1. Question 2. 1. The nurse has just opened a sterile dressing pack to do a routine dressing and is called away for an emergency. Twenty minutes later a second nurse is asked by the manager to complete the procedure. What is the correct step? SAMPLE THEORY TEST QUESTIONS Applicant Picks ONE Answer A B C D Call the Go to the Discuss the procedure Continue the procedure doctor and treatment with the manager using the pack at the discuss the room and bedside procedure collect a new pack 3. 2. Which of these arteries is not Left main a branch of the left coronary coronary artery? artery Circumflex artery Posterior descending artery Left anterior descending artery 3. The doctor has prescribed 7855 units of heparin You have available 10,000 units/ml. How many mls will you give the patient? 4. 4. A nurse is caring for the following patients. Which patient should be given the highest priority? .79ml 1.79ml 0.17ml 1.17ml Patient with chronic renal failure and Hgb 10.2g/dL Patient with pernicious anaemia and tingling of right arm Patient with pleural effusion and saturation of 95% Patient with coronary artery disease (CAD) who has an increase in hypertension and is complaining of numbness of right hand 1 Rationale A incorrect and is inappropriate C incorrect as the manager is not fully aware of the sterility of the pack D incorrect as this may expose the patient to the risk of infection B Correct as a sterile pack is needed to prevent infection A and B and D are incorrect as they are all branches of the left coronary artery C Correct as this is a branch of the right coronary artery B and C and D incorrect A Correct 7855 divide by 10,000 = .7855 ml Nearest = .79 ml A incorrect as patients with chronic renal failure have low Hgb B incorrect as paresthesia occurs with pernicious anaemia C incorrect as saturation is within normal limits D Correct as patient may be developing a stroke 5. 5. A patient with fractured ribs suddenly complains of pleuritic type chest pain, his respiratory rate is above normal, he is anxious, has dyspnoea and is using his respiratory accessory muscles The nurse puts him on face mask oxygen as prescribed. What is the next action by the nurse? Place the patient supine with one pillow Call the doctor, report your findings and request that he sees patient urgently Look up the patients chart for his Pulmonary Function test results 6. 6. A nurse accepts the offer of a small financial loan from a patient under her care. Which of the principles from the Irish Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives is being breached? Respect for the dignity of the person Professional Quality of practice responsibility and accountability Order a chest x-ray Collaboration with others 2 A incorrect and may worsen the patients breathing C incorrect and is inappropriate at this time D incorrect as it is beyond the scope of the nurse B Correct Based on the patient’s history, signs and symptoms he may have developed a pneumothorax and he needs to be seen urgently by the doctor. A and C and D incorrect B Correct Principle 2 in Code.