1.Easy
Why is the symbol “µg” avoided in medication orders?
- AIt is the symbol for micrograms of alcohol and is only used in laboratory reports
- BIt means “units per gram” in some countries
- CIt can be misread as “mg”, giving a dose a thousand times too high
- DIt can only be used for intravenous drugs
2.Easy
Which vaccine is a live attenuated vaccine?
- AInjected inactivated influenza vaccine
- BMMR (measles, mumps, rubella)
- CTetanus toxoid vaccine
- DHepatitis B vaccine
3.Easy
Which basic fall-prevention measure applies to every patient?
- AKeep the room dark at all times so the patient rests
- BRaise all four side rails whenever the patient is in bed
- CKeep the call light (call bell) and personal items within easy reach
- DUse wrist restraints at night for every patient
4.Medium
An order reads “Give potassium chloride by IV push.” What should the nurse do?
- ADilute it in a small syringe and push it
- BGive it slowly by IV push over two minutes while watching the cardiac monitor
- CNot give it, and contact the prescriber, because it is never given by IV push
- DGive half by IV push and the rest later
5.Medium
Which PPE does a nurse wear when giving an IV chemotherapy drug?
- ATwo pairs of chemotherapy-tested gloves and a disposable impermeable gown
- BA surgical mask and no gloves
- CA reusable cloth gown and one pair of gloves
- DOne pair of standard latex gloves, changed after the infusion is started
6.Medium
During a norovirus outbreak on a ward, which hand hygiene method should staff use after patient care?
- AAlcohol hand rub only
- BWashing with soap and water
- CNo hand hygiene if gloves were worn
- DWiping hands on a paper towel only
7.Hard
A patient refuses to wear an identification wristband. What should the nurse do?
- AExplain why it is needed, use other ID methods per policy and document
- BForce the band onto the patient’s wrist
- CStop giving the patient any care until they agree to wear the band
- DAccept the refusal and identify the patient by room number and bed space instead
8.Hard
A nurse has weeping dermatitis on both hands. What is the most appropriate action?
- AContinue care as usual and wear one pair of gloves
- BCover the lesions with a waterproof bandage and keep working with patients as usual
- CAvoid direct patient care and handling of equipment until it heals, and see occupational health
- DUse extra alcohol hand rub on the lesions
Answer key
- 1. C · It can be misread as “mg”, giving a dose a thousand times too high
- 2. B · MMR (measles, mumps, rubella)
- 3. C · Keep the call light (call bell) and personal items within easy reach
- 4. C · Not give it, and contact the prescriber, because it is never given by IV push
- 5. A · Two pairs of chemotherapy-tested gloves and a disposable impermeable gown
- 6. B · Washing with soap and water
- 7. A · Explain why it is needed, use other ID methods per policy and document
- 8. C · Avoid direct patient care and handling of equipment until it heals, and see occupational health
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