1.Easy
Which type of knot is used to secure the straps of a restraint?
- AA square knot
- BA knot tied on the patient’s wrist
- CA quick-release knot
- DA tight double knot
2.Easy
Which safety advice should be given to parents of a child who rides a bicycle?
- AA helmet is only needed for adults
- BWear a helmet only on busy roads with traffic
- CWear a helmet only for long rides
- DWear a properly fitted helmet on every ride
3.Easy
A nurse notices that a medication is past its expiry date. What should the nurse do?
- AGive a double dose to make up for lost strength
- BGive it, if it is less than one month expired
- CNot give it, and return it according to policy
- DGive it, because medicines work for years after expiry
4.Medium
A patient with delirium is at risk of falls and of pulling out lines. Which option is less restrictive than restraints?
- AA sedative given every few hours as needed
- BA vest restraint applied for the whole night
- CFour side rails raised and the door closed so the patient stays in bed
- DA trained sitter or video monitoring with staff nearby
5.Medium
When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?
- AWhenever the pharmacist is slow to review new orders and the patient is waiting
- BOnly in an urgent situation where delay would harm the patient, per policy
- CAt the start of each shift to save time later
- DWhenever the nurse is sure of the dose
6.Medium
A patient is admitted to an inpatient mental health unit. Why are personal belongings checked?
- ATo remove items that could be used to harm self or others
- BTo find out what the patient likes to wear during the hospital stay
- CTo make a list of valuable items for insurance
- DTo decide which family members may visit
7.Hard
A newly hired nurse has these hepatitis B results: HBsAg negative, anti-HBs positive, anti-HBc negative. What do they show?
- APast infection that has now cleared
- BImmunity from hepatitis B vaccination
- CNo immunity, so the vaccine is needed
- DA current hepatitis B infection
8.Hard
A nurse has just started a unit of red blood cells when a colleague asks for urgent help with another patient. What is the best action?
- ASpeed up the transfusion so it finishes sooner
- BPause the transfusion until the nurse is free again
- CLeave to help the other patient, and check the transfusion again in about an hour
- DStay with the transfusing patient for the first 15 minutes and ask another nurse to help
Answer key
- 1. C · A quick-release knot
- 2. D · Wear a properly fitted helmet on every ride
- 3. C · Not give it, and return it according to policy
- 4. D · A trained sitter or video monitoring with staff nearby
- 5. B · Only in an urgent situation where delay would harm the patient, per policy
- 6. A · To remove items that could be used to harm self or others
- 7. B · Immunity from hepatitis B vaccination
- 8. D · Stay with the transfusing patient for the first 15 minutes and ask another nurse to help
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