1.Easy
Before a nurse wears an N95 respirator, what is required?
- AA fit test, plus a seal check at each use
- BNothing, because one size fits every face
- CWearing a surgical mask underneath it
- DWashing it with soap before first use
2.Easy
What do staff usually wear when entering the room of a patient on droplet precautions?
- AAn N95 respirator only
- BA surgical mask
- CSterile gloves
- DA full hazmat suit
3.Easy
In the fire safety acronym RACE, what does the C stand for?
- AClear the corridor of all equipment first
- BCall the family of each patient on the unit
- CCool the room by turning on the air conditioning
- DContain the fire by closing doors and windows
4.Medium
A family member tells the nurse, “My father is not himself. Something is wrong.” The hospital has a family-activated rapid response system. What is correct?
- AThe family can call the rapid response team if they are worried and staff have not responded
- BThe family must wait for the next scheduled ward round to raise the concern with a doctor
- CThe family should call emergency services from outside the hospital
- DOnly doctors may call the rapid response team
5.Medium
Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?
- AIt is a Latin abbreviation, and only plain English abbreviations may be used
- BIt means “every day at bedtime” in some hospitals
- CIt can be misread as QID or QOD, so the drug is given too often or too rarely
- DIt is only allowed for intravenous medicines
6.Medium
Why are patients on long-term corticosteroids at higher risk from infections?
- ASteroids suppress the immune response and can hide signs of infection
- BSteroids make the patient’s blood more acidic, which helps bacteria grow
- CSteroids kill the patient’s normal skin bacteria
- DSteroids only affect the risk of fungal skin rashes
7.Hard
A unit keeps vials of concentrated potassium chloride in the ward stock cupboard. Why do many safety guidelines advise against this?
- AUndiluted concentrate given by mistake can stop the heart
- BPotassium chloride vials expire within a day of opening
- CPotassium chloride must always be given by mouth
- DPotassium chloride is too expensive to keep as general ward stock
8.Hard
A patient asks for a pain tablet. The record shows none has been given, but the patient says, “The other nurse gave me one earlier.” What should the nurse do?
- ACheck with the other nurse and the records before giving another dose
- BTell the patient they must be confused
- CGive half a tablet now, to be safe, and the other half later if needed
- DGive the tablet, because the record shows none was given
Answer key
- 1. A · A fit test, plus a seal check at each use
- 2. B · A surgical mask
- 3. D · Contain the fire by closing doors and windows
- 4. A · The family can call the rapid response team if they are worried and staff have not responded
- 5. C · It can be misread as QID or QOD, so the drug is given too often or too rarely
- 6. A · Steroids suppress the immune response and can hide signs of infection
- 7. A · Undiluted concentrate given by mistake can stop the heart
- 8. A · Check with the other nurse and the records before giving another dose
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