1.Easy
Which procedure requires surgical asepsis (sterile technique)?
- AMeasuring blood pressure on the upper arm
- BGiving an oral medication through the mouth
- CInserting an indwelling urinary catheter
- DGiving a bed bath
2.Easy
Which vaccine is recommended for health care workers every year?
- AMMR vaccine
- BTetanus vaccine
- CHepatitis B vaccine
- DInfluenza vaccine
3.Easy
In quality improvement, what does the PDSA cycle stand for?
- APlan, Document, Supervise, Audit
- BPlan, Do, Study, Act
- CPredict, Decide, Start, Analyze
- DPrepare, Deliver, Score, Assess
4.Medium
Which dressing waste should be disposed of in clinical (biohazard) waste?
- AAn unused, still-sealed dressing past its date
- BA dressing soaked with fluid from an infected wound
- CThe outer paper wrapping of a sterile dressing pack
- DA clean paper towel used to dry hands
5.Medium
A patient has orthostatic hypotension. Which teaching helps to prevent falls?
- ASit on the edge of the bed for a short time before standing up slowly
- BGet out of bed quickly so the dizziness passes sooner
- CStand up straight after a hot shower to increase blood flow
- DAvoid drinking fluids in the morning to reduce trips to the toilet
6.Medium
An older adult has trouble getting in and out of the bath. Which measures make bathing safer?
- AA loose rug beside the tub to stand on
- BA shower chair, grab bars and a non-slip mat
- CLocking the bathroom door for privacy
- DBath oil to help the person slide in and out
7.Hard
During an oral drug round, a patient asks to take a tablet later. The nurse leaves it on the bedside table. What is the main safety problem?
- AThe nurse cannot confirm it was taken, and another person could take it
- BThe tablet may lose its color and become hard to identify later
- CThere is no safety problem if the patient is alert
- DTablets dissolve quickly when left in the open air
8.Hard
Ten minutes into a red blood cell transfusion, the patient reports chills and low back pain and has a new fever. What should the nurse do first?
- ACall the blood bank and let the transfusion continue
- BSlow the transfusion and recheck vital signs in 15 minutes
- CStop the transfusion
- DGive an antipyretic and continue the transfusion
Answer key
- 1. C · Inserting an indwelling urinary catheter
- 2. D · Influenza vaccine
- 3. B · Plan, Do, Study, Act
- 4. B · A dressing soaked with fluid from an infected wound
- 5. A · Sit on the edge of the bed for a short time before standing up slowly
- 6. B · A shower chair, grab bars and a non-slip mat
- 7. A · The nurse cannot confirm it was taken, and another person could take it
- 8. C · Stop the transfusion
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