1.Easy
Under event-related sterility, how long is a sterile package considered sterile?
- AFor exactly seven days after it was packed
- BUntil the end of the shift on which it was opened
- CForever, even if the outer wrapper gets wet
- DUntil it is opened, torn, wet or otherwise damaged
2.Easy
Why should “U” not be written for “units” on a prescription?
- AIt can be misread as 0 or 4, causing an overdose
- BIt is usually read as “micrograms” by pharmacists
- CIt takes too long to write clearly by hand
- DPharmacists do not recognize the abbreviation
3.Easy
Which of these counts as a physical restraint?
- APlacing the bed in its lowest position
- BRaising all four side rails to stop a patient from getting out of bed
- CUsing a gait belt while helping a patient walk in the corridor
- DUsing a bed exit alarm for a patient at high risk of falling at night
4.Medium
Two patients infected with the same organism are admitted, and no single room is available. What is an accepted option?
- AStopping contact precautions
- BPlacing them in the corridor
- CCohorting them in the same room, according to infection control advice
- DPlacing each with a patient who has a weakened immune system
5.Medium
A family member will visit a patient on contact precautions. What should the nurse do?
- ATell them precautions only apply to staff
- BAsk them to wear an N95 respirator only, with no gown or gloves
- CTell them visits are not allowed at all
- DShow them how to use the gown and gloves and how to clean their hands
6.Medium
A patient has leftover opioid tablets after surgery. Which advice about disposal is best?
- AKeep them in an unlocked drawer at home in case of future pain
- BReturn them to a pharmacy or an approved take-back site
- CLeave them in the bathroom cabinet indefinitely
- DGive them to a friend or relative who has back pain
7.Hard
A patient weighs 180 kg and needs to be moved from bed to chair. The standard ceiling lift on the unit has a lower weight limit. What should the nurse do?
- AHave two staff lift the patient by hand
- BUse bariatric-rated equipment and enough trained staff
- CUse the standard lift, because limits include a safety margin
- DAsk the patient to stand and pivot without help
8.Hard
A patient asks for a pain tablet. The record shows none has been given, but the patient says, “The other nurse gave me one earlier.” What should the nurse do?
- ATell the patient they must be confused
- BCheck with the other nurse and the records before giving another dose
- CGive half a tablet now, to be safe, and the other half later if needed
- DGive the tablet, because the record shows none was given
Answer key
- 1. D · Until it is opened, torn, wet or otherwise damaged
- 2. A · It can be misread as 0 or 4, causing an overdose
- 3. B · Raising all four side rails to stop a patient from getting out of bed
- 4. C · Cohorting them in the same room, according to infection control advice
- 5. D · Show them how to use the gown and gloves and how to clean their hands
- 6. B · Return them to a pharmacy or an approved take-back site
- 7. B · Use bariatric-rated equipment and enough trained staff
- 8. B · Check with the other nurse and the records before giving another dose
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