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 incident report form
- BIn the patient’s nursing care plan
- CIn the medication administration record for the patient in that room
- DIn the Safety Data Sheet (SDS) for that product
2.Easy
A nurse notices a frayed electrical cord on an infusion pump. What should the nurse do?
- ATake the pump out of use, label it as faulty and report it
- BKeep using it carefully until the end of the shift, then report it
- CAsk the patient not to touch the cord
- DWrap the cord in electrical tape and continue using it
3.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 “SC”
- CAs “SQ”
- DAs “subcut” or “subcutaneously”
4.Medium
Which part of a sterile surgical gown is considered sterile once it is on?
- AThe whole gown, including the back, the collar and the area below the waist
- BThe front from the neck down to the knees
- CThe front from chest to the level of the sterile field, and the sleeves
- DOnly the back of the gown, which nobody touches
5.Medium
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- AAsk nearby staff and use it if someone recognizes it
- BGive it to the patient whose medication is due
- CDiscard it, because its contents cannot be confirmed
- DLabel it with the most likely drug name
6.Medium
An adult with hepatitis A is incontinent of stool. Which precautions are used?
- AAirborne precautions in a negative-pressure room with the door closed
- BContact precautions in addition to standard precautions
- CA protective environment with filtered air
- DDroplet precautions with a surgical mask
7.Hard
A nurse finds that a patient has been taking their own sleeping pills from a bedside drawer while also receiving a hypnotic from the ward. What should the nurse do?
- AStop giving the hospital hypnotic without telling the provider or the pharmacy
- BLet the patient keep them, since they are the patient’s own
- CThrow the patient’s pills away in the bin
- DSecure the home medication per policy and inform the provider
8.Hard
Which pairing of an organism with its transmission-based precautions is correct?
- AC. difficile – airborne
- BInfluenza – airborne only
- CMumps – droplet
- DMeasles – contact only
Answer key
- 1. D · In the Safety Data Sheet (SDS) for that product
- 2. A · Take the pump out of use, label it as faulty and report it
- 3. D · As “subcut” or “subcutaneously”
- 4. C · The front from chest to the level of the sterile field, and the sleeves
- 5. C · Discard it, because its contents cannot be confirmed
- 6. B · Contact precautions in addition to standard precautions
- 7. D · Secure the home medication per policy and inform the provider
- 8. C · Mumps – droplet
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