1.Easy
Which drug is the first-line treatment for anaphylaxis?
- ADiphenhydramine
- BPrednisone
- CFamotidine
- DEpinephrine (adrenaline)
2.Easy
Which three elements make up the fire triangle in the operating room?
- AAn oxidizer, an ignition source and a fuel
- BOxygen, nitrogen and carbon dioxide
- CWater, electricity and metal instruments
- DHeat, light and sound
3.Easy
When should a sharps container be replaced?
- AOnce a month, regardless of how full it is
- BOnly when sharps begin to stick out of the opening at the top
- COnly when it is completely full to the top
- DWhen it reaches the fill line, about three-quarters full
4.Medium
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- AAsk nearby staff and use it if someone recognizes it
- BLabel it with the most likely drug name
- CGive it to the patient whose medication is due
- DDiscard it, because its contents cannot be confirmed
5.Medium
A patient with poorly controlled seizures asks about activities at home. Which advice is most important?
- ASleep sitting up in a chair
- BAvoid drinking water before bed
- CNever swim or bathe alone
- DAvoid all forms of exercise
6.Medium
Which kitchen practice helps prevent scald burns in young children?
- ATurn pot handles toward the back of the stove
- BLeave hot drinks at the edge of the table
- CHold the child while drinking a hot drink
- DLet the child stand on a chair beside the stove
7.Hard
A nurse has just started a unit of red blood cells when a colleague asks for urgent help with another patient. What is the best action?
- ALeave to help the other patient, and check the transfusion again in about an hour
- BPause the transfusion until the nurse is free again
- CSpeed up the transfusion so it finishes sooner
- DStay with the transfusing patient for the first 15 minutes and ask another nurse to help
8.Hard
On the morning of surgery, a patient says the operation is on the left knee, but the consent form says right knee. What should the nurse do?
- AFollow the patient, because they know their own body best
- BMark both knees so either can be operated on
- CFollow the consent form, because it has been signed
- DStop and tell the surgeon, so the site is confirmed first
Answer key
- 1. D · Epinephrine (adrenaline)
- 2. A · An oxidizer, an ignition source and a fuel
- 3. D · When it reaches the fill line, about three-quarters full
- 4. D · Discard it, because its contents cannot be confirmed
- 5. C · Never swim or bathe alone
- 6. A · Turn pot handles toward the back of the stove
- 7. D · Stay with the transfusing patient for the first 15 minutes and ask another nurse to help
- 8. D · Stop and tell the surgeon, so the site is confirmed first
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