1.Easy
How should a labeled specimen be sent to the laboratory?
- AIn an open cup placed on the transport trolley
- BLoose in the nurse’s uniform pocket so that it does not get lost on the way
- CIn the same bag as the request form, touching the paper
- DIn a sealed biohazard bag, with the request form in the separate pocket
2.Easy
A patient uses glasses and a hearing aid. How does this affect fall prevention?
- AThey should only be worn during meals and visits, to keep them from breaking
- BThe glasses and hearing aid should be in place and working when the patient is awake
- CThey make no difference to the risk of falling
- DThey should be stored away to prevent them from being lost
3.Easy
Which syringe is used to measure a dose of insulin?
- AA tuberculin syringe marked in mL
- BAn oral syringe marked in mL
- CA 5 mL syringe marked in mL
- DAn insulin syringe marked in units
4.Medium
Before a defibrillator shock is delivered, what must the person operating it do?
- AAsk a colleague to hold the paddles in place
- BHold the patient’s hand to keep them still
- CCall “all clear” and check that nobody is touching the patient or bed
- DKeep the oxygen mask on the patient’s face, held against the chest
5.Medium
A visitor with a cold wants to see a patient who has severe neutropenia. What should the nurse advise?
- AVisit as usual after washing the hands
- BPostpone the visit until the visitor is well
- CVisit but avoid touching the patient’s bed
- DVisit only if the cold started more than a day ago
6.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- ADecline, and give only medications that the nurse prepared or checked personally
- BGive it, because the colleague is experienced
- CGive it, and document that the colleague prepared it
- DGive it, as long as the syringe has a label with the drug name on it
7.Hard
A nurse observes a colleague going from one patient to the next without hand hygiene. What is the best action?
- ARemind the colleague politely at once
- BSay nothing, to avoid conflict within the team
- CWait to see whether the colleague does it next time
- DReport it anonymously to the manager a month later
8.Hard
A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?
- AAgree, but skip the independent medication checks to save energy on the shift
- BExplain that fatigue would make care unsafe and decline the extra shift
- CAgree and drink extra coffee to stay alert
- DAgree without telling anyone about the fatigue
Answer key
- 1. D · In a sealed biohazard bag, with the request form in the separate pocket
- 2. B · The glasses and hearing aid should be in place and working when the patient is awake
- 3. D · An insulin syringe marked in units
- 4. C · Call “all clear” and check that nobody is touching the patient or bed
- 5. B · Postpone the visit until the visitor is well
- 6. A · Decline, and give only medications that the nurse prepared or checked personally
- 7. A · Remind the colleague politely at once
- 8. B · Explain that fatigue would make care unsafe and decline the extra shift
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