1.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 normal platelet count for an adult
- CThrombocytopenia with a raised risk of bleeding
- DA raised platelet count with a risk of clots
2.Easy
A patient is transferred with carbapenem-resistant Enterobacterales (CRE). Which precautions are used in the hospital?
- AA protective environment
- BAirborne precautions
- CContact precautions
- DDroplet precautions
3.Easy
How should waste contaminated with chemotherapy drugs be discarded?
- AIn a separate labeled container for hazardous drug waste
- BDown the sink with plenty of water
- CIn the general household-type trash bin on the ward, tied in a bag
- DIn the recycling bin with plastics
4.Medium
A child has swallowed a button battery. Why is this urgent?
- AIt is only harmful if several batteries are swallowed
- BIt always passes through the gut without harm
- CThe only risk is poisoning from heavy metals years later
- DIt can burn through the lining of the esophagus within hours
5.Medium
A patient on nasal cannula oxygen has dry lips. Which product should the nurse offer?
- AAn oil-based lip balm
- BA water-based lip lubricant
- CPetroleum jelly
- DA scented petroleum ointment
6.Medium
How should a portable oxygen cylinder be kept in a patient’s room?
- ASecured upright in a stand or holder
- BPlaced next to a heater to keep it warm
- CLying loose on the floor beside the bed
- DLaid on the bed next to the patient
7.Hard
According to the “Swiss cheese” model of error, why do errors reach patients?
- APatients often do not follow their care instructions
- BOne careless person makes a mistake that no system could stop
- CWeaknesses in several layers of defense line up at the same time
- DTechnology fails more often than people do
8.Hard
Which patient should the nurse assess first?
- AA patient with tuberculosis who is asking to have visitors
- BA patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
- CA patient who wants more alcohol hand rub in the room
- DA patient with an MRSA wound due for a routine dressing change
Answer key
- 1. C · Thrombocytopenia with a raised risk of bleeding
- 2. C · Contact precautions
- 3. A · In a separate labeled container for hazardous drug waste
- 4. D · It can burn through the lining of the esophagus within hours
- 5. B · A water-based lip lubricant
- 6. A · Secured upright in a stand or holder
- 7. C · Weaknesses in several layers of defense line up at the same time
- 8. B · A patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
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