1.Easy
Where can a nurse find the hazards, safe handling and first-aid steps for a cleaning chemical used on the unit?
- AIn the patient’s nursing care plan
- BIn the Safety Data Sheet (SDS) for that product
- CIn the incident report form
- DIn the medication administration record for the patient in that room
2.Easy
To which patients do standard precautions apply?
- AOnly to patients having surgery
- BOnly to patients in isolation rooms
- CTo all patients, whatever their diagnosis
- DOnly to patients with a known infection
3.Easy
A drug was prescribed by a provider and dispensed by a pharmacist. Who is accountable for checking it before giving it?
- AThe nurse manager on duty
- BOnly the prescriber
- CThe nurse who gives it
- DOnly the pharmacist
4.Medium
A child has swallowed a button battery. Why is this urgent?
- AIt can burn through the lining of the esophagus within hours
- BThe only risk is poisoning from heavy metals years later
- CIt is only harmful if several batteries are swallowed
- DIt always passes through the gut without harm
5.Medium
Why is blood glucose control important around the time of surgery?
- ALow glucose is needed around surgery so that the wound edges close more quickly
- BHigh glucose makes anesthetic drugs work for much longer and delays waking up
- CGlucose levels only affect patients who have type 1 diabetes
- DHigh glucose impairs white cell function and raises the risk of surgical site infection
6.Medium
A patient has received oral radioactive iodine therapy. Which precaution is usually taken?
- APlace the patient on droplet precautions with a surgical mask
- BEncourage pregnant visitors to sit close to the patient to give emotional support
- CLet the patient share a bathroom with other patients
- DLimit time close to the patient and handle body fluids per radiation policy
7.Hard
A nurse working with a patient on contact precautions realizes the gown has a tear at the sleeve. What should the nurse do?
- ACover the tear with a strip of tape and carry on
- BMove away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
- CPut a second gown on top of the torn one
- DContinue working, since the tear is small and only on the sleeve
8.Hard
Which action best prevents a wrong-route error with an epidural infusion?
- AUse the same pump type and tubing for all of the patient’s infusions
- BUse a free IV port if the epidural port becomes blocked
- CLabel the epidural line and keep it on its own dedicated pump
- DTape all the lines together to keep them tidy
Answer key
- 1. B · In the Safety Data Sheet (SDS) for that product
- 2. C · To all patients, whatever their diagnosis
- 3. C · The nurse who gives it
- 4. A · It can burn through the lining of the esophagus within hours
- 5. D · High glucose impairs white cell function and raises the risk of surgical site infection
- 6. D · Limit time close to the patient and handle body fluids per radiation policy
- 7. B · Move away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
- 8. C · Label the epidural line and keep it on its own dedicated pump
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