of adipose tissue for insulation
It contains keratinized cells forming a barrier to pathogens
It contains most blood vessels that regulate temperature
It contains synovial fluid to reduce friction
Which pairing correctly matches the skin layer with a structure commonly found there?
Epidermis — major blood vessels
Dermis — sweat glands and nerve endings
Hypodermis — melanocytes
Dermis — keratinized outer barrier only
Which sequence BEST describes the immune response concept behind vaccination?
Antibodies become antigens, causing immediate inflammation
Memory cells form after antigen exposure, enabling faster future response
Platelets convert into WBCs after vaccination
Sodium levels rise to activate immune cells
Which statement BEST distinguishes an antigen from an antibody?
An antigen is made by the body to tag pathogens, while an antibody is on the pathogen’s surface
An antigen is a foreign marker recognized by the immune system, while an antibody is a protein made to bind that marker
Antigens only exist on bacteria, while antibodies only target viruses
Antigens and antibodies are the same thing, just different names
Which mechanism BEST explains why anaphylaxis can be rapidly fatal?
It causes slow red blood cell production over months
It triggers airway swelling and systemic vasodilation leading to shock
It causes localized itching without systemic effects
It only affects the skin and does not involve circulation
A skin lesion is asymmetric with irregular borders and multiple colors. Which diagnosis is MOST concerning?
Cellulitis
Malignant melanoma
Staphylococcal folliculitis
Contact dermatitis
In leukemia, which underlying problem MOST directly causes fatigue and easy bruising?
Excess normal RBC production increases blood viscosity
Bone marrow crowding reduces normal RBCs and platelets
Increased melanin production damages the skin
Overactive sweat glands cause dehydration
A patient has an infected wound with red, warm swelling and red streaks extending proximally. The MOST serious concern is:
The infection is limited to the epidermis only
The infection may spread through lymphatics and bloodstream (risk of sepsis)
The condition is only cosmetic and self-limited
The rash is likely allergic and not infectious
After a crush injury, a patient develops muscle pain and dark “cola-colored” urine. Which complication is MOST urgent to prevent?
Sunburn
Joint dislocation
Acute kidney injury from myoglobin release
Hyperlipidemia
Which scenario BEST represents compartment syndrome requiring emergent intervention?
Mild soreness after exercise that improves with stretching
Severe pain out of proportion to exam with tight swelling and numbness/tingling
Intermittent knee clicking after a long run
Gradual shoulder stiffness that improves with rest
