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 medication administration record for the patient in that room
- CIn the Safety Data Sheet (SDS) for that product
- DIn the incident report form
2.Easy
According to the ISMP (US) list of error-prone abbreviations, how should the route “subcutaneous” be written in a medication order?
- AAs “sub-Q” with a plus sign
- BAs “SQ”
- CAs “SC”
- DAs “subcut” or “subcutaneously”
3.Easy
Which vaccine is recommended for health care workers every year?
- ATetanus vaccine
- BHepatitis B vaccine
- CInfluenza vaccine
- DMMR vaccine
4.Medium
Sputum specimens are ordered to look for acid-fast bacilli (TB). How are they usually collected?
- AThree deep-cough specimens collected 8 to 24 hours apart, at least one early in the morning
- BOne specimen of sputum collected straight after the evening meal, when coughing is easiest
- COne saliva sample collected at any convenient time of day
- DThree specimens collected after an antiseptic mouthwash
5.Medium
Which dressing waste should be disposed of in clinical (biohazard) waste?
- AThe outer paper wrapping of a sterile dressing pack
- BA dressing soaked with fluid from an infected wound
- CAn unused, still-sealed dressing past its date
- DA clean paper towel used to dry hands
6.Medium
In a hospital fire, which means of moving patients is usually avoided?
- AMoving horizontally to another area on the same floor behind fire doors
- BWheeling beds through fire doors
- CElevators (lifts)
- DStairs
7.Hard
Patients contaminated with radioactive dust arrive at the hospital. Which step removes most of the external contamination?
- AWrapping the patient in a blanket
- BGiving the patient potassium iodide
- CScrubbing the skin until it is red
- DRemoving the patient’s clothing
8.Hard
A patient refuses to wear an identification wristband. What should the nurse do?
- AAccept the refusal and identify the patient by room number and bed space instead
- BExplain why it is needed, use other ID methods per policy and document
- CForce the band onto the patient’s wrist
- DStop giving the patient any care until they agree to wear the band
Answer key
- 1. C · In the Safety Data Sheet (SDS) for that product
- 2. D · As “subcut” or “subcutaneously”
- 3. C · Influenza vaccine
- 4. A · Three deep-cough specimens collected 8 to 24 hours apart, at least one early in the morning
- 5. B · A dressing soaked with fluid from an infected wound
- 6. C · Elevators (lifts)
- 7. D · Removing the patient’s clothing
- 8. B · Explain why it is needed, use other ID methods per policy and document
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