1.Easy
Why are patients usually kept nil by mouth (NPO) for a period before general anesthesia?
- ATo lower the risk of a wound infection
- BTo make the patient lose weight before surgery
- CTo reduce the risk of aspirating stomach contents
- DTo prevent the patient from needing the toilet
2.Easy
How should a dose of half a milligram be written?
- A0.5 mg
- B1/2mg
- C0.50 mg
- D.5 mg
3.Easy
A patient is colonized with vancomycin-resistant enterococci (VRE). Which precautions are used?
- AAirborne precautions
- BDroplet precautions
- CContact precautions
- DProtective (reverse) isolation
4.Medium
Why are blood cultures usually taken from two separate venipuncture sites?
- ATo help tell a true infection from skin contamination
- BTo make the results come back faster from the laboratory
- CBecause each site tests a different antibiotic
- DTo reduce the total amount of blood taken
5.Medium
An adult with hepatitis A is incontinent of stool. Which precautions are used?
- AA protective environment with filtered air
- BDroplet precautions with a surgical mask
- CAirborne precautions in a negative-pressure room with the door closed
- DContact precautions in addition to standard precautions
6.Medium
A portable x-ray is taken at the bedside. Which action protects the nurse?
- AStay close to the patient to keep them still without protection
- BStep away from the patient or wear a lead apron during the exposure
- CLook directly at the x-ray tube during the exposure to check its position
- DStand next to the patient and hold the film without protection
7.Hard
A handwritten order is hard to read, and the nurse is not sure of the drug name. What should the nurse do?
- AAsk a colleague to guess what it says
- BHold the drug until the next day without telling anyone
- CContact the prescriber to clarify before giving anything
- DChoose the drug that seems most likely from the diagnosis
8.Hard
In US nursing practice, which task should the RN not assign to an LPN/LVN?
- AReinforcing hand hygiene teaching that the RN has already given
- BThe initial admission assessment of a new patient with suspected sepsis
- CGiving scheduled oral antibiotics to a stable patient
- DA dressing change on a healing surgical wound that has no signs of infection
Answer key
- 1. C · To reduce the risk of aspirating stomach contents
- 2. A · 0.5 mg
- 3. C · Contact precautions
- 4. A · To help tell a true infection from skin contamination
- 5. D · Contact precautions in addition to standard precautions
- 6. B · Step away from the patient or wear a lead apron during the exposure
- 7. C · Contact the prescriber to clarify before giving anything
- 8. B · The initial admission assessment of a new patient with suspected sepsis
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