1.Easy
A drug was prescribed by a provider and dispensed by a pharmacist. Who is accountable for checking it before giving it?
- AOnly the pharmacist
- BThe nurse manager on duty
- CThe nurse who gives it
- DOnly the prescriber
2.Easy
Which drug class is well known to increase the risk of falls in older adults?
- AMultivitamins
- BBenzodiazepines
- CTopical skin moisturizers
- DBulk-forming laxatives
3.Easy
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey reduce the risk of injury if the patient falls out of bed
- BThey help the patient sleep more deeply
- CThey make it easier for staff to clean under and around the bed
- DThey stop the patient from ever leaving the bed
4.Medium
A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?
- ADehydration from poor intake
- BA purely viral illness
- CA bacterial rather than a viral infection
- DAn allergic reaction to a recent medication
5.Medium
During routine handwashing with soap and water (medical asepsis), how are the hands held?
- ALevel with the shoulders, away from the sink
- BTouching the inside of the sink for support
- CHigher than the elbows, so water runs down the arms
- DLower than the elbows, so water runs off the fingertips
6.Medium
A patient is on suicide precautions. Which room safety measure is appropriate?
- ALet the patient keep a personal razor for shaving, as long as staff are told
- BAllow glass bottles if the patient seems calm
- CKeep the door closed at all times so the patient has privacy
- DRemove items that could be used for self-harm, such as belts and cords
7.Hard
A patient has had MRSA in a wound and now needs a dressing change. Which PPE is appropriate?
- AAn N95 respirator only, because MRSA is a resistant organism
- BNo PPE, if the hands are cleaned afterwards
- CGown and gloves, plus eye protection and mask if splashes are likely
- DSterile gloves only, with no gown or other protection
8.Hard
A nurse teaches a patient about home oxygen safety. Which statement shows a need for further teaching?
- A“I will put a ‘no smoking’ sign on my front door for visitors.”
- B“I can light candles at dinner if my oxygen is turned down low.”
- C“I will keep my spare cylinders upright and secured.”
- D“I will keep my oxygen away from the stove.”
Answer key
- 1. C · The nurse who gives it
- 2. B · Benzodiazepines
- 3. A · They reduce the risk of injury if the patient falls out of bed
- 4. C · A bacterial rather than a viral infection
- 5. D · Lower than the elbows, so water runs off the fingertips
- 6. D · Remove items that could be used for self-harm, such as belts and cords
- 7. C · Gown and gloves, plus eye protection and mask if splashes are likely
- 8. B · “I can light candles at dinner if my oxygen is turned down low.”
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