1.Easy
A nurse notices that a medication is past its expiry date. What should the nurse do?
- AGive it, if it is less than one month expired
- BGive it, because medicines work for years after expiry
- CGive a double dose to make up for lost strength
- DNot give it, and return it according to policy
2.Easy
Which single measure is the most important for preventing the spread of infection in healthcare?
- AKeeping windows closed
- BPrescribing antibiotics to all patients
- CWearing a mask at all times
- DHand hygiene
3.Easy
What is medication reconciliation?
- ACounting the controlled drugs with a colleague at the end of each shift
- BReturning unused medicines to the pharmacy at discharge
- CComparing current medicines with new orders at each transfer
- DChecking expiry dates of the ward stock each month
4.Medium
During a surgical hand scrub, how are the hands held?
- ABelow the elbows, so water runs off the fingertips into the sink
- BAt the level of the waist, close to the body
- CAbove the elbows, so water runs from the fingertips toward the elbows
- DPointing downward into the sink at all times
5.Medium
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up in the morning and ask a colleague to check it once
- BSet it up just before the procedure, because a waiting field may become contaminated
- CSet it up in the morning and cover it with a clean towel until the procedure starts
- DSet it up in the morning and leave it uncovered in an empty room
6.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 IV catheter is removed, whatever its state
- COnly when the patient asks for a new dressing
- DWhen it is damp, loose or visibly soiled
7.Hard
While preparing an IV medication, a nurse sees that the syringe tip touched the medication tray after the cap came off. What should the nurse do?
- ADiscard the syringe and prepare the dose again with new equipment
- BGive the dose anyway, because the medication tray was cleaned this morning
- CBlow on the tip to remove any dust
- DWipe the tip with an alcohol swab and give the dose
8.Hard
A nurse finds that a patient has been taking their own sleeping pills from a bedside drawer while also receiving a hypnotic from the ward. What should the nurse do?
- AThrow the patient’s pills away in the bin
- BLet the patient keep them, since they are the patient’s own
- CStop giving the hospital hypnotic without telling the provider or the pharmacy
- DSecure the home medication per policy and inform the provider
Answer key
- 1. D · Not give it, and return it according to policy
- 2. D · Hand hygiene
- 3. C · Comparing current medicines with new orders at each transfer
- 4. C · Above the elbows, so water runs from the fingertips toward the elbows
- 5. B · Set it up just before the procedure, because a waiting field may become contaminated
- 6. D · When it is damp, loose or visibly soiled
- 7. A · Discard the syringe and prepare the dose again with new equipment
- 8. D · Secure the home medication per policy and inform the provider
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