1.Easy
Which three principles reduce staff exposure to radiation?
- AHand hygiene, masks and ventilation
- BGloves, gowns and goggles
- CSpeed, height and color
- DTime, distance and shielding
2.Easy
A nurse notices a frayed electrical cord on an infusion pump. What should the nurse do?
- AWrap the cord in electrical tape and continue using it
- BTake the pump out of use, label it as faulty and report it
- CKeep using it carefully until the end of the shift, then report it
- DAsk the patient not to touch the cord
3.Easy
To prevent scald burns at home, what is a commonly recommended maximum temperature for hot water coming out of the tap?
- A66 °C (150 °F)
- B71 °C (160 °F)
- C60 °C (140 °F)
- D49 °C (120 °F)
4.Medium
Before giving a tablet, the patient says, “This pill looks different from my usual one.” What should the nurse do?
- AGive half the pill and watch for any unusual effects
- BStop and recheck the order and the drug before giving it
- CTell the patient that all pills look different in hospital
- DReassure the patient and give the pill
5.Medium
When should blood specimen tubes be labeled?
- AAt the nurses’ station before going to the patient, to save time
- BBy the laboratory staff after the tubes arrive
- CAt the bedside, in front of the patient, right after collection
- DBack at the station after all the samples are collected
6.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
7.Hard
A nurse who is not immune to chickenpox was exposed to a patient with varicella before precautions began. What usually happens?
- AThe nurse only needs to wear gloves for the next month
- BThe nurse must take a two-week course of antibiotics to prevent the infection
- CThe nurse continues working with all patients as usual, including newborns
- DThe nurse is assessed and kept from patient contact during the incubation period per policy
8.Hard
A small-bore feeding tube has just been inserted blindly at the bedside. Which method is the most reliable way to confirm its position before the first feeding?
- ABy listening over the stomach while injecting air
- BBy putting the end in water to look for bubbles
- CBy checking that the patient can still talk
- DBy an x-ray reviewed by a competent clinician
Answer key
- 1. D · Time, distance and shielding
- 2. B · Take the pump out of use, label it as faulty and report it
- 3. D · 49 °C (120 °F)
- 4. B · Stop and recheck the order and the drug before giving it
- 5. C · At the bedside, in front of the patient, right after collection
- 6. A · Lock the brakes and place it close to the bed on the patient’s stronger side
- 7. D · The nurse is assessed and kept from patient contact during the incubation period per policy
- 8. D · By an x-ray reviewed by a competent clinician
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