1.Easy
Which vaccine is recommended for health care workers every year?
- AInfluenza vaccine
- BMMR vaccine
- CTetanus vaccine
- DHepatitis B vaccine
2.Easy
Which basic fall-prevention measure applies to every patient?
- AKeep the room dark at all times so the patient rests
- BUse wrist restraints at night for every patient
- CKeep the call light (call bell) and personal items within easy reach
- DRaise all four side rails whenever the patient is in bed
3.Easy
What is a “just culture” in patient safety?
- AEvery error leads to formal punishment of the person involved
- BErrors are reported openly and systems fixed; reckless acts are still addressed
- COnly doctors report errors, and nurses inform them
- DErrors are never discussed, in order to protect staff morale
4.Medium
A patient is receiving opioids for pain. Which sign usually comes before opioid-induced respiratory depression?
- ARising blood pressure
- BDilated pupils
- CDiarrhea
- DIncreasing sedation
5.Medium
A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?
- AWait to see whether any symptoms develop over the next day
- BContact the local poison advice service now for specific advice
- CGive syrup of ipecac from the medicine cabinet
- DMake the child vomit, using a finger at the back of the throat
6.Medium
Which practice reduces back strain when a nurse moves a patient or heavy object?
- AHold the load at arm’s length to keep it steady
- BBend at the waist and keep both knees straight
- CKeep the load close to the body and avoid twisting
- DStand with the feet close together for balance
7.Hard
A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?
- ATelephone the family to tell them about the fall
- BComplete an incident report while the details are fresh
- CLift the patient back into bed with a colleague
- DAssess the patient for injury before moving them
8.Hard
A patient rescued from a house fire has a headache and confusion, but the pulse oximeter reads 99%. Why might this reading be misleading?
- APulse oximeters always read falsely low after any kind of smoke exposure
- BConfusion and headache make pulse oximetry readings inaccurate in every patient
- CPulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
- DThe reading is accurate, so carbon monoxide poisoning is ruled out
Answer key
- 1. A · Influenza vaccine
- 2. C · Keep the call light (call bell) and personal items within easy reach
- 3. B · Errors are reported openly and systems fixed; reckless acts are still addressed
- 4. D · Increasing sedation
- 5. B · Contact the local poison advice service now for specific advice
- 6. C · Keep the load close to the body and avoid twisting
- 7. D · Assess the patient for injury before moving them
- 8. C · Pulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
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