1.Easy
How should a nurse dispose of a used glass ampoule after drawing up a drug?
- AIn the general waste bin, wrapped in paper
- BIn a clinical waste bag
- CIn the glass recycling bin
- DIn a sharps container
2.Easy
In the CDC sequence that removes each item separately, which piece of PPE is taken off first?
- AGloves
- BGown
- CMask or respirator
- DGoggles or face shield
3.Easy
An adult’s platelet count is 40,000/mm3 (40 × 109/L). What does this mean?
- AA low count that only matters during surgery
- BA raised platelet count with a risk of clots
- CA normal platelet count for an adult
- DThrombocytopenia with a raised risk of bleeding
4.Medium
During a norovirus outbreak on a ward, which hand hygiene method should staff use after patient care?
- AWashing with soap and water
- BWiping hands on a paper towel only
- CAlcohol hand rub only
- DNo hand hygiene if gloves were worn
5.Medium
A peripheral IV site is red, warm and tender along the vein. What should the nurse do?
- AIncrease the infusion rate to finish the bag sooner
- BRemove the catheter and insert a new one at another site if still needed
- CFlush the catheter harder to clear the vein and keep using the same site
- DApply a warm pack and keep using the same site
6.Medium
A patient has severe neutropenia after chemotherapy. Which route for measuring temperature should be avoided?
- ATympanic
- BTemporal artery
- COral
- DRectal
7.Hard
Why can a patient with severe neutropenia have a serious infection but little redness, swelling or pus?
- AChemotherapy kills the bacteria before they can multiply
- BThere are too few neutrophils to produce the usual inflammatory signs
- CNeutropenia makes infections stay limited to the skin
- DAntibiotics given with chemotherapy hide all signs of infection
8.Hard
A patient takes medicines prescribed by several providers. Which advice best reduces the risk of medication errors at home?
- AOnly tell each provider about the drugs they prescribed
- BKeep one up-to-date list of all medicines and use one pharmacy where possible
- CKeep each provider’s medicines in separate bags
- DStop taking any medicine that seems to repeat another one, without asking anyone
Answer key
- 1. D · In a sharps container
- 2. A · Gloves
- 3. D · Thrombocytopenia with a raised risk of bleeding
- 4. A · Washing with soap and water
- 5. B · Remove the catheter and insert a new one at another site if still needed
- 6. D · Rectal
- 7. B · There are too few neutrophils to produce the usual inflammatory signs
- 8. B · Keep one up-to-date list of all medicines and use one pharmacy where possible
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