1.Easy
Why is the symbol “µg” avoided in medication orders?
- AIt means “units per gram” in some countries
- BIt can only be used for intravenous drugs
- CIt is the symbol for micrograms of alcohol and is only used in laboratory reports
- DIt can be misread as “mg”, giving a dose a thousand times too high
2.Easy
How should a labeled specimen be sent to the laboratory?
- AIn the same bag as the request form, touching the paper
- BIn a sealed biohazard bag, with the request form in the separate pocket
- CLoose in the nurse’s uniform pocket so that it does not get lost on the way
- DIn an open cup placed on the transport trolley
3.Easy
In which order is personal protective equipment usually put on (CDC sequence)?
- AMask or respirator, gloves, gown, goggles or face shield
- BGoggles or face shield, gloves, mask or respirator, gown
- CGown, mask or respirator, goggles or face shield, gloves
- DGloves, gown, goggles or face shield, mask or respirator
4.Medium
How is a urine specimen for culture obtained from an indwelling catheter?
- AFrom the urine already collected in the drainage bag at the bedside
- BFrom the sampling port, after cleaning it, using aseptic technique
- CBy disconnecting the catheter from the drainage tubing
- DBy removing the catheter and sending its tip for culture
5.Medium
Why does a nurse wear chemotherapy-tested gloves and a gown when emptying the urinal of a patient who recently had chemotherapy?
- AThe patient is on airborne precautions after treatment
- BThe urine always contains infectious bacteria after chemotherapy
- CThe body fluids can contain active drug for a time after treatment
- DChemotherapy makes the urine strongly acidic and corrosive
6.Medium
Which nursing care reduces the risk of ventilator-associated pneumonia?
- AChanging the ventilator circuit every few hours
- BLying the patient flat for most of the day
- CLeaving secretions in the mouth to protect the airway
- DRegular oral care to reduce bacteria in the mouth
7.Hard
Two look-alike vials of different drugs are stored next to each other, and a nurse almost picks the wrong one. Which response best reflects a just culture?
- AKeep the incident quiet to protect the unit’s reputation
- BDiscipline the nurse who nearly picked the wrong vial
- CReport it and fix the system, for example by separating the vials
- DTell the nurse to be more careful and do nothing else
8.Hard
A patient with fever and a spreading rash is suspected of having smallpox. Which precautions are needed?
- ADroplet precautions with a surgical mask
- BContact precautions only
- CAirborne and contact precautions
- DStandard precautions only
Answer key
- 1. D · It can be misread as “mg”, giving a dose a thousand times too high
- 2. B · In a sealed biohazard bag, with the request form in the separate pocket
- 3. C · Gown, mask or respirator, goggles or face shield, gloves
- 4. B · From the sampling port, after cleaning it, using aseptic technique
- 5. C · The body fluids can contain active drug for a time after treatment
- 6. D · Regular oral care to reduce bacteria in the mouth
- 7. C · Report it and fix the system, for example by separating the vials
- 8. C · Airborne and contact precautions
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