1.Easy
Which drug is the first-line treatment for anaphylaxis?
- AFamotidine
- BPrednisone
- CEpinephrine (adrenaline)
- DDiphenhydramine
2.Easy
What is a “just culture” in patient safety?
- AErrors are never discussed, in order to protect staff morale
- BOnly doctors report errors, and nurses inform them
- CEvery error leads to formal punishment of the person involved
- DErrors are reported openly and systems fixed; reckless acts are still addressed
3.Easy
Where should the straps of a limb restraint be secured?
- ATo the bed frame, with a quick-release knot
- BTo the bedside table, so it can be moved
- CTo the mattress handles, using a firm square knot
- DTo the side rail, using a secure double knot
4.Medium
When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?
- AOnly in an urgent situation where delay would harm the patient, per policy
- BWhenever the pharmacist is slow to review new orders and the patient is waiting
- CAt the start of each shift to save time later
- DWhenever the nurse is sure of the dose
5.Medium
In the US (EPA/OSHA) hazmat system, which level of PPE gives the highest level of protection?
- ALevel A
- BLevel C
- CLevel B
- DLevel D
6.Medium
A patient has a very low platelet count. Which safety measure is appropriate?
- AUse a firm toothbrush and a safety razor
- BUse a soft toothbrush and an electric razor
- CFloss hard each day to keep the gums healthy
- DTake rectal temperatures for accuracy
7.Hard
A patient with severe immunosuppression after a stem cell transplant is in a protective environment. Which item should not be brought into the room?
- AFresh flowers or potted plants
- BA family photo in a frame that has been wiped clean
- CA clean, disinfected tablet computer
- DThe patient’s own clean clothes
8.Hard
Several patients arrive with suspected inhalational anthrax after a deliberate release. Which precautions are needed for their care?
- AAirborne precautions in negative-pressure rooms, because spores are inhaled
- BContact precautions with gowns and gloves
- CDroplet precautions with surgical masks
- DStandard precautions, because it is not spread from person to person
Answer key
- 1. C · Epinephrine (adrenaline)
- 2. D · Errors are reported openly and systems fixed; reckless acts are still addressed
- 3. A · To the bed frame, with a quick-release knot
- 4. A · Only in an urgent situation where delay would harm the patient, per policy
- 5. A · Level A
- 6. B · Use a soft toothbrush and an electric razor
- 7. A · Fresh flowers or potted plants
- 8. D · Standard precautions, because it is not spread from person to person
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