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


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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:*
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:


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


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


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5. When tube feeding a patient:*
5. When tube feeding a patient:


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6. All of the following are diuretics except:*
6. All of the following are diuretics except:


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7. In pain management the primary goal is:*
7. In pain management the primary goal is:


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


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


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


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


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13. Signs and symptoms of septic shock are:*
13. Signs and symptoms of septic shock are:


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


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


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16. Routine post-operative care includes:*
16. Routine post-operative care includes:


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17. An impending myocardial infarction can be suspected if anginal pain lasts more than one-half hour.*
17. An impending myocardial infarction can be suspected if anginal pain lasts more than one-half hour.
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18. Range of motion exercises are done on a patient who has had a stroke to:*
18. Range of motion exercises are done on a patient who has had a stroke to:


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


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


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


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


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


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


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


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26. Heparin:*
26. Heparin:


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


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


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


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


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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:*
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:


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


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


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34. True or false… To achieve the most rapid onset of action the health care provider will administer medication intravenously.*
34. True or false… To achieve the most rapid onset of action the health care provider will administer medication intravenously.
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Match the following medications with the appropriate nursing observation, technique, or definition.


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35. Aspirin
A. Used in the treatment of insomnia
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36. Oxazepam
B. Often given in small dosages to patients after MI
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37. Gentamicin
C. Indicated in the management of acute and chronic psychosis
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38. Haliperidol
D. Treatment for severe systemic infection of GI, respiratory or urinary tracts
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39. Morphine
A. Peak of action 8-12 hours
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40. Glyceryl Trinitrate
B. Used in the treatment of glaucoma
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41. Humulin Insulin
C. Administered sublingually or as a transdermal patch
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42. Pilocarpine
D. Opioid which may cause constipation if used repeatedly
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43. Prednisone
A. Indicated in treatment of premature atrial and ventricular conditions
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44. Inderal
B. Is a mild tranquilizer
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45. Quinidine
C. Replacement therapy in primary or secondary adrenal cortical insufficiency
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46. Valium
D. Blocking agent used in the treatment of cardiac arrhythmias
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47. Persantin
A. Used for management of moderate to severe hypertension
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48. Coversyl
B. Used as an antihistamine
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49. Lipitor
C. Cholesterol lowering medication
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50. Phenergan
D. Used for long term treatment of anginal pain
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