1.Easy
During a hospital fire evacuation, where are patients usually moved first?
- AStraight out of the building, whatever their condition
- BHorizontally, through fire doors to a safe area on the same floor
- CDownward, using the elevators
- DUpward, to the roof of the building where helicopters can reach them
2.Easy
Which precautions are used for a child with impetigo?
- AAirborne precautions
- BDroplet precautions
- CA protective environment
- DContact precautions
3.Easy
What type of room is needed for a patient on airborne precautions?
- AAny single room with a window, with the door left open for observation
- BA shared bay with the curtains drawn around the bed
- CA single negative-pressure room (airborne infection isolation room)
- DA single room with positive pressure and filtered air
4.Medium
Which assessment is most important while a patient is in wrist restraints?
- AThe patient’s height and weight
- BThe patient’s hearing in both ears with a watch test
- CThe patient’s food and drink preferences for the day
- DCirculation, sensation and skin beyond the restraint
5.Medium
How should a nurse handle soiled bed linen?
- APut it on the floor until the bed is made
- BCarry it bundled against the body to the soiled utility room down the hall
- CShake it out first to check for lost items
- DHold it away from the uniform and place it straight into a linen bag
6.Medium
When should a nurse call the rapid response team?
- AOnly after a patient has had a cardiac or respiratory arrest on the ward
- BWhen a patient shows an acute decline, such as new confusion or a sharp change in vital signs
- COnly when the patient’s family makes a complaint
- DOnly when the provider has written an order for a rapid response call in the chart
7.Hard
A nurse notices that the wrong drug was drawn up, but realizes it before giving it. What should the nurse do?
- AReport it only if the same mistake happens again on the unit
- BGive the drug anyway, since it is already drawn up
- CSay nothing, because the patient was not harmed
- DDiscard it, prepare the correct drug and report a near miss
8.Hard
Which action best prevents a wrong-route error with an epidural infusion?
- AUse a free IV port if the epidural port becomes blocked
- BTape all the lines together to keep them tidy
- CUse the same pump type and tubing for all of the patient’s infusions
- DLabel the epidural line and keep it on its own dedicated pump
Answer key
- 1. B · Horizontally, through fire doors to a safe area on the same floor
- 2. D · Contact precautions
- 3. C · A single negative-pressure room (airborne infection isolation room)
- 4. D · Circulation, sensation and skin beyond the restraint
- 5. D · Hold it away from the uniform and place it straight into a linen bag
- 6. B · When a patient shows an acute decline, such as new confusion or a sharp change in vital signs
- 7. D · Discard it, prepare the correct drug and report a near miss
- 8. D · Label the epidural line and keep it on its own dedicated pump
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