1.Easy
What is a “near miss”?
- AAn error that was caught before it reached the patient
- BA complaint made by a patient or relative
- CA correct action that was delayed for a short time
- DAn error that reached the patient and caused serious harm
2.Easy
After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?
- AWith a clean, dry paper towel
- BThe tap is left running for the next person
- CWith the bare forearm before drying
- DWith the freshly washed hands
3.Easy
Which item belongs in a sharps container?
- AA soiled gauze dressing
- BA pair of used gloves
- CAn empty IV bag with the tubing removed
- DA used scalpel blade
4.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 water
- D5% dextrose in 0.45% sodium chloride
5.Medium
Before helping a patient from bed into a wheelchair, what should the nurse do with the wheelchair?
- ALock the brakes and place it close to the bed on the patient’s stronger side
- BLeave the brakes off so the chair can move along with the patient during the pivot
- CPlace it at the foot of the bed, facing away
- DPlace it on the patient’s weaker side so that side is supported
6.Medium
The laboratory calls with a critical lab result by phone. What should the nurse do?
- AWrite it down, read it back to confirm and report it to the provider promptly
- BTell the patient the result first and then call the provider
- CWait for the printed report to arrive before telling the provider about it
- DRemember the value and enter it in the chart at the end of the shift
7.Hard
During flu season, a nurse wakes up with fever, cough and muscle aches. What is the best action?
- AGo to work but avoid caring for patients who have weak immune systems
- BStay home and inform the employer according to the illness policy
- CGo to work but wear a surgical mask for the whole shift
- DTake an antipyretic so the fever does not show at work
8.Hard
Several patients on a ward develop vomiting and diarrhea within two days, and a norovirus outbreak is suspected. What should the nurse do first?
- AMove the affected patients to different wards so that fewer people are exposed
- BNotify the infection prevention team and place affected patients on contact precautions
- CWait for all the stool results to come back before taking any action
- DAsk visitors to bring in bottled water for all patients
Answer key
- 1. A · An error that was caught before it reached the patient
- 2. A · With a clean, dry paper towel
- 3. D · A used scalpel blade
- 4. A · 0.9% sodium chloride
- 5. A · Lock the brakes and place it close to the bed on the patient’s stronger side
- 6. A · Write it down, read it back to confirm and report it to the provider promptly
- 7. B · Stay home and inform the employer according to the illness policy
- 8. B · Notify the infection prevention team and place affected patients on contact precautions
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