1.Easy
Which is one of The Joint Commission’s National Patient Safety Goals for hospitals?
- AImprove the accuracy of patient identification
- BIncrease the number of daily blood tests
- CShorten visiting hours on every ward
- DReduce the cost of hospital meals and supplies
2.Easy
Under event-related sterility, how long is a sterile package considered sterile?
- AFor exactly seven days after it was packed
- BForever, even if the outer wrapper gets wet
- CUntil the end of the shift on which it was opened
- DUntil it is opened, torn, wet or otherwise damaged
3.Easy
How should a nurse dispose of a used glass ampoule after drawing up a drug?
- AIn a sharps container
- BIn the glass recycling bin
- CIn a clinical waste bag
- DIn the general waste bin, wrapped in paper
4.Medium
Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?
- AIt can be misread as QID or QOD, so the drug is given too often or too rarely
- BIt is only allowed for intravenous medicines
- CIt means “every day at bedtime” in some hospitals
- DIt is a Latin abbreviation, and only plain English abbreviations may be used
5.Medium
Which nurse should not be assigned to a patient with a sealed radioactive implant?
- AA nurse wearing a dosimeter badge
- BA nurse who has worked on the unit for two years
- CA nurse who is pregnant
- DA nurse trained in radiation safety
6.Medium
Which patient has the highest risk of a burn from a heating pad?
- AA healthy young adult with a strained muscle
- BA patient with diabetic peripheral neuropathy
- CA patient recovering from a cold
- DA patient with a sprained wrist who is fully alert
7.Hard
A competent adult patient with pneumonia wants to leave the hospital against medical advice. What should the nurse do?
- AApply wrist restraints until the provider arrives to speak with the patient
- BExplain the risks, notify the provider and follow the policy for leaving against advice
- CHide the patient’s clothes and belongings so that they cannot leave the ward
- DLock the doors so the patient cannot leave
8.Hard
In US nursing practice, which task should the RN not assign to an LPN/LVN?
- AThe initial admission assessment of a new patient with suspected sepsis
- BReinforcing hand hygiene teaching that the RN has already given
- CA dressing change on a healing surgical wound that has no signs of infection
- DGiving scheduled oral antibiotics to a stable patient
Answer key
- 1. A · Improve the accuracy of patient identification
- 2. D · Until it is opened, torn, wet or otherwise damaged
- 3. A · In a sharps container
- 4. A · It can be misread as QID or QOD, so the drug is given too often or too rarely
- 5. C · A nurse who is pregnant
- 6. B · A patient with diabetic peripheral neuropathy
- 7. B · Explain the risks, notify the provider and follow the policy for leaving against advice
- 8. A · The initial admission assessment of a new patient with suspected sepsis
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