1.Easy
Which is one of the body’s first-line, non-specific defenses against infection?
- AMemory T cells
- BAntibiotics in the bloodstream
- CAntibodies made after vaccination
- DIntact skin
2.Easy
What is seclusion?
- AClosing the curtains during personal care
- BMoving a patient to a private room at their request
- CPlacing a patient on contact precautions in a single room with the door closed
- DKeeping a patient alone in a room or area that they are prevented from leaving
3.Easy
Why should a trailing zero (for example “5.0 mg”) not be written in a medication order?
- AIt can change the drug name on the label
- BA missed decimal point turns it into 50 mg
- CIt is only allowed for intravenous drugs
- DIt makes the dose ten times too small if misread
4.Medium
Before inserting a peripheral IV, the nurse cleans the skin with chlorhexidine-alcohol. What should the nurse do next?
- ABlow on the site so it dries faster
- BLet it dry fully and do not touch the site again
- CFeel for the vein again with an ungloved finger
- DWipe it off with a dry gauze straight away
5.Medium
A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?
- AThe pump will always stop any overdose
- BOnly the patient should press it, because this keeps the system safe
- CPressing it while the patient sleeps prevents the pain from getting worse later
- DFamily can press it as long as they count the presses
6.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- AGive it, as long as the syringe has a label with the drug name on it
- BGive it, because the colleague is experienced
- CGive it, and document that the colleague prepared it
- DDecline, and give only medications that the nurse prepared or checked personally
7.Hard
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
- AYes, near misses are reported so system weaknesses can be fixed
- BNo, because the patient was not harmed
- COnly if the same error happens three times
- DNo, because reporting near misses only blames the pharmacy staff for nothing
8.Hard
A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?
- ALeave the device untouched and not tell anyone
- BAsk the patient or the family to explain how the device works
- CDo it anyway, using only the device manual and the instructions on the screen
- DTell the charge nurse and ask for help or a change of assignment
Answer key
- 1. D · Intact skin
- 2. D · Keeping a patient alone in a room or area that they are prevented from leaving
- 3. B · A missed decimal point turns it into 50 mg
- 4. B · Let it dry fully and do not touch the site again
- 5. B · Only the patient should press it, because this keeps the system safe
- 6. D · Decline, and give only medications that the nurse prepared or checked personally
- 7. A · Yes, near misses are reported so system weaknesses can be fixed
- 8. D · Tell the charge nurse and ask for help or a change of assignment
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