1.Easy
A culture and sensitivity report says the organism is “sensitive” to an antibiotic. What does this mean?
- AThe organism causes an allergic reaction to the drug
- BThe patient is allergic to the antibiotic and should not be given it
- CThe antibiotic is expected to stop the organism growing
- DThe organism has become resistant to the antibiotic
2.Easy
When should a sharps container be replaced?
- AOnly when sharps begin to stick out of the opening at the top
- BOnce a month, regardless of how full it is
- COnly when it is completely full to the top
- DWhen it reaches the fill line, about three-quarters full
3.Easy
Which vaccine is recommended for health care workers every year?
- AMMR vaccine
- BTetanus vaccine
- CInfluenza vaccine
- DHepatitis B vaccine
4.Medium
A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?
- AOnly the patient should press it, because this keeps the system safe
- BFamily can press it as long as they count the presses
- CPressing it while the patient sleeps prevents the pain from getting worse later
- DThe pump will always stop any overdose
5.Medium
A patient is on suicide precautions. Which room safety measure is appropriate?
- ARemove items that could be used for self-harm, such as belts and cords
- BKeep the door closed at all times so the patient has privacy
- CLet the patient keep a personal razor for shaving, as long as staff are told
- DAllow glass bottles if the patient seems calm
6.Medium
A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?
- ARecap it carefully with both hands and dispose of it after the drug round
- BActivate the safety device and drop it into a sharps container at once
- CLay it on the medication tray and discard it later
- DBend the needle to make it unusable, then discard it
7.Hard
A nurse sees a doctor about to insert a central line without a sterile gown, and a polite comment was ignored. Which TeamSTEPPS phrase helps to stop the procedure?
- A“I am sure you know what you are doing.”
- B“I will mention this to the manager at the next staff meeting.”
- C“Let’s talk about it after you have finished.”
- D“I am concerned, I am uncomfortable, this is a safety issue.”
8.Hard
In US nursing practice, which task should the RN not assign to an LPN/LVN?
- AReinforcing hand hygiene teaching that the RN has already given
- BGiving scheduled oral antibiotics to a stable patient
- CA dressing change on a healing surgical wound that has no signs of infection
- DThe initial admission assessment of a new patient with suspected sepsis
Answer key
- 1. C · The antibiotic is expected to stop the organism growing
- 2. D · When it reaches the fill line, about three-quarters full
- 3. C · Influenza vaccine
- 4. A · Only the patient should press it, because this keeps the system safe
- 5. A · Remove items that could be used for self-harm, such as belts and cords
- 6. B · Activate the safety device and drop it into a sharps container at once
- 7. D · “I am concerned, I am uncomfortable, this is a safety issue.”
- 8. D · The initial admission assessment of a new patient with suspected sepsis
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