Registered Nurse State Exam Questions – Practice Questions

Registered Nurse State Exam Practice Questions and Answers

Page 1-10 Practice Questions

  1. 400 mcg in g?

    • a) 0.004

    • b) 0.04

    • c) 0.4

    • d) 0.0004Answer: a) 0.004

  2. Potassium infusions calculation:

    • 40 mmol in 1000 ml over 8 hours stopped after 2.5 hours:

      • Calculation: 40/8 = 5; 5 x 2.5 = 12.5; 40 - 12.5 = 27.5Answer: 27.5

  3. Infusion rate calculation:

    • Drug of 400mg infused at 100 ml over 15 minutes;

      • Calculation: (100ml / 15min) * 60min = 400ml

    • a) 400ml

    • b) 4ml

    • c) 250ml

    • d) 125mlAnswer: a) 400ml

  4. 5% dextrose infusion over 8 hours:

    • 1000 ml; after 3 hours: 1000/8 = 125 ml/hr; therefore, 375 ml received.Answer: 375 ml

Page 11-20 Practice Questions

  1. Rivotril overdose nursing responsibility:

    • a) Observe for side effects

    • b) Contact doctor for reassessment

    • c) Administer prescribed dose considering weight loss

    • d) Check with charge nurse prior to administrationAnswer: b) Contact doctor for reassessment

  2. Initial response to shock and hypovolaemia:

    • a) Elevate legs

    • b) Control bleeding

    • c) Call for emergency assistance

    • d) Commence CPRAnswer: b) Control bleeding

  3. Red Flag for sepsis in adults:

    • a) Temperature <36°C

    • b) Heart rate 91-130 bpm

    • c) Lactate >2 mmol/L

    • d) Respiratory rate 21-24 bpmAnswer: c) Lactate >2 mmol/L

  4. Not part of Adult Sepsis Six:

    • a) Give IV antibiotics

    • b) Administer bolus saline

    • c) Give steroids

    • d) Measure urine outputAnswer: c) Give steroids

Page 21-30 Practice Questions

  1. Two amber flags for sepsis follow-up:

    • a) Call ICU

    • b) Follow Adult Sepsis Six protocol

    • c) Notify family

    • d) Observe for 1 hourAnswer: b) Follow Adult Sepsis Six protocol

  2. Amber flags for sepsis:

  • a) Temp <36°C, HR >130 bpm

  • b) Acute deterioration in function, no urine last 12-18 hours

  • c) SBP <90 mmHg, needing O2 for SpO₂ ≥92%

  • d) Non-blanching rash & lactate ≥2 mmol/LAnswer: b) Acute deterioration in function, no urine last 12-18 hours

  1. Initial step in Adult Sepsis Six bundle:

  • a) Take blood cultures

  • b) Give oxygen

  • c) Check lactates

  • d) Measure urine outputAnswer: b) Give oxygen

  1. Conditions prompting Adult Sepsis Six protocol:

  • a) Resp rate 21 bpm

  • b) SBP 91-100 mmHg

  • c) Only responsive to pain/voice

  • d) HR 91-130 bpmAnswer: c) Only responsive to pain/voice

Page 31-40 Practice Questions

  1. Sepsis management:

  • a) Pain relief

  • b) Administer 0.9% Saline bolus

  • c) Blood transfusion

  • d) Broad-spectrum antiviralsAnswer: b) Administer 0.9% Saline bolus

  1. Further care escalation after Sepsis Six:

  • a) Lactate <2 mmol/L

  • b) Resp rate >25 breaths/min

  • c) BP stabilizing at 100 mmHg

  • d) Level of consciousness improvementAnswer: b) Resp rate >25 breaths/min

  1. Not an amber flag for sepsis:

  • a) HR 21-24 bpm, new arrhythmia

  • b) Recent chemotherapy

  • c) Signs of wound infection

  • d) Concerns about mental statusAnswer: b) Recent chemotherapy

Page 41-100 Practice Questions

  1. Actions during a Red Flag seizure:

  • a) Monitor/document vitals every 2 hours

  • b) Alert clinician/initiate Sepsis Six protocol

  • c) Pain relief for comfort

  • d) Call family for updateAnswer: b) Alert clinician/initiate Sepsis Six protocol

  1. Concerning lactate levels in sepsis:

  • a) Lactate <1 mmol/L

  • b) Lactate 1-1.5 mmol/L

  • c) Lactate ≥2 mmol/L

  • d) Lactate reducing over timeAnswer: c) Lactate ≥2 mmol/L

  1. When to administer oxygen for adequate SpO₂:

  • a) Temp <36°C

  • b) HR >130 bpm

  • c) Req. oxygen for SpO₂ ≥92%

  • d) Resp rate 21-24 bpmAnswer: c) Req. oxygen for SpO₂ ≥92%

Page 101-200 Practice Questions

  1. Rationale for IV antibiotics in Sepsis Six:

  • a) Reduce pain/inflammation

  • b) Target/manage specific infection

  • c) Immediate hydration

  • d) Decrease heart rateAnswer: b) Target/manage specific infection

  1. If urine not passed in 18 hours:

  • a) Normal in sepsis

  • b) Indicator for transfusions

  • c) Amber flag for sepsis

  • d) Notify family ASAPAnswer: c) Amber flag for sepsis

Page 201-220 Practice Questions

  1. Nursing responsibilities in Sepsis:

  • a) Administer 500 ml saline bolus

  • b) Ensure breath sounds are clear

  • c) Initiate blood transfusion

  • d) Document severity of symptomsAnswer: a) Administer 500 ml saline bolus

  1. Dehydration management in postoperative patients:

  • a) Analyze hydration levels

  • b) Monitor vitals every hour

  • c) Determine lab findings indicating dehydration

  • d) Communicate plan for managing dehydrationAnswer: c) Determine lab findings indicating dehydration

  1. Handling a patient with suicidal ideation:

  • a) Encourage to express feelings of distress

  • b) Document concerns and notify mental health team

  • c) Offer comfort and reaffirm concerns are valid

  • d) Call for emergency services if neededAnswer: a) Encourage to express feelings of distress