1.Easy
Where should the straps of a limb restraint be secured?
- ATo the side rail, using a secure double knot
- BTo the bedside table, so it can be moved
- CTo the mattress handles, using a firm square knot
- DTo the bed frame, with a quick-release knot
2.Easy
According to the ISMP (US) list of error-prone abbreviations, how should the route “subcutaneous” be written in a medication order?
- AAs “sub-Q” with a plus sign
- BAs “SC”
- CAs “subcut” or “subcutaneously”
- DAs “SQ”
3.Easy
What should be written instead of “cc” in a medication order?
- Acc only for oral drugs
- Bcm
- CmL
- DU
4.Medium
Before a defibrillator shock is delivered, what must the person operating it do?
- AAsk a colleague to hold the paddles in place
- BKeep the oxygen mask on the patient’s face, held against the chest
- CHold the patient’s hand to keep them still
- DCall “all clear” and check that nobody is touching the patient or bed
5.Medium
What is the purpose of “Tall Man” lettering, as in hydrOXYzine and hydrALAZINE?
- ATo show which of the two drugs is a high-alert medication
- BTo make look-alike drug names easier to tell apart
- CTo show the strength of the drug
- DTo indicate the brand name
6.Medium
Which practice makes shift handoff safer?
- ALeaving written notes only, without a chance for questions
- BGiving handoff in a busy corridor so that the outgoing nurse can leave on time
- CUsing a standard format such as SBAR or I-PASS, with time for questions
- DGiving handoff from memory without any structure
7.Hard
A nurse teaches a patient about care of a surgical incision at home. Which statement shows a need for further teaching?
- A“I will call the clinic if I get a fever or more pain around the wound.”
- B“I will keep the dressing clean and dry as I was shown.”
- C“I will wash my hands with soap before I touch or change the dressing.”
- D“If the wound gets red and drains pus, I will wait for my appointment next month.”
8.Hard
A handwritten order reads “10U regular insulin subcut now”. What is the nurse’s best action?
- AGive 10 units without question, as written
- BClarify the order, because “U” can be misread
- CGive 100 units, as the order seems to say
- DAsk a nursing assistant to interpret the handwriting
Answer key
- 1. D · To the bed frame, with a quick-release knot
- 2. C · As “subcut” or “subcutaneously”
- 3. C · mL
- 4. D · Call “all clear” and check that nobody is touching the patient or bed
- 5. B · To make look-alike drug names easier to tell apart
- 6. C · Using a standard format such as SBAR or I-PASS, with time for questions
- 7. D · “If the wound gets red and drains pus, I will wait for my appointment next month.”
- 8. B · Clarify the order, because “U” can be misread
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