1.Easy
Why should a trailing zero (for example “5.0 mg”) not be written in a medication order?
- AIt can change the drug name on the label
- BIt is only allowed for intravenous drugs
- CIt makes the dose ten times too small if misread
- DA missed decimal point turns it into 50 mg
2.Easy
How long should an alcohol-based hand rub be rubbed into the hands?
- AAt least 5 minutes
- BAbout 2–3 seconds
- COnly until the rub has covered the palms
- DAbout 20–30 seconds, until the hands are dry
3.Easy
What should be written instead of “cc” in a medication order?
- Acm
- BU
- CmL
- Dcc only for oral drugs
4.Medium
A patient with suspected tuberculosis is in a negative-pressure room. Which practice is correct?
- ALet visitors enter without any protection
- BKeep the door closed except when entering or leaving
- CTurn off the room ventilation at night
- DKeep the door open so staff can see the patient at all times
5.Medium
After teaching a patient about a new medication, how does the nurse best check understanding?
- AGive a printed leaflet about the drug and assume the patient will read it at home
- BAsk the patient to explain in their own words how and when to take it
- CAsk the family whether they understood the teaching
- DAsk “Do you understand?” and accept a yes
6.Medium
Which household item is a strangulation risk for young children?
- ALooped cords on window blinds
- BSoft cotton socks
- CA plastic picture book
- DA large wooden building block
7.Hard
During a urinary catheter insertion with sterile technique, the catheter tip touches the patient’s thigh. What should the nurse do?
- ARinse the tip with sterile water and then continue
- BDiscard the catheter and use a new sterile one
- CContinue, because the thigh was cleaned
- DWipe the tip with an antiseptic and continue
8.Hard
A patient with pulmonary tuberculosis has been on treatment. Which findings usually allow airborne isolation to end?
- AOne negative chest x-ray after starting treatment
- BThe patient has been in hospital for one week and has taken every dose of medicine
- CThe cough has stopped, even with no sputum tests
- DThree negative sputum smears, clinical improvement and continued therapy
Answer key
- 1. D · A missed decimal point turns it into 50 mg
- 2. D · About 20–30 seconds, until the hands are dry
- 3. C · mL
- 4. B · Keep the door closed except when entering or leaving
- 5. B · Ask the patient to explain in their own words how and when to take it
- 6. A · Looped cords on window blinds
- 7. B · Discard the catheter and use a new sterile one
- 8. D · Three negative sputum smears, clinical improvement and continued therapy
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