1.Easy
What is an opportunistic infection?
- AAn infection that always clears without treatment
- BAn infection caught while traveling abroad
- CAn infection that only occurs after surgery or another invasive procedure
- DAn infection that takes advantage of a weakened immune system
2.Easy
A patient has measles. Which transmission-based precautions are needed?
- AAirborne precautions
- BContact precautions only
- CStandard precautions only
- DDroplet precautions only
3.Easy
How should a dose of half a milligram be written?
- A0.5 mg
- B0.50 mg
- C1/2mg
- D.5 mg
4.Medium
Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?
- AIt is only allowed for intravenous medicines
- BIt can be misread as QID or QOD, so the drug is given too often or too rarely
- CIt is a Latin abbreviation, and only plain English abbreviations may be used
- DIt means “every day at bedtime” in some hospitals
5.Medium
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- ALabel it with the most likely drug name
- BAsk nearby staff and use it if someone recognizes it
- CDiscard it, because its contents cannot be confirmed
- DGive it to the patient whose medication is due
6.Medium
Before a blood transfusion is started, which check is required?
- AThe nurse checks only that the bag number matches the order
- BThe patient’s identity is checked against the blood product and its paperwork at the bedside
- COne nurse checks the blood product against the order at the nurses’ station
- DThe patient signs the blood bag label to confirm their name before it is hung
7.Hard
A handwritten order reads “10U regular insulin subcut now”. What is the nurse’s best action?
- AAsk a nursing assistant to interpret the handwriting
- BGive 10 units without question, as written
- CGive 100 units, as the order seems to say
- DClarify the order, because “U” can be misread
8.Hard
A patient with a common cold asks for antibiotics “to be on the safe side”. Which response is best?
- AExplain that antibiotics do not work on viruses and overuse breeds resistant bacteria
- BTell the patient that antibiotics will shorten the cold by several days
- CSuggest using leftover antibiotics from a previous illness
- DAsk the provider to prescribe antibiotics anyway so that the patient is reassured
Answer key
- 1. D · An infection that takes advantage of a weakened immune system
- 2. A · Airborne precautions
- 3. A · 0.5 mg
- 4. B · It can be misread as QID or QOD, so the drug is given too often or too rarely
- 5. C · Discard it, because its contents cannot be confirmed
- 6. B · The patient’s identity is checked against the blood product and its paperwork at the bedside
- 7. D · Clarify the order, because “U” can be misread
- 8. A · Explain that antibiotics do not work on viruses and overuse breeds resistant bacteria
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