1.Easy
Where should the straps of a limb restraint be secured?
- ATo the side rail, using a secure double knot
- BTo the bed frame, with a quick-release knot
- CTo the bedside table, so it can be moved
- DTo the mattress handles, using a firm square knot
2.Easy
Why should a trailing zero (for example “5.0 mg”) not be written in a medication order?
- AA missed decimal point turns it into 50 mg
- BIt makes the dose ten times too small if misread
- CIt is only allowed for intravenous drugs
- DIt can change the drug name on the label
3.Easy
What is an adverse event in patient safety?
- AA complaint from a patient about the hospital food
- BA side effect that is listed and explained before treatment
- CHarm to a patient caused by health care, not by the illness
- DAn error that is noticed before it reaches the patient
4.Medium
A portable x-ray is taken at the bedside. Which action protects the nurse?
- ALook directly at the x-ray tube during the exposure to check its position
- BStand next to the patient and hold the film without protection
- CStep away from the patient or wear a lead apron during the exposure
- DStay close to the patient to keep them still without protection
5.Medium
Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?
- AGiving antibiotics to every patient before insertion
- BRoutine replacement of the catheter on a fixed schedule, such as every three days
- CChoosing the femoral vein as the first site in adults
- DChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
6.Medium
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up just before the procedure, because a waiting field may become contaminated
- BSet it up in the morning and ask a colleague to check it once
- CSet it up in the morning and leave it uncovered in an empty room
- DSet it up in the morning and cover it with a clean towel until the procedure starts
7.Hard
A nurse has given a medication to the wrong patient. The patient seems well. What is the first priority?
- AAssess the patient and monitor for effects of the drug
- BWait until the end of the shift to tell anyone
- CComplete the incident report before anything else
- DSay nothing to the patient, in order to avoid worrying them
8.Hard
A nurse finds that a patient has been taking their own sleeping pills from a bedside drawer while also receiving a hypnotic from the ward. What should the nurse do?
- ALet the patient keep them, since they are the patient’s own
- BStop giving the hospital hypnotic without telling the provider or the pharmacy
- CThrow the patient’s pills away in the bin
- DSecure the home medication per policy and inform the provider
Answer key
- 1. B · To the bed frame, with a quick-release knot
- 2. A · A missed decimal point turns it into 50 mg
- 3. C · Harm to a patient caused by health care, not by the illness
- 4. C · Step away from the patient or wear a lead apron during the exposure
- 5. D · Chlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
- 6. A · Set it up just before the procedure, because a waiting field may become contaminated
- 7. A · Assess the patient and monitor for effects of the drug
- 8. D · Secure the home medication per policy and inform the provider
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