1.Easy
Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?
- AIt can be misread as “IV” or as the number 10
- BIt means “inpatient use” in many hospitals
- CIt refers only to insulin units
- DIt is only allowed in pediatric orders
2.Easy
In quality improvement, what does the PDSA cycle stand for?
- APlan, Do, Study, Act
- BPredict, Decide, Start, Analyze
- CPrepare, Deliver, Score, Assess
- DPlan, Document, Supervise, Audit
3.Easy
Which factor is one of the strongest predictors that a patient will fall?
- AHaving a private room
- BBeing female
- CA previous fall
- DWearing glasses for reading
4.Medium
When opening a sterile pack on a table, which flap is opened first?
- AThe flap closest to the nurse
- BWhichever side flap is easiest to reach
- CAll flaps at once
- DThe flap furthest away from the nurse
5.Medium
Why are some patients screened with a nasal swab for MRSA on admission?
- ATo check whether the patient is allergic to penicillin before surgery
- BTo find carriers so precautions or decolonization can be used
- CTo measure the patient’s immunity to MRSA
- DTo diagnose a sinus infection
6.Medium
Which household item is a strangulation risk for young children?
- AA plastic picture book
- BSoft cotton socks
- CLooped cords on window blinds
- DA large wooden building block
7.Hard
A patient asks for a pain tablet. The record shows none has been given, but the patient says, “The other nurse gave me one earlier.” What should the nurse do?
- ACheck with the other nurse and the records before giving another dose
- BGive half a tablet now, to be safe, and the other half later if needed
- CTell the patient they must be confused
- DGive the tablet, because the record shows none was given
8.Hard
A handwritten order reads “10U regular insulin subcut now”. What is the nurse’s best action?
- AGive 10 units without question, as written
- BAsk a nursing assistant to interpret the handwriting
- CGive 100 units, as the order seems to say
- DClarify the order, because “U” can be misread
Answer key
- 1. A · It can be misread as “IV” or as the number 10
- 2. A · Plan, Do, Study, Act
- 3. C · A previous fall
- 4. D · The flap furthest away from the nurse
- 5. B · To find carriers so precautions or decolonization can be used
- 6. C · Looped cords on window blinds
- 7. A · Check with the other nurse and the records before giving another dose
- 8. D · Clarify the order, because “U” can be misread
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