1.Easy
When should the side rails of a young child’s hospital crib be fully raised?
- AOnly if the child has fallen before
- BOnly at night while the child sleeps
- CWhenever the child is in the crib and the nurse steps away
- DOnly when a parent asks for them to be raised before leaving the room
2.Easy
In START triage, which casualties are tagged green (minor)?
- AThose who are not breathing after the airway is opened
- BThose who cannot follow simple commands
- CThose who can walk to a designated area on their own
- DThose who are breathing more than 30 times a minute
3.Easy
What is medication reconciliation?
- ACounting the controlled drugs with a colleague at the end of each shift
- BComparing current medicines with new orders at each transfer
- CReturning unused medicines to the pharmacy at discharge
- DChecking expiry dates of the ward stock each month
4.Medium
A patient has shingles (herpes zoster) on one area of the chest, has a normal immune system and the lesions can be fully covered. Which precautions are usually needed?
- AAirborne precautions in a negative-pressure room
- BProtective environment with positive pressure
- CStandard precautions, with the lesions covered
- DDroplet precautions only
5.Medium
Which glove-removal technique is correct?
- AWash the gloved hands and reuse the gloves for the next task
- BPull both gloves off at the same time by the fingertips
- CRemove the second glove by pinching its outside with the bare hand, then wash
- DPeel the first off by its outside, then slide a bare finger under the second cuff
6.Medium
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AWear gloves all day instead of cleaning the hands between patients
- BUse the hand lotion approved by the facility to keep the skin intact
- CStop hand hygiene until the skin heals
- DUse any lotion from home, whatever its contents
7.Hard
A child with fever, cough, red eyes and a spreading rash is in a clinic waiting room. Measles is suspected. What should the nurse do first?
- AAsk the family to wait in the main waiting room until the child is called in
- BGive the child an antipyretic and continue triage
- CPut a mask on the child and move them into an airborne isolation room
- DSend the child home to rest without an assessment
8.Hard
A patient restrained because of violent behavior is now calm, oriented and following instructions. What should the nurse do?
- AKeep the restraints until the order expires
- BKeep the restraints until the next provider visit
- CRemove the restraints, because the reason for them has ended
- DRemove one restraint each day to test the patient’s behavior
Answer key
- 1. C · Whenever the child is in the crib and the nurse steps away
- 2. C · Those who can walk to a designated area on their own
- 3. B · Comparing current medicines with new orders at each transfer
- 4. C · Standard precautions, with the lesions covered
- 5. D · Peel the first off by its outside, then slide a bare finger under the second cuff
- 6. B · Use the hand lotion approved by the facility to keep the skin intact
- 7. C · Put a mask on the child and move them into an airborne isolation room
- 8. C · Remove the restraints, because the reason for them has ended
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