1.Easy
When should a sharps container be replaced?
- AOnce a month, regardless of how full it is
- BOnly when sharps begin to stick out of the opening at the top
- CWhen it reaches the fill line, about three-quarters full
- DOnly when it is completely full to the top
2.Easy
What is a “near miss”?
- AA complaint made by a patient or relative
- BAn error that was caught before it reached the patient
- CA correct action that was delayed for a short time
- DAn error that reached the patient and caused serious harm
3.Easy
Which factor is one of the strongest predictors that a patient will fall?
- AHaving a private room
- BWearing glasses for reading
- CBeing female
- DA previous fall
4.Medium
An order reads “Give potassium chloride by IV push.” What should the nurse do?
- AGive it slowly by IV push over two minutes while watching the cardiac monitor
- BGive half by IV push and the rest later
- CNot give it, and contact the prescriber, because it is never given by IV push
- DDilute it in a small syringe and push it
5.Medium
A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?
- AThe pump will always stop any overdose
- BFamily can press it as long as they count the presses
- COnly the patient should press it, because this keeps the system safe
- DPressing it while the patient sleeps prevents the pain from getting worse later
6.Medium
How should a portable oxygen cylinder be kept in a patient’s room?
- APlaced next to a heater to keep it warm
- BLaid on the bed next to the patient
- CSecured upright in a stand or holder
- DLying loose on the floor beside the bed
7.Hard
A patient rescued from a house fire has a headache and confusion, but the pulse oximeter reads 99%. Why might this reading be misleading?
- AConfusion and headache make pulse oximetry readings inaccurate in every patient
- BPulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
- CPulse oximeters always read falsely low after any kind of smoke exposure
- DThe reading is accurate, so carbon monoxide poisoning is ruled out
8.Hard
In a mass-casualty incident with limited resources, why may a critically injured patient with little chance of survival receive care after others?
- APatients are treated in the order they arrive
- BThe most severely injured are never given comfort care
- CResources go first to those most likely to survive with treatment
- DCritical patients are always treated last in every situation, even outside disasters
Answer key
- 1. C · When it reaches the fill line, about three-quarters full
- 2. B · An error that was caught before it reached the patient
- 3. D · A previous fall
- 4. C · Not give it, and contact the prescriber, because it is never given by IV push
- 5. C · Only the patient should press it, because this keeps the system safe
- 6. C · Secured upright in a stand or holder
- 7. B · Pulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
- 8. C · Resources go first to those most likely to survive with treatment
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