1.Easy
Which PPE is needed when a nurse draws blood from a vein?
- AA sterile gown
- BGloves
- CAn N95 respirator
- DA full face shield and boots
2.Easy
Which signs are typical of a local infection in a wound?
- ARedness, warmth, swelling and pain
- BBluish skin and a weak distal pulse
- CDry, flaky skin with mild itching
- DPallor, coolness and numbness
3.Easy
In a fall risk tool such as the Morse Fall Scale, what does a higher score mean?
- AA lower risk of pressure injury
- BA lower risk of falling
- CBetter mobility
- DA higher risk of falling
4.Medium
Which nurse should not be assigned to a patient with a sealed radioactive implant?
- AA nurse who has worked on the unit for two years
- BA nurse wearing a dosimeter badge
- CA nurse who is pregnant
- DA nurse trained in radiation safety
5.Medium
Where should the drainage bag of an indwelling urinary catheter be kept?
- AHung on the IV pole above the patient
- BOn the floor under the bed, where it is out of the way
- CBelow the level of the bladder and off the floor
- DOn the bed next to the patient’s hip
6.Medium
Before a blood transfusion is started, which check is required?
- AThe nurse checks only that the bag number matches the order
- BOne nurse checks the blood product against the order at the nurses’ station
- CThe patient signs the blood bag label to confirm their name before it is hung
- DThe patient’s identity is checked against the blood product and its paperwork at the bedside
7.Hard
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?
- AKeep the restraints on without an order until the patient is calm
- BAsk the provider for a PRN restraint order to use as needed
- CObtain a time-limited order for the restraint promptly, following policy
- DAsk the family to sign a consent form instead of an order
8.Hard
A confused patient keeps pulling at a nasogastric tube. Which approach should be tried first?
- ALess restrictive measures, such as reorientation and a sitter
- BRemoving the tube without consulting the team
- CWrist restraints straight away to protect the tube
- DA sedative so that the patient sleeps quietly through the night
Answer key
- 1. B · Gloves
- 2. A · Redness, warmth, swelling and pain
- 3. D · A higher risk of falling
- 4. C · A nurse who is pregnant
- 5. C · Below the level of the bladder and off the floor
- 6. D · The patient’s identity is checked against the blood product and its paperwork at the bedside
- 7. C · Obtain a time-limited order for the restraint promptly, following policy
- 8. A · Less restrictive measures, such as reorientation and a sitter
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