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Competency Evaluation - Nursing

HR-024 | Competency Evaluation - Nursing

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PART I - Client Care

1. If you are administering oxygen to a patient with COPD, the rate of administration should not exceed: *

a. 4-6 litres per minute
b. 8-10 litres per minute
c. 1-2 litres per minute
d. 5-1 litres per minute Invalid Input

2. You arrive at the hospital at 8:30 a.m. to relieve a nurse who is ill. She has already prepared the 9:00 a.m. medications. You would:*

a. Give the medications and sign your name
b. Give the medications and request that the other nurse chart and sign her name when she returns
c. Demand that the nurse stay until she has passed out her medications
d. Discard all medications the nurse has prepared, then prepare and dispense the patient’s medications Invalid Input

3. In caring for patients with renal calculi the most important nursing action is to:*

a. Record BP
b. Strain all urine
c. Limit fluid at night
d. Administer analgesics every 3 hours Invalid Input

4. The nurse should not administer Digoxin if the patient: *

a. Has an elevated temperature
b. Complains of nausea and visual disturbance
c. Has a pulse rate below 60
d. Has a fast regular pulse Invalid Input

5. When tube feeding a patient:*

a. Check position of tube before feeding
b. Observe for symptoms of aspiration into lungs
c. Rinse the tube after feeding
d. All of the above Invalid Input

6. All of the following are diuretics except:*

a. Diamox
b. Spirolactone
c. Cortisone
d. Chlorothiazide Invalid Input

7. In pain management the primary goal is:*

a. Patient remains pain free but alert
b. Patient is sleeping quietly much of the day
c. Patient is medicated as soon as he/she begins to feel pain
d. All of the above Invalid Input

8. A patient receiving whole blood begins to exhibit symptoms of nausea, shortness of breath, decreasing BP and increasing pulse rate. These symptoms indicate the possibility of a transfusion reaction.*

a. True
b. False Invalid Input

9. The primary nursing action for an unconscious patient is:*

a. Assessment of consciousness
b. Maintenance of a patent airway
c. Initiation of IV therapy
d. None of the above Invalid Input

10. An early indication of a developing thrombophlebitis is:*

a. Pitting oedema to the lower extremities
b. Pruritus on the calf and thigh
c. Warm, tender areas of leg
d. Intermittent claudication Invalid Input

11. When monitoring vital signs every 15 minutes, which changes should be reported immediately:*

a. Cool dry skin, regular breathing
b. Systolic BP that drops 20mm Hg or more
c. A pulse rate that increases or decreases with respirations
d. None of the above Invalid Input

12. In treating hypoglycaemia at home, the nurse would instruct the patient to:*

a. Drink lemonade
b. Have a piece of fruit
c. Have a piece of bread
d. Have a piece of meat Invalid Input

13. Signs and symptoms of septic shock are:*

a. Increased heart rate
b. Decreased blood pressure
c. Clammy skin
d. All of the above Invalid Input

14. All of the following are indications for suctioning a patient except:*

a. Decreased or absent cough reflex
b. Signs of laryngospasm or bronchospasm
c. Impaired pulmonary function
d. Presence of thick, tenacious mucus Invalid Input

15. When administering an intermittent positive pressure breathing (IPPB) treatment the nurse should not:*

a. Apply to a patient with decreased or absent cough reflex
b. Set the machine at the prescribed rate
c. Encourage the patient to take short quick breaths
d. Adjust the mask or mouthpiece on the patient Invalid Input

16. Routine post-operative care includes:*

a. Encouraging the patient to take deep breaths
b. Careful positioning to promote patient comfort
c. Medicating for pain PRN as per MD order
d. All of the above Invalid Input

17. An impending myocardial infarction can be suspected if anginal pain lasts more than one-half hour.*

a. True
b. False Invalid Input

18. Range of motion exercises are done on a patient who has had a stroke to:*

a. Prevent deformities
b. Retain the affected arm and leg
c. Help the patient to regain independence
d. All of the above Invalid Input

19. Before administering morphine for pain it is most important for the nurse to take which of these actions:*

a. Check patient’s pupillary responses
b. Count patient’s respirations
c. Determine patient’s pulse deficit
d. Assess patient’s urinary output Invalid Input

20. The patient was found to have hyperglycaemia, a consequence of diabetes. Hyperglycaemia means a/an:*

a. Increase of blood glucose
b. Decrease in blood glucose
c. Decrease of glucose in urine
d. Increase of glucose in urine Invalid Input

21. A client with a fasting blood sugar of 12 mmol is:*

a. Normal
b. Hypoglycaemic
c. Hyperglycaemic
d. Hyperkalaemic Invalid Input

22. A client with congestive heart failure should be watched for signs of:*

a. Uremia
b. Pulmonary oedema
c. Heart block
d. Bleeding Invalid Input

23. If a client develops a seizure the nurse should:*

a. Force a padded tongue blade between the teeth
b. Assist to reclining position, remove dangerous objects, observe character of seizure
c. Restrain client immediately and call the physician
d. Place client on floor, remove dangerous objects and go for help Invalid Input

24. Which of the following nursing care measures are indicated to guard against infection in the client who is in acute renal failure:*

a. Meticulous skin care
b. Reverse isolation
c. Turn, cough, and encouraging deep breathing
d. All of the above Invalid Input

25. The care of a client with hepatic cirrhosis should include all of the following except:*

a. Observance of the skin and control of pruritus
b. Assisting client in overcoming anorexia, weight loss and fatigue
c. Evaluation of client’s nutritional status and needs
d. Encouraging client to drink large amounts of fluids Invalid Input

26. Heparin:*

a. Decreases the clotting time
b. Prolongs the clotting time
c. Decreases the bleeding time
d. Dissolves formed blood clots Invalid Input

PART II - Pharmacology

27. You are to give diazepam 5mg IM STAT. The ampoules are supplied 10mg/2ml. How much from the ampoules would you use?*

a. 0.5 ml
b. 0.1 ml
c. 1.0 ml
d. 1.5 ml Invalid Input

28. You are to give Digoxin .125mg. You have .25mg tablets. How many tablets would you give?*

a. 1/2 tab
b. 1 tab
c. 1 - 1 1/2 tab
d. 2 tabs Invalid Input

29. If the physician does not indicate the route of administration by which he wishes Morphine to be given, you would:*

a. Give the drug orally, since this is the least expensive and most comfortable route
b. Give the drug IM in order to promote its rapid absorption
c. Administer the drug subcutaneously since this is the method most frequently ordered
d. Request clarification of the order Invalid Input

30. You are to give Codeine 30mg p.o. You have Codeine 0.03gm in ward stock. How many should you administer?*

a. 1/4 tablet
b. 1/2 tablet
c. 1 tablet
d. 2 tablets Invalid Input

31. 1 litre of IV solution is to run over an 8 hour period. The administration set delivers 15 drops/ml. You will set the drip rate at:*

a. 21 drops/ml
b. 31 drops/ml
c. 40 drops/ml
d. 60 drops/ml Invalid Input

32. Penicillin 600,000 IM is ordered. The vial on hand is labelled 300,000 per 1 cc. How much would you give?*

a. 1cc
b. 2cc
c. 3cc
d. 0.5cc Invalid Input

33. If a doctor prescribes a 98kg patient an Actemra infusion of 8mg. What would you estimate the dose to be?*

a. 784mg
b. 794mg
c. 684mg
d. 694mg Invalid Input

34. True or false… To achieve the most rapid onset of action the health care provider will administer medication intravenously.*

a. True
b. False Invalid Input

Match the following medications with the appropriate nursing observation, technique, or definition.

Invalid Input

35. Aspirin

A. Used in the treatment of insomnia

Invalid Input

36. Oxazepam

B. Often given in small dosages to patients after MI

Invalid Input

37. Gentamicin

C. Indicated in the management of acute and chronic psychosis

Invalid Input

38. Haliperidol

D. Treatment for severe systemic infection of GI, respiratory or urinary tracts

Invalid Input

39. Morphine

A. Peak of action 8-12 hours

Invalid Input

40. Glyceryl Trinitrate

B. Used in the treatment of glaucoma

Invalid Input

41. Humulin Insulin

C. Administered sublingually or as a transdermal patch

Invalid Input

42. Pilocarpine

D. Opioid which may cause constipation if used repeatedly

Invalid Input

43. Prednisone

A. Indicated in treatment of premature atrial and ventricular conditions

Invalid Input

44. Inderal

B. Is a mild tranquilizer

Invalid Input

45. Quinidine

C. Replacement therapy in primary or secondary adrenal cortical insufficiency

Invalid Input

46. Valium

D. Blocking agent used in the treatment of cardiac arrhythmias

Invalid Input

47. Persantin

A. Used for management of moderate to severe hypertension

Invalid Input

48. Coversyl

B. Used as an antihistamine

Invalid Input

49. Lipitor

C. Cholesterol lowering medication

Invalid Input

50. Phenergan

D. Used for long term treatment of anginal pain

Invalid Input

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Central Queensland & Wide Bay
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Ipswich Lockyer Valley
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Noosa, Gympie & Hinterland
North Queensland
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