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WorksheetsWeek 1
Total questions: 20
Worksheet time: 11mins
Which patient should the RN assess FIRST?
A. A stable patient requesting pain medication
B. A post-op patient 12 hours after surgery with HR 118
C. A patient scheduled for discharge
D. A patient asking questions about medications
Which task can the RN delegate to a UAP?
A. Teaching insulin injections
B. Assessing pain level
C. Obtaining vital signs on a stable patient
D. Evaluating response to medication
A client says, “I feel like my life is pointless.” What is the best response?
A. “Everything happens for a reason.”
B. “Why do you feel that way?”
C. “That must feel overwhelming. Tell me more.”
D. “You shouldn’t think like that.”
Which action is PRIORITY for a patient with suicidal ideation?
A. Encourage journaling
B. Allow privacy
C. Remove harmful objects
D. Ask about family support
Which position best prevents aspiration?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Which intervention is MOST effective?
A. Massage reddened areas
B. Turn patient every 2 hours
C. Use donut cushions
D. Limit fluids
A patient receiving morphine has RR 10/min. What is the priority action?
A. Document
B. Increase oxygen
C. Administer naloxone
D. Reposition patient
Which finding indicates digoxin toxicity?
A. Bradycardia
B. Hypokalemia
C. Yellow vision halos
D. All of the above
Which lab value requires immediate intervention?
A. INR 2.5
B. INR 1.5
C. INR 4.8
D. INR 2.0
When should insulin be HELD?
A. Glucose 180
B. Glucose 110
C. Glucose 65
D. Glucose 220
Which IV fluid is best for hypovolemic shock?
A. 0.45% NS
B. D5W
C. 0.9% NS
D. 3% NS
Which finding is MOST concerning post-op?
A. Pain 6/10
B. Temp 99.1°F
C. HR 124 and BP 88/50
D. Mild nausea
Which findings in a post-operative patient require immediate RN intervention? (Select all that apply.)
HR 128 bpm
BP 86/48 mmHg
Pain rating 7/10
Decreased urine output
Warm, dry skin
Which potassium level requires immediate action?
A. 3.6 mEq/L
B. 4.2 mEq/L
C. 5.8 mEq/L
D. 3.9 mEq/L
Which assessment findings indicate a threatened airway? (Select all that apply.)
Stridor
Use of accessory muscles
Oxygen saturation 97%
Inability to speak full sentences
Wheezing that is baseline for the patient
Which finding is MOST consistent with shock?
A. Hypertension
B. Decreased urine output
C. Bradycardia
D. Bounding pulses
Which findings require immediate RN action? (Select all that apply.)
New confusion
Oxygen saturation 88%
Pain 3/10
BP 118/72
Sudden shortness of breath
Which medications are considered high-alert medications? (Select all that apply.)
Insulin
Heparin
Digoxin
Acetaminophen
IV potassium
Which medication should NEVER be administered IV push?
A. Morphine
B. Furosemide
C. Potassium chloride
D. Metoprolol
Which lab trends are most concerning? (Select all that apply.)
Potassium 4.0 → 5.7
Hemoglobin 12 → 11.9
Creatinine 0.9 → 1.8
Sodium 140 → 139
INR 2.5 → 4.6
