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Why is the symbol “µg” avoided in medication orders?

1. AIt is the symbol for micrograms of alcohol and is only used in laboratory reports
2. BIt can only be used for intravenous drugs
3. CIt means “units per gram” in some countries
4. DIt can be misread as “mg”, giving a dose a thousand times too high

Which aid makes it safer to move a patient sideways from a bed to a stretcher?

1. AA wheelchair placed between the bed and stretcher
2. BPulling the patient by the arms and legs
3. CA gait belt around the patient’s waist
4. DA friction-reducing slide sheet or transfer board

What is seclusion?

1. APlacing a patient on contact precautions in a single room with the door closed
2. BMoving a patient to a private room at their request
3. CKeeping a patient alone in a room or area that they are prevented from leaving
4. DClosing the curtains during personal care

A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?

1. AA tuberculin skin test, which is read 24 hours after it is placed
2. BAn interferon-gamma release assay (IGRA) blood test
3. CNo screening, because BCG prevents all TB
4. DA chest x-ray every month for the first year

Which measure reduces errors caused by interruptions during medication preparation?

1. AAnswering phone calls and pages while counting tablets, to save time
2. BPreparing medications for all patients at once
3. CA quiet “no interruption” zone or signal while preparing medications
4. DPreparing medications at the busiest place on the ward

Where should the dispersive (grounding) pad for electrosurgery be placed?

1. AOver a bony prominence such as the hip bone
2. BOver an area with scar tissue or a tattoo, so that the pad does not slip
3. COn skin that is wet with antiseptic prep
4. DOn clean, dry skin over a well-perfused muscle, close to the surgical site

In a US hospital (CMS rules), a patient keeps pulling at an endotracheal tube, and alternatives have failed. The nurse applies wrist restraints in an emergency. What must happen next?

1. AKeep the restraints on without an order until the patient is calm
2. BObtain a time-limited order for the restraint promptly, following policy
3. CAsk the provider for a PRN restraint order to use as needed
4. DAsk the family to sign a consent form instead of an order

A nurse teaches a patient who has had a splenectomy. Which statement shows a need for further teaching?

1. A“I will get medical help quickly if I get a high temperature.”
2. B“I will tell all of my health care providers that I have no spleen.”
3. C“I will keep my vaccinations up to date.”
4. D“Now that my spleen is out, a fever is nothing to worry about.”