1.Easy
What is the purpose of hip protectors for older adults at risk of falls?
- ATo stop the person from falling at all when they walk
- BTo keep the hips warm in a cold room at night
- CTo reduce the chance of a hip fracture if a fall happens
- DTo hold a urinary catheter in place
2.Easy
How should the bed be left for a patient at high risk of falls?
- AWith all four side rails up at all times
- BIn the highest position
- CWith the brakes released so it can be moved quickly
- DIn the lowest position with the brakes locked
3.Easy
An adult’s white blood cell count is 18,000/mm3 (18 × 109/L). How is this best described?
- ALow (leukopenia)
- BRaised (leukocytosis)
- CNormal for an older adult
- DWithin the normal range
4.Medium
Why are blood cultures usually taken from two separate venipuncture sites?
- ABecause each site tests a different antibiotic
- BTo make the results come back faster from the laboratory
- CTo help tell a true infection from skin contamination
- DTo reduce the total amount of blood taken
5.Medium
How should a nurse handle soiled bed linen?
- AHold it away from the uniform and place it straight into a linen bag
- BCarry it bundled against the body to the soiled utility room down the hall
- CPut it on the floor until the bed is made
- DShake it out first to check for lost items
6.Medium
A nurse gives part of a dose of an opioid from a vial and must discard the rest. What is correct?
- AKeep the rest for the patient’s next dose
- BDiscard it alone in the sink and document the amount wasted later in the shift
- CReturn the rest to the patient’s medication drawer
- DDiscard it in front of a second licensed (registered) nurse, who witnesses and documents it
7.Hard
A 2-year-old living in a house built many decades ago has anemia, irritability and poor appetite. Which cause should the nurse suspect?
- AIron overload from eating too much red meat
- BLead poisoning from old paint dust or chips
- CCarbon dioxide from a gas cooker
- DA food allergy to cow’s milk proteins
8.Hard
Which action best prevents a wrong-route error with an epidural infusion?
- AUse the same pump type and tubing for all of the patient’s infusions
- BUse a free IV port if the epidural port becomes blocked
- CTape all the lines together to keep them tidy
- DLabel the epidural line and keep it on its own dedicated pump
Answer key
- 1. C · To reduce the chance of a hip fracture if a fall happens
- 2. D · In the lowest position with the brakes locked
- 3. B · Raised (leukocytosis)
- 4. C · To help tell a true infection from skin contamination
- 5. A · Hold it away from the uniform and place it straight into a linen bag
- 6. D · Discard it in front of a second licensed (registered) nurse, who witnesses and documents it
- 7. B · Lead poisoning from old paint dust or chips
- 8. D · Label the epidural line and keep it on its own dedicated pump
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