1.Easy
Which signs are typical of a local infection in a wound?
- APallor, coolness and numbness
- BDry, flaky skin with mild itching
- CBluish skin and a weak distal pulse
- DRedness, warmth, swelling and pain
2.Easy
What does the abbreviation MRSA stand for?
- AMultidrug-resistant Streptococcus agalactiae
- BMethicillin-reactive Staphylococcus albus
- CMultiply-resistant Salmonella agent
- DMethicillin-resistant Staphylococcus aureus
3.Easy
In a fall risk tool such as the Morse Fall Scale, what does a higher score mean?
- AA lower risk of pressure injury
- BA higher risk of falling
- CA lower risk of falling
- DBetter mobility
4.Medium
An order uses the abbreviation “MS”. Why is this unsafe?
- AIt is the abbreviation for milliseconds, not a drug
- BIt can mean either morphine sulfate or magnesium sulfate
- CIt means the drug must be given by mouth only
- DIt is reserved for drugs used in multiple sclerosis
5.Medium
How are neuromuscular blocking drugs, such as vecuronium, safely stored?
- AMixed in the same bin as other high-use drugs
- BSeparate from other drugs, with a warning that they cause paralysis
- CIn the general stock cupboard with the other IV drugs and no special labels
- DNext to common IV antibiotics so they are easy to find
6.Medium
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up just before the procedure, because a waiting field may become contaminated
- BSet it up in the morning and leave it uncovered in an empty room
- CSet it up in the morning and cover it with a clean towel until the procedure starts
- DSet it up in the morning and ask a colleague to check it once
7.Hard
A patient receiving chemotherapy has an absolute neutrophil count of 400/mm3 (0.4 × 109/L) and a new temperature of 38.3 °C (100.9 °F). What should the nurse do?
- AGive an antipyretic and reassess at the next routine round
- BReport it at once, because fever with severe neutropenia is an emergency
- CEncourage oral fluids and record the result in the chart
- DRecheck the temperature in four hours before calling anyone about it
8.Hard
A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?
- ATell the patient nothing happened to avoid worry
- BBe honest that an error occurred and involve the provider and team in disclosure per policy
- CBlame the pharmacy for the error so that the nurse and the ward are not at fault
- DTell the patient to make a formal complaint to find out
Answer key
- 1. D · Redness, warmth, swelling and pain
- 2. D · Methicillin-resistant Staphylococcus aureus
- 3. B · A higher risk of falling
- 4. B · It can mean either morphine sulfate or magnesium sulfate
- 5. B · Separate from other drugs, with a warning that they cause paralysis
- 6. A · Set it up just before the procedure, because a waiting field may become contaminated
- 7. B · Report it at once, because fever with severe neutropenia is an emergency
- 8. B · Be honest that an error occurred and involve the provider and team in disclosure per policy
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