1.Easy
A chemical splashes into a nurse’s eye. How long should the eye be flushed with water at an eyewash station?
- AFor at least 15 minutes
- BFor about 30 seconds
- CFor about 2 minutes
- DOnly until the stinging stops
2.Easy
Under US OSHA rules, how often must a health care worker be fit-tested for a tight-fitting respirator such as an N95?
- AEvery five years, at license renewal
- BOnly after the worker has an exposure
- COnce only, when the worker is first hired by the hospital
- DAt least once a year, and when the model changes
3.Easy
A patient has confirmed seasonal influenza. Which transmission-based precautions are used?
- ADroplet precautions
- BContact precautions only
- CNo precautions beyond hand hygiene
- DAirborne precautions
4.Medium
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR is safe at any stage of pregnancy
- BMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- CMMR should be given as soon as possible in the first trimester to protect the baby
- DMMR is only given to pregnant women who work in hospitals
5.Medium
An order reads “Give potassium chloride by IV push.” What should the nurse do?
- AGive it slowly by IV push over two minutes while watching the cardiac monitor
- BDilute it in a small syringe and push it
- CNot give it, and contact the prescriber, because it is never given by IV push
- DGive half by IV push and the rest later
6.Medium
How should a newborn be moved through hospital corridors?
- AIn a bassinet, not carried in the arms
- BIn the arms of any visitor who offers to help
- CCarried in the nurse’s arms for comfort
- DOn the mother’s lap in a wheelchair, without staff
7.Hard
A nurse discovers that an insulin infusion was programmed using the wrong drug concentration in the pump library. What should the nurse do first?
- AReprogram the pump and finish the shift before reporting
- BDouble the rate to correct for the error
- CStop the infusion and check the patient’s blood glucose
- DLeave it running and check the glucose at the next routine time
8.Hard
A patient with a sealed radioactive implant reports that the implant has fallen out onto the bed. What should the nurse do?
- AUse long-handled forceps to place it in the lead container
- BAsk the patient to hold it until help arrives
- CPick it up with gloved hands and put it in the clinical waste
- DLeave it on the bed until the radiation team arrives tomorrow
Answer key
- 1. A · For at least 15 minutes
- 2. D · At least once a year, and when the model changes
- 3. A · Droplet precautions
- 4. B · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 5. C · Not give it, and contact the prescriber, because it is never given by IV push
- 6. A · In a bassinet, not carried in the arms
- 7. C · Stop the infusion and check the patient’s blood glucose
- 8. A · Use long-handled forceps to place it in the lead container
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