1.Easy
How should waste contaminated with chemotherapy drugs be discarded?
- ADown the sink with plenty of water
- BIn the general household-type trash bin on the ward, tied in a bag
- CIn the recycling bin with plastics
- DIn a separate labeled container for hazardous drug waste
2.Easy
To which patients do standard precautions apply?
- AOnly to patients with a known infection
- BOnly to patients in isolation rooms
- CTo all patients, whatever their diagnosis
- DOnly to patients having surgery
3.Easy
A nurse notices that a medication is past its expiry date. What should the nurse do?
- AGive a double dose to make up for lost strength
- BGive it, if it is less than one month expired
- CNot give it, and return it according to policy
- DGive it, because medicines work for years after expiry
4.Medium
A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?
- AGive the patient a mask and seat them apart from others
- BAsk the patient to wait outside in the car park
- CDo nothing until the patient is seen by the provider
- DGive everyone else in the waiting room a mask instead
5.Medium
Which information must be documented when a patient is restrained?
- AOnly whether the family agreed to the restraint
- BOnly the time the restraint was put on and the time it was taken off
- COnly the name of the nurse who applied it and the unit where it happened
- DThe reason, alternatives tried, type of restraint, times and regular assessments
6.Medium
Which IV fluid can be given with packed red blood cells in the same line?
- A0.9% sodium chloride
- B5% dextrose in 0.45% sodium chloride
- CLactated Ringer’s (Hartmann’s) solution
- D5% dextrose in water
7.Hard
A nursing student describes how they remove PPE (gown, gloves and a mask worn for splash protection) at the doorway before leaving a contact precautions room. Which statement shows a need for further teaching?
- A“I clean my hands as soon as all the PPE is off.”
- B“I remove my gloves without touching the outside with my bare hand.”
- C“I roll the gown inward as I take it off.”
- D“I take off my mask first, and then I take off my gloves.”
8.Hard
A nurse teaches parents about firearm safety at home. Which statement shows a need for further teaching?
- A“We store the gun unloaded in a locked safe in the bedroom.”
- B“We keep the gun loaded in the nightstand, and the children know not to touch it.”
- C“We keep all the ammunition locked away separately from the gun.”
- D“We will ask other parents about guns before play dates.”
Answer key
- 1. D · In a separate labeled container for hazardous drug waste
- 2. C · To all patients, whatever their diagnosis
- 3. C · Not give it, and return it according to policy
- 4. A · Give the patient a mask and seat them apart from others
- 5. D · The reason, alternatives tried, type of restraint, times and regular assessments
- 6. A · 0.9% sodium chloride
- 7. D · “I take off my mask first, and then I take off my gloves.”
- 8. B · “We keep the gun loaded in the nightstand, and the children know not to touch it.”
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