1.Easy
What does ESBL stand for in an ESBL-producing organism?
- AEnhanced staphylococcal bacterial load
- BExtended-spectrum beta-lactamase
- CEnteric serum beta-lymphocyte
- DExtended-surface biofilm layer
2.Easy
How often should home smoke alarms be tested?
- AOnly when the battery runs out
- BOnce a month
- COnly after a fire
- DOnce every five years
3.Easy
Which practice makes the use of an ice pack safer?
- AUse it only on areas where the patient has no feeling, so it is not uncomfortable
- BKeep the ice pack on the skin while the patient sleeps overnight
- CPlace a cloth between the pack and the skin and limit the time it is applied
- DPut the ice pack directly on bare skin for several hours
4.Medium
Why are oral liquid medicines given with oral or enteral syringes rather than standard IV syringes?
- AIV syringes cannot measure small volumes of oral liquid accurately
- BThere is no safety reason; it is only tradition
- COral syringes measure intravenous doses more accurately
- DOral syringes do not fit IV lines, preventing wrong-route errors
5.Medium
A nurse finds a used needle in a patient’s bed linen. What should the nurse do?
- AFold it into the linen and send it to the laundry
- BRecap it with two hands before throwing it away
- CPick it up by the hub or with forceps, put it in a sharps container and report it
- DLeave it where it is for the housekeeping staff to remove later in the day
6.Medium
A patient wants to use their own electric hair dryer in the hospital. What is correct?
- AIt can be used straight away if it looks new
- BIt can be plugged into an extension lead under the bed
- CIt is checked for electrical safety according to hospital policy before use
- DIt can be used in the bathroom near the sink if the patient is careful
7.Hard
A patient with severe immunosuppression after a stem cell transplant is in a protective environment. Which item should not be brought into the room?
- AA family photo in a frame that has been wiped clean
- BFresh flowers or potted plants
- CA clean, disinfected tablet computer
- DThe patient’s own clean clothes
8.Hard
A patient in a vest restraint has slid down in bed, and the vest is pressing against the neck. What should the nurse do first?
- ARelease the restraint at once and reposition the patient
- BCall the provider to ask about a different restraint
- CTighten the vest so the patient cannot slide down again
- DWrite a note about the event in the chart
Answer key
- 1. B · Extended-spectrum beta-lactamase
- 2. B · Once a month
- 3. C · Place a cloth between the pack and the skin and limit the time it is applied
- 4. D · Oral syringes do not fit IV lines, preventing wrong-route errors
- 5. C · Pick it up by the hub or with forceps, put it in a sharps container and report it
- 6. C · It is checked for electrical safety according to hospital policy before use
- 7. B · Fresh flowers or potted plants
- 8. A · Release the restraint at once and reposition the patient
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