1.Easy
What is seclusion?
- AClosing the curtains during personal care
- BKeeping a patient alone in a room or area that they are prevented from leaving
- CMoving a patient to a private room at their request
- DPlacing a patient on contact precautions in a single room with the door closed
2.Easy
In the United States, what is a “boxed warning” (black box warning) on a drug label?
- AA note that the drug must be kept in a locked box on the ward
- BA sign that the drug is no longer sold
- CThe strongest FDA warning, about a serious or life-threatening risk
- DA label for drugs that are safe in children
3.Easy
What is a superinfection?
- AAn infection that no antibiotic can treat
- BA new infection that grows when antibiotics upset the normal flora
- CAn infection of a surgical wound that has opened
- DAn infection that spreads to more than one organ at the same time
4.Medium
A family member will visit a patient on contact precautions. What should the nurse do?
- ATell them visits are not allowed at all
- BAsk them to wear an N95 respirator only, with no gown or gloves
- CTell them precautions only apply to staff
- DShow them how to use the gown and gloves and how to clean their hands
5.Medium
Which equipment practice is correct for a patient on contact precautions?
- AUsing equipment from the clean utility room and putting it back unchanged
- BUsing the same stethoscope for all patients without cleaning
- CTaking the patient’s equipment to the next room
- DUsing a dedicated stethoscope and blood pressure cuff for that patient
6.Medium
Which statement about the use of physical restraints is correct?
- ARestraints can be used whenever the unit is short of nursing staff
- BAlternatives come first, and a time-limited order is needed
- CStanding as-needed restraint orders are good practice
- DRestraints are checked once at the end of each shift
7.Hard
A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?
- AState the concern clearly a second time and, if still unresolved, use the chain of command
- BRefuse to care for the patient for the rest of the shift until the prescriber apologizes
- CCarry out the order as written, because the prescriber has heard the concern
- DDiscuss the concern with the patient and let them decide
8.Hard
An 80-year-old patient took a sleeping tablet an hour ago and now wants to go to the bathroom. What should the nurse do?
- AWalk with the patient to the bathroom and stay close by
- BTell the patient to go alone and use the call light if needed
- CTell the patient to wait until the morning
- DRaise all four side rails so the patient stays in bed
Answer key
- 1. B · Keeping a patient alone in a room or area that they are prevented from leaving
- 2. C · The strongest FDA warning, about a serious or life-threatening risk
- 3. B · A new infection that grows when antibiotics upset the normal flora
- 4. D · Show them how to use the gown and gloves and how to clean their hands
- 5. D · Using a dedicated stethoscope and blood pressure cuff for that patient
- 6. B · Alternatives come first, and a time-limited order is needed
- 7. A · State the concern clearly a second time and, if still unresolved, use the chain of command
- 8. A · Walk with the patient to the bathroom and stay close by
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