1.Easy
How should a labeled specimen be sent to the laboratory?
- AIn a sealed biohazard bag, with the request form in the separate pocket
- BIn an open cup placed on the transport trolley
- CIn the same bag as the request form, touching the paper
- DLoose in the nurse’s uniform pocket so that it does not get lost on the way
2.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”
3.Easy
Where can a nurse find the hazards, safe handling and first-aid steps for a cleaning chemical used on the unit?
- AIn the patient’s nursing care plan
- BIn the Safety Data Sheet (SDS) for that product
- CIn the medication administration record for the patient in that room
- DIn the incident report form
4.Medium
A patient with suspected tuberculosis is in a negative-pressure room. Which practice is correct?
- AKeep the door open so staff can see the patient at all times
- BLet visitors enter without any protection
- CTurn off the room ventilation at night
- DKeep the door closed except when entering or leaving
5.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ALow body temperature reduces blood flow and immune function in the wound
- BWarmth sterilizes the surgical site
- CCold makes bacteria grow faster in the operating room air and on the drapes
- DWarm patients do not need antibiotic prophylaxis
6.Medium
Before accessing a central venous catheter hub, what should the nurse do?
- ANothing, because the hub is protected under a sterile cap
- BBlow on the hub gently to remove dust
- CScrub the hub with an antiseptic and let it dry
- DWipe it quickly with a dry sterile gauze
7.Hard
In START triage, a casualty cannot walk and is breathing 36 times a minute. Which category applies?
- AYellow (delayed)
- BBlack (expectant or dead)
- CGreen (minor)
- DRed (immediate)
8.Hard
A patient takes medicines prescribed by several providers. Which advice best reduces the risk of medication errors at home?
- AKeep one up-to-date list of all medicines and use one pharmacy where possible
- BStop taking any medicine that seems to repeat another one, without asking anyone
- COnly tell each provider about the drugs they prescribed
- DKeep each provider’s medicines in separate bags
Answer key
- 1. A · In a sealed biohazard bag, with the request form in the separate pocket
- 2. D · As “subcut” or “subcutaneously”
- 3. B · In the Safety Data Sheet (SDS) for that product
- 4. D · Keep the door closed except when entering or leaving
- 5. A · Low body temperature reduces blood flow and immune function in the wound
- 6. C · Scrub the hub with an antiseptic and let it dry
- 7. D · Red (immediate)
- 8. A · Keep one up-to-date list of all medicines and use one pharmacy where possible
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