1.Easy
How should the bed be left for a patient at high risk of falls?
- AIn the highest position
- BWith the brakes released so it can be moved quickly
- CIn the lowest position with the brakes locked
- DWith all four side rails up at all times
2.Easy
What does the abbreviation MRSA stand for?
- AMultiply-resistant Salmonella agent
- BMethicillin-reactive Staphylococcus albus
- CMethicillin-resistant Staphylococcus aureus
- DMultidrug-resistant Streptococcus agalactiae
3.Easy
Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?
- AIt refers only to insulin units
- BIt means “inpatient use” in many hospitals
- CIt can be misread as “IV” or as the number 10
- DIt is only allowed in pediatric orders
4.Medium
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- AGive it to the patient whose medication is due
- BLabel it with the most likely drug name
- CAsk nearby staff and use it if someone recognizes it
- DDiscard it, because its contents cannot be confirmed
5.Medium
How should a newborn be moved through hospital corridors?
- AOn the mother’s lap in a wheelchair, without staff
- BIn a bassinet, not carried in the arms
- CIn the arms of any visitor who offers to help
- DCarried in the nurse’s arms for comfort
6.Medium
Which information must be documented when a patient is restrained?
- AOnly the name of the nurse who applied it and the unit where it happened
- BOnly the time the restraint was put on and the time it was taken off
- CThe reason, alternatives tried, type of restraint, times and regular assessments
- DOnly whether the family agreed to the restraint
7.Hard
During a sterile central line dressing change, a colleague reaches across the open sterile field to pass the nurse a roll of tape. What should the nurse do?
- ACover the field with a sterile towel and continue on top of it
- BRemove only the items nearest to where the arm passed over
- CContinue, because the colleague did not touch any sterile item
- DTreat the field as contaminated and set up a new one
8.Hard
A patient’s WBC is 4,000/mm3, with 30% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?
- A140/mm3
- B1,200/mm3
- C3,500/mm3
- D1,400/mm3
Answer key
- 1. C · In the lowest position with the brakes locked
- 2. C · Methicillin-resistant Staphylococcus aureus
- 3. C · It can be misread as “IV” or as the number 10
- 4. D · Discard it, because its contents cannot be confirmed
- 5. B · In a bassinet, not carried in the arms
- 6. C · The reason, alternatives tried, type of restraint, times and regular assessments
- 7. D · Treat the field as contaminated and set up a new one
- 8. D · 1,400/mm3
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