1.Easy
Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?
- AIt means “inpatient use” in many hospitals
- BIt is only allowed in pediatric orders
- CIt refers only to insulin units
- DIt can be misread as “IV” or as the number 10
2.Easy
Which finding suggests a systemic infection rather than only a local one?
- AMild swelling at an injection site
- BSlight tenderness around an IV site
- CRedness around a small cut
- DFever with a raised heart rate
3.Easy
To which patients do standard precautions apply?
- AOnly to patients with a known infection
- BTo all patients, whatever their diagnosis
- COnly to patients having surgery
- DOnly to patients in isolation rooms
4.Medium
Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?
- AIt is a Latin abbreviation, and only plain English abbreviations may be used
- BIt can be misread as QID or QOD, so the drug is given too often or too rarely
- CIt is only allowed for intravenous medicines
- DIt means “every day at bedtime” in some hospitals
5.Medium
A patient has botulism after eating contaminated food. Which precautions are needed?
- AAirborne precautions
- BDroplet precautions
- CContact precautions
- DStandard precautions
6.Medium
A nurse is preparing medications for two patients. What is the safest approach?
- APrepare and give medications for one patient at a time
- BPrepare both patients’ medications together to save time
- CAsk one patient to pass the medications to the other
- DPut both patients’ medications in one cup and sort them at the bedside
7.Hard
A nurse teaches a patient with neutropenia about preventing infection at home. Which statement shows a need for further teaching?
- A“I can clean the cat’s litter box if I wear a face mask.”
- B“I will wash my hands often and ask visitors to do the same.”
- C“I will avoid crowds and people who have colds.”
- D“I will check my temperature and call if I have a fever.”
8.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
- CDiscuss the concern with the patient and let them decide
- DCarry out the order as written, because the prescriber has heard the concern
Answer key
- 1. D · It can be misread as “IV” or as the number 10
- 2. D · Fever with a raised heart rate
- 3. B · To all patients, whatever their diagnosis
- 4. B · It can be misread as QID or QOD, so the drug is given too often or too rarely
- 5. D · Standard precautions
- 6. A · Prepare and give medications for one patient at a time
- 7. A · “I can clean the cat’s litter box if I wear a face mask.”
- 8. A · State the concern clearly a second time and, if still unresolved, use the chain of command
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