1.Easy
Which precautions are used for a child with impetigo?
- AA protective environment
- BContact precautions
- CAirborne precautions
- DDroplet precautions
2.Easy
According to the ISMP (US) list of error-prone abbreviations, how should the route “subcutaneous” be written in a medication order?
- AAs “SC”
- BAs “subcut” or “subcutaneously”
- CAs “SQ”
- DAs “sub-Q” with a plus sign
3.Easy
Which factor is one of the strongest predictors that a patient will fall?
- AWearing glasses for reading
- BHaving a private room
- CBeing female
- DA previous fall
4.Medium
A patient has a weak left leg. Which instruction about using a cane is correct?
- AHold the cane in the left hand, on the weaker side
- BMove the cane and the right leg forward together
- CHold the cane in the right hand, on the stronger side
- DKeep the cane well out to the side, away from the body
5.Medium
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR should be given as soon as possible in the first trimester to protect the baby
- BMMR is safe at any stage of pregnancy
- CMMR is only given to pregnant women who work in hospitals
- DMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
6.Medium
A patient has severe neutropenia after chemotherapy. Which route for measuring temperature should be avoided?
- AOral
- BTemporal artery
- CRectal
- DTympanic
7.Hard
A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?
- AAcceptable behavior, because it is common on the unit
- BAt-risk behavior, managed by coaching and fixing the system pressures behind it
- CReckless behavior, managed by immediate dismissal and reporting to the licensing board
- DSimple human error, managed only by consoling the nurse and moving on
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
- BGive half a tablet now, to be safe, and the other half later if needed
- CCheck with the other nurse and the records before giving another dose
- DGive the tablet, because the record shows none was given
Answer key
- 1. B · Contact precautions
- 2. B · As “subcut” or “subcutaneously”
- 3. D · A previous fall
- 4. C · Hold the cane in the right hand, on the stronger side
- 5. D · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 6. C · Rectal
- 7. B · At-risk behavior, managed by coaching and fixing the system pressures behind it
- 8. C · Check with the other nurse and the records before giving another dose
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