1.Easy
Why is a Gram stain often done on a specimen before the culture result is ready?
- AIt confirms whether the patient has a virus and which virus it is
- BIt measures the number of white cells in the blood
- CIt quickly sorts bacteria into groups that help choose early treatment
- DIt shows exactly which antibiotic will work
2.Easy
A chemical splashes into a nurse’s eye. How long should the eye be flushed with water at an eyewash station?
- AFor at least 15 minutes
- BOnly until the stinging stops
- CFor about 30 seconds
- DFor about 2 minutes
3.Easy
In the chain of infection, which link is broken when a patient covers the mouth and nose with a tissue when coughing?
- AThe susceptible host
- BThe reservoir
- CThe portal of exit
- DThe infectious agent
4.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- AGive it, because the colleague is experienced
- BDecline, and give only medications that the nurse prepared or checked personally
- CGive it, and document that the colleague prepared it
- DGive it, as long as the syringe has a label with the drug name on it
5.Medium
A peripheral IV site is red, warm and tender along the vein. What should the nurse do?
- AApply a warm pack and keep using the same site
- BRemove the catheter and insert a new one at another site if still needed
- CFlush the catheter harder to clear the vein and keep using the same site
- DIncrease the infusion rate to finish the bag sooner
6.Medium
Which IV fluid can be given with packed red blood cells in the same line?
- A0.9% sodium chloride
- BLactated Ringer’s (Hartmann’s) solution
- C5% dextrose in 0.45% sodium chloride
- D5% dextrose in water
7.Hard
A competent adult patient with pneumonia wants to leave the hospital against medical advice. What should the nurse do?
- AHide the patient’s clothes and belongings so that they cannot leave the ward
- BApply wrist restraints until the provider arrives to speak with the patient
- CLock the doors so the patient cannot leave
- DExplain the risks, notify the provider and follow the policy for leaving against advice
8.Hard
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
- ANo, because the patient was not harmed
- BYes, near misses are reported so system weaknesses can be fixed
- CNo, because reporting near misses only blames the pharmacy staff for nothing
- DOnly if the same error happens three times
Answer key
- 1. C · It quickly sorts bacteria into groups that help choose early treatment
- 2. A · For at least 15 minutes
- 3. C · The portal of exit
- 4. B · Decline, and give only medications that the nurse prepared or checked personally
- 5. B · Remove the catheter and insert a new one at another site if still needed
- 6. A · 0.9% sodium chloride
- 7. D · Explain the risks, notify the provider and follow the policy for leaving against advice
- 8. B · Yes, near misses are reported so system weaknesses can be fixed
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