1.Easy
Which foods are commonly linked to cross-reactions in people with a latex allergy?
- AMilk, eggs, wheat and peanuts
- BApples, carrots, lettuce and peas
- CBanana, avocado, kiwi and chestnut
- DRice, potatoes, oats and bread
2.Easy
What is a safety huddle?
- AA long monthly meeting about staff holidays
- BA meeting between the patient and their lawyer
- CA short team meeting to share current risks and the plan for the shift
- DA formal disciplinary meeting held after a staff member makes an error
3.Easy
According to the ISMP (US) list of error-prone abbreviations, how should the route “subcutaneous” be written in a medication order?
- AAs “SQ”
- BAs “sub-Q” with a plus sign
- CAs “SC”
- DAs “subcut” or “subcutaneously”
4.Medium
A patient in bed has a generalized tonic-clonic seizure. What should the nurse do?
- AHold the arms and legs firmly to stop the movements
- BPut a padded tongue blade between the teeth to protect the tongue from biting
- CGive sips of water to keep the airway moist
- DTurn the patient on their side and protect them from injury without restraining
5.Medium
Two patients infected with the same organism are admitted, and no single room is available. What is an accepted option?
- APlacing each with a patient who has a weakened immune system
- BStopping contact precautions
- CCohorting them in the same room, according to infection control advice
- DPlacing them in the corridor
6.Medium
Which practice with medication vials and syringes is safe?
- ALeaving a needle in the vial’s stopper for later use
- BUsing the same syringe for two patients if it is flushed
- CReusing a syringe if a new needle is attached
- DUsing a new sterile needle and syringe every time a vial is entered
7.Hard
A patient in a vest restraint has slid down in bed, and the vest is pressing against the neck. What should the nurse do first?
- ATighten the vest so the patient cannot slide down again
- BWrite a note about the event in the chart
- CRelease the restraint at once and reposition the patient
- DCall the provider to ask about a different restraint
8.Hard
A nurse is about to give IV morphine. The patient’s respiratory rate is 9/min and they are very drowsy. What should the nurse do?
- AGive half the dose
- BGive the dose and recheck the respiratory rate tomorrow
- CWithhold the dose, assess the patient and inform the prescriber
- DGive the dose because pain was reported earlier
Answer key
- 1. C · Banana, avocado, kiwi and chestnut
- 2. C · A short team meeting to share current risks and the plan for the shift
- 3. D · As “subcut” or “subcutaneously”
- 4. D · Turn the patient on their side and protect them from injury without restraining
- 5. C · Cohorting them in the same room, according to infection control advice
- 6. D · Using a new sterile needle and syringe every time a vial is entered
- 7. C · Release the restraint at once and reposition the patient
- 8. C · Withhold the dose, assess the patient and inform the prescriber
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