1.Easy
Which foods are commonly linked to cross-reactions in people with a latex allergy?
- ARice, potatoes, oats and bread
- BMilk, eggs, wheat and peanuts
- CApples, carrots, lettuce and peas
- DBanana, avocado, kiwi and chestnut
2.Easy
Which precautions are used for a child with impetigo?
- AAirborne precautions
- BA protective environment
- CDroplet precautions
- DContact precautions
3.Easy
Which item is “non-critical” and needs only cleaning and low-level disinfection between patients?
- AA flexible gastroscope
- BA blood pressure cuff
- CA set of surgical forceps
- DA central venous catheter
4.Medium
Before giving a tablet, the patient says, “This pill looks different from my usual one.” What should the nurse do?
- AReassure the patient and give the pill
- BStop and recheck the order and the drug before giving it
- CGive half the pill and watch for any unusual effects
- DTell the patient that all pills look different in hospital
5.Medium
When should the transparent dressing over a peripheral IV site be changed?
- AEvery hour, so the site can be cleaned again
- BOnly when the patient asks for a new dressing
- COnly when the IV catheter is removed, whatever its state
- DWhen it is damp, loose or visibly soiled
6.Medium
Two patients with very similar names are on the same unit. What is the best safety measure?
- AFlag the similar names and check two identifiers every time
- BCall each patient by their first name only
- CUse the room numbers to tell the patients apart
- DTransfer one of the two patients to another hospital
7.Hard
A unit keeps vials of concentrated potassium chloride in the ward stock cupboard. Why do many safety guidelines advise against this?
- AUndiluted concentrate given by mistake can stop the heart
- BPotassium chloride must always be given by mouth
- CPotassium chloride is too expensive to keep as general ward stock
- DPotassium chloride vials expire within a day of opening
8.Hard
A nurse notices that the wrong drug was drawn up, but realizes it before giving it. What should the nurse do?
- ASay nothing, because the patient was not harmed
- BDiscard it, prepare the correct drug and report a near miss
- CReport it only if the same mistake happens again on the unit
- DGive the drug anyway, since it is already drawn up
Answer key
- 1. D · Banana, avocado, kiwi and chestnut
- 2. D · Contact precautions
- 3. B · A blood pressure cuff
- 4. B · Stop and recheck the order and the drug before giving it
- 5. D · When it is damp, loose or visibly soiled
- 6. A · Flag the similar names and check two identifiers every time
- 7. A · Undiluted concentrate given by mistake can stop the heart
- 8. B · Discard it, prepare the correct drug and report a near miss
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