1.Easy
A corridor is filling with smoke. How should staff move through it?
- AOpen all windows on the way
- BStand up straight and walk quickly
- CStay low, below the smoke
- DHold their breath and run through
2.Easy
Which three elements make up the fire triangle in the operating room?
- AWater, electricity and metal instruments
- BOxygen, nitrogen and carbon dioxide
- CHeat, light and sound
- DAn oxidizer, an ignition source and a fuel
3.Easy
In the fire extinguisher acronym PASS, what does the A stand for?
- AAim at the base of the fire
- BAlert the fire department
- CAssess the size of the room
- DActivate the fire alarm
4.Medium
A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?
- AA chest x-ray every month for the first year
- BAn interferon-gamma release assay (IGRA) blood test
- CNo screening, because BCG prevents all TB
- DA tuberculin skin test, which is read 24 hours after it is placed
5.Medium
Which drugs are used as antidotes for nerve agent poisoning?
- AVitamin K and protamine
- BNaloxone and flumazenil
- CAtropine and pralidoxime
- DAcetylcysteine and charcoal
6.Medium
How should a nurse handle soiled bed linen?
- APut it on the floor until the bed is made
- BShake it out first to check for lost items
- CCarry it bundled against the body to the soiled utility room down the hall
- DHold it away from the uniform and place it straight into a linen bag
7.Hard
A competent patient at high risk of falls insists on walking to the bathroom alone. What is the best nursing approach?
- AApply wrist restraints so the patient stays in bed
- BTell the patient that walking alone is against hospital law
- CExplain the risks, agree on ways to reduce them, respect the decision and document
- DRemove the patient’s shoes and walking aid so that they cannot walk alone
8.Hard
A patient is prescribed hydralazine, but the pharmacy has sent hydroxyzine. What should the nurse do?
- ANot give it, and contact the pharmacy to obtain the correct drug
- BGive it, because the two drug names are almost the same
- CGive it now and tell the prescriber afterwards
- DGive half the dose of hydroxyzine as a compromise
Answer key
- 1. C · Stay low, below the smoke
- 2. D · An oxidizer, an ignition source and a fuel
- 3. A · Aim at the base of the fire
- 4. B · An interferon-gamma release assay (IGRA) blood test
- 5. C · Atropine and pralidoxime
- 6. D · Hold it away from the uniform and place it straight into a linen bag
- 7. C · Explain the risks, agree on ways to reduce them, respect the decision and document
- 8. A · Not give it, and contact the pharmacy to obtain the correct drug
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