1.Easy
On a sterile field, which area is considered non-sterile?
- AThe center of the field
- BThe whole field once it has been opened to the air
- CThe outer border of about 2.5 cm (1 inch)
- DOnly the corners
2.Easy
What is the purpose of the “time-out” just before a surgical procedure?
- ATo confirm the patient, procedure and site with the whole team
- BTo have the patient sign the consent form
- CTo give the surgical team a short rest before they start operating
- DTo count the instruments and swabs after the operation
3.Easy
Why is a carbon monoxide detector recommended in the home?
- ACarbon monoxide has no color or smell, so people cannot detect it themselves
- BCarbon monoxide is only dangerous outdoors
- CThe detector also measures the air temperature and humidity in the home
- DCarbon monoxide always smells like rotten eggs
4.Medium
Why are oral liquid medicines given with oral or enteral syringes rather than standard IV syringes?
- AIV syringes cannot measure small volumes of oral liquid accurately
- BOral syringes do not fit IV lines, preventing wrong-route errors
- CThere is no safety reason; it is only tradition
- DOral syringes measure intravenous doses more accurately
5.Medium
Before helping a patient from bed into a wheelchair, what should the nurse do with the wheelchair?
- ALock the brakes and place it close to the bed on the patient’s stronger side
- BPlace it on the patient’s weaker side so that side is supported
- CPlace it at the foot of the bed, facing away
- DLeave the brakes off so the chair can move along with the patient during the pivot
6.Medium
A patient wants to use their own electric hair dryer in the hospital. What is correct?
- AIt can be plugged into an extension lead under the bed
- BIt is checked for electrical safety according to hospital policy before use
- CIt can be used in the bathroom near the sink if the patient is careful
- DIt can be used straight away if it looks new
7.Hard
A flexible bronchoscope contacts mucous membranes but does not enter sterile tissue. Which level of processing is required at a minimum between patients?
- AWiping with an alcohol wipe
- BLow-level disinfection
- CHigh-level disinfection
- DCleaning with soap and water only
8.Hard
A nurse calculates a child’s prescribed dose and finds it is ten times higher than the usual dose for the child’s weight. What should the nurse do?
- AHold the dose and verify it with the prescriber and pharmacist
- BGive it, because the prescriber must have a reason
- CGive half the dose and watch the child closely
- DGive one-tenth of the dose without telling anyone about it
Answer key
- 1. C · The outer border of about 2.5 cm (1 inch)
- 2. A · To confirm the patient, procedure and site with the whole team
- 3. A · Carbon monoxide has no color or smell, so people cannot detect it themselves
- 4. B · Oral syringes do not fit IV lines, preventing wrong-route errors
- 5. A · Lock the brakes and place it close to the bed on the patient’s stronger side
- 6. B · It is checked for electrical safety according to hospital policy before use
- 7. C · High-level disinfection
- 8. A · Hold the dose and verify it with the prescriber and pharmacist
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