1.Easy
What are the Beers criteria?
- AA set of rules for giving blood products
- BA list of drugs that are safe during pregnancy
- CA list of potentially inappropriate medicines for older adults
- DA scale used to measure the risk of pressure injuries in older adults
2.Easy
How many times is a medication label usually checked against the order during preparation?
- AFive times
- BOnce only
- CTwice
- DThree times
3.Easy
An adult’s platelet count is 40,000/mm3 (40 × 109/L). What does this mean?
- AA normal platelet count for an adult
- BA low count that only matters during surgery
- CThrombocytopenia with a raised risk of bleeding
- DA raised platelet count with a risk of clots
4.Medium
A nurse who never had BCG vaccine has a positive tuberculin skin test for the first time. The chest x-ray is clear and there are no symptoms. What does this most likely mean?
- AImmunity to TB from a past exposure
- BLatent TB infection, which is not contagious
- CActive TB, which needs airborne isolation
- DA failed test that must be repeated next year
5.Medium
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AUse any lotion from home, whatever its contents
- BStop hand hygiene until the skin heals
- CWear gloves all day instead of cleaning the hands between patients
- DUse the hand lotion approved by the facility to keep the skin intact
6.Medium
A patient has orthostatic hypotension. Which teaching helps to prevent falls?
- AAvoid drinking fluids in the morning to reduce trips to the toilet
- BSit on the edge of the bed for a short time before standing up slowly
- CGet out of bed quickly so the dizziness passes sooner
- DStand up straight after a hot shower to increase blood flow
7.Hard
A responsive 6-month-old infant is choking and cannot cry or cough. What should the rescuer do?
- ATurn the infant upside down and shake gently
- BGive abdominal thrusts as for an adult
- CGive back blows and chest thrusts in turn
- DDo a blind finger sweep of the mouth
8.Hard
A patient punches a nurse during care. The nurse is not seriously hurt. What should the nurse do?
- ARefuse to care for any patient for the rest of the week until the patient is moved
- BGet medical assessment and report the assault according to policy
- CSay nothing, because violence is part of the job
- DPunch the patient back in self-defense
Answer key
- 1. C · A list of potentially inappropriate medicines for older adults
- 2. D · Three times
- 3. C · Thrombocytopenia with a raised risk of bleeding
- 4. B · Latent TB infection, which is not contagious
- 5. D · Use the hand lotion approved by the facility to keep the skin intact
- 6. B · Sit on the edge of the bed for a short time before standing up slowly
- 7. C · Give back blows and chest thrusts in turn
- 8. B · Get medical assessment and report the assault according to policy
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