1.Easy
Which type of knot is used to secure the straps of a restraint?
- AA knot tied on the patient’s wrist
- BA tight double knot
- CA square knot
- DA quick-release knot
2.Easy
Why should “U” not be written for “units” on a prescription?
- AIt can be misread as 0 or 4, causing an overdose
- BIt takes too long to write clearly by hand
- CIt is usually read as “micrograms” by pharmacists
- DPharmacists do not recognize the abbreviation
3.Easy
What is an adverse event in patient safety?
- AAn error that is noticed before it reaches the patient
- BHarm to a patient caused by health care, not by the illness
- CA complaint from a patient about the hospital food
- DA side effect that is listed and explained before treatment
4.Medium
Which practice is safe when transferring a patient from a bed to a stretcher?
- ALeave the stretcher wheels unlocked so it can move with the patient
- BHave the patient slide across without help or a slide sheet
- CLower the stretcher side rails during transport
- DLock the wheels of both the bed and the stretcher before moving the patient
5.Medium
A parent says, “I tell my son his medicine is candy so he takes it.” What should the nurse teach?
- AThis is a good idea and makes giving medicine easier
- BIt only matters for medicines that taste bitter or are hard to swallow
- CDo not call medicine candy, because the child may take it when no one is watching
- DIt is fine as long as the medicine is kept in the fridge
6.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
- CHold it away from the uniform and place it straight into a linen bag
- DShake it out first to check for lost items
7.Hard
A visitor is receiving an electric shock from a faulty lamp and is still touching it. What should the nurse do first?
- ASwitch off the power or unplug the lamp without touching the person
- BStart chest compressions straight away
- CThrow water over the lamp to stop the current
- DPull the visitor away from the lamp by the arm as quickly as possible
8.Hard
A handwritten order reads “10U regular insulin subcut now”. What is the nurse’s best action?
- AClarify the order, because “U” can be misread
- BGive 100 units, as the order seems to say
- CAsk a nursing assistant to interpret the handwriting
- DGive 10 units without question, as written
Answer key
- 1. D · A quick-release knot
- 2. A · It can be misread as 0 or 4, causing an overdose
- 3. B · Harm to a patient caused by health care, not by the illness
- 4. D · Lock the wheels of both the bed and the stretcher before moving the patient
- 5. C · Do not call medicine candy, because the child may take it when no one is watching
- 6. C · Hold it away from the uniform and place it straight into a linen bag
- 7. A · Switch off the power or unplug the lamp without touching the person
- 8. A · Clarify the order, because “U” can be misread
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