1.Easy
What is a safety huddle?
- AA meeting between the patient and their lawyer
- BA short team meeting to share current risks and the plan for the shift
- CA formal disciplinary meeting held after a staff member makes an error
- DA long monthly meeting about staff holidays
2.Easy
Which medication is a high-alert medication?
- AInsulin
- BLactulose syrup
- CAcetaminophen (paracetamol) tablets
- DMultivitamin tablets
3.Easy
What is medication reconciliation?
- AReturning unused medicines to the pharmacy at discharge
- BChecking expiry dates of the ward stock each month
- CComparing current medicines with new orders at each transfer
- DCounting the controlled drugs with a colleague at the end of each shift
4.Medium
How is a urine specimen for culture obtained from an indwelling catheter?
- AFrom the sampling port, after cleaning it, using aseptic technique
- BFrom the urine already collected in the drainage bag at the bedside
- CBy removing the catheter and sending its tip for culture
- DBy disconnecting the catheter from the drainage tubing
5.Medium
A patient is on seizure precautions. Which equipment should be ready at the bedside?
- AA tongue blade to put between the teeth
- BAn ice pack to place on the forehead
- CWorking suction and oxygen equipment
- DRestraints ready for all four limbs
6.Medium
A visitor with a cold wants to see a patient who has severe neutropenia. What should the nurse advise?
- AVisit only if the cold started more than a day ago
- BPostpone the visit until the visitor is well
- CVisit but avoid touching the patient’s bed
- DVisit as usual after washing the hands
7.Hard
A patient who speaks little English is being discharged with new medications. The patient’s 12-year-old child offers to interpret. What should the nurse do?
- AUse simple English and many hand gestures
- BUse a professional medical interpreter
- CGive written instructions in English only
- DLet the child interpret, because the family prefers it
8.Hard
A patient with suspected pertussis needs to stay in a shared bay because no single room is free. What is the most appropriate arrangement while infection control is contacted?
- APlace the patient next to an immunocompromised patient
- BUse no precautions at all until a single room becomes free
- CCurtains drawn, over 1 meter (3 feet) of space, masks for close contact
- DUse airborne precautions with an N95 respirator for everyone
Answer key
- 1. B · A short team meeting to share current risks and the plan for the shift
- 2. A · Insulin
- 3. C · Comparing current medicines with new orders at each transfer
- 4. A · From the sampling port, after cleaning it, using aseptic technique
- 5. C · Working suction and oxygen equipment
- 6. B · Postpone the visit until the visitor is well
- 7. B · Use a professional medical interpreter
- 8. C · Curtains drawn, over 1 meter (3 feet) of space, masks for close contact
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