1.Easy
Before a nurse wears an N95 respirator, what is required?
- ANothing, because one size fits every face
- BWashing it with soap before first use
- CA fit test, plus a seal check at each use
- DWearing a surgical mask underneath it
2.Easy
In the United States, what is a “boxed warning” (black box warning) on a drug label?
- AA label for drugs that are safe in children
- BThe strongest FDA warning, about a serious or life-threatening risk
- CA note that the drug must be kept in a locked box on the ward
- DA sign that the drug is no longer sold
3.Easy
Which item is “non-critical” and needs only cleaning and low-level disinfection between patients?
- AA central venous catheter
- BA blood pressure cuff
- CA flexible gastroscope
- DA set of surgical forceps
4.Medium
Which practice makes shift handoff safer?
- ALeaving written notes only, without a chance for questions
- BGiving handoff from memory without any structure
- CUsing a standard format such as SBAR or I-PASS, with time for questions
- DGiving handoff in a busy corridor so that the outgoing nurse can leave on time
5.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- ADecline, and give only medications that the nurse prepared or checked personally
- BGive it, as long as the syringe has a label with the drug name on it
- CGive it, and document that the colleague prepared it
- DGive it, because the colleague is experienced
6.Medium
A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?
- APressing it while the patient sleeps prevents the pain from getting worse later
- BThe pump will always stop any overdose
- COnly the patient should press it, because this keeps the system safe
- DFamily can press it as long as they count the presses
7.Hard
A woman in late pregnancy is choking and cannot speak or cough. Which technique should the rescuer use?
- AChest thrusts
- BBack blows only
- CAbdominal thrusts
- DBlind finger sweeps
8.Hard
A nurse working with a patient on contact precautions realizes the gown has a tear at the sleeve. What should the nurse do?
- ACover the tear with a strip of tape and carry on
- BMove away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
- CPut a second gown on top of the torn one
- DContinue working, since the tear is small and only on the sleeve
Answer key
- 1. C · A fit test, plus a seal check at each use
- 2. B · The strongest FDA warning, about a serious or life-threatening risk
- 3. B · A blood pressure cuff
- 4. C · Using a standard format such as SBAR or I-PASS, with time for questions
- 5. A · Decline, and give only medications that the nurse prepared or checked personally
- 6. C · Only the patient should press it, because this keeps the system safe
- 7. A · Chest thrusts
- 8. B · Move away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
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