1.Easy
Which item belongs in a sharps container?
- AAn empty IV bag with the tubing removed
- BA soiled gauze dressing
- CA pair of used gloves
- DA used scalpel blade
2.Easy
When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?
- AAfter touching a patient’s bed rail
- BBefore every subcutaneous injection
- CWhen the hands are visibly soiled
- DBefore putting on clean gloves
3.Easy
A nurse notices a frayed electrical cord on an infusion pump. What should the nurse do?
- ATake the pump out of use, label it as faulty and report it
- BWrap the cord in electrical tape and continue using it
- CAsk the patient not to touch the cord
- DKeep using it carefully until the end of the shift, then report it
4.Medium
Before helping a patient from bed into a wheelchair, what should the nurse do with the wheelchair?
- ALeave the brakes off so the chair can move along with the patient during the pivot
- BPlace it at the foot of the bed, facing away
- CPlace it on the patient’s weaker side so that side is supported
- DLock the brakes and place it close to the bed on the patient’s stronger side
5.Medium
A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?
- ACut the tablet in half so it is easier to swallow
- BCrush the tablet finely and mix it into a spoonful of applesauce or yogurt
- CDissolve the tablet in a glass of hot water
- DAsk the prescriber or pharmacist for another form and not crush the tablet
6.Medium
A patient has severe neutropenia after chemotherapy. Which route for measuring temperature should be avoided?
- ATympanic
- BOral
- CTemporal artery
- DRectal
7.Hard
A patient on contact precautions for MRSA has become withdrawn and says, “Everyone avoids me.” What is the best nursing action?
- AStop the precautions for a few days so the patient feels less isolated and alone
- BAsk the provider for a sedative to help the patient cope
- CExplain why the precautions are needed and plan regular, unhurried time in the room
- DKeep visits short to limit the risk of spreading MRSA
8.Hard
A patient takes medicines prescribed by several providers. Which advice best reduces the risk of medication errors at home?
- AKeep each provider’s medicines in separate bags
- BKeep one up-to-date list of all medicines and use one pharmacy where possible
- COnly tell each provider about the drugs they prescribed
- DStop taking any medicine that seems to repeat another one, without asking anyone
Answer key
- 1. D · A used scalpel blade
- 2. C · When the hands are visibly soiled
- 3. A · Take the pump out of use, label it as faulty and report it
- 4. D · Lock the brakes and place it close to the bed on the patient’s stronger side
- 5. D · Ask the prescriber or pharmacist for another form and not crush the tablet
- 6. D · Rectal
- 7. C · Explain why the precautions are needed and plan regular, unhurried time in the room
- 8. B · Keep one up-to-date list of all medicines and use one pharmacy where possible
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