1.Easy
Why is the symbol “µg” avoided in medication orders?
- AIt can be misread as “mg”, giving a dose a thousand times too high
- BIt means “units per gram” in some countries
- CIt is the symbol for micrograms of alcohol and is only used in laboratory reports
- DIt can only be used for intravenous drugs
2.Easy
When is eye protection part of standard precautions?
- AWhen splashes or sprays of blood or body fluids are likely
- BOnly in the operating room
- COnly when caring for a patient who has an eye infection such as conjunctivitis
- DOnly when the patient is on airborne precautions
3.Easy
For which of these viruses is there no vaccine available?
- AHepatitis A
- BHepatitis B
- CHepatitis C
- DMeasles
4.Medium
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- BMMR is only given to pregnant women who work in hospitals
- CMMR is safe at any stage of pregnancy
- DMMR should be given as soon as possible in the first trimester to protect the baby
5.Medium
A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?
- AThe pump will always stop any overdose
- BOnly the patient should press it, because this keeps the system safe
- CFamily can press it as long as they count the presses
- DPressing it while the patient sleeps prevents the pain from getting worse later
6.Medium
A patient is receiving opioids for pain. Which sign usually comes before opioid-induced respiratory depression?
- ADiarrhea
- BRising blood pressure
- CIncreasing sedation
- DDilated pupils
7.Hard
In a mass-casualty incident with limited resources, why may a critically injured patient with little chance of survival receive care after others?
- ACritical patients are always treated last in every situation, even outside disasters
- BPatients are treated in the order they arrive
- CThe most severely injured are never given comfort care
- DResources go first to those most likely to survive with treatment
8.Hard
A competent patient at high risk of falls insists on walking to the bathroom alone. What is the best nursing approach?
- AExplain the risks, agree on ways to reduce them, respect the decision and document
- BRemove the patient’s shoes and walking aid so that they cannot walk alone
- CApply wrist restraints so the patient stays in bed
- DTell the patient that walking alone is against hospital law
Answer key
- 1. A · It can be misread as “mg”, giving a dose a thousand times too high
- 2. A · When splashes or sprays of blood or body fluids are likely
- 3. C · Hepatitis C
- 4. A · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 5. B · Only the patient should press it, because this keeps the system safe
- 6. C · Increasing sedation
- 7. D · Resources go first to those most likely to survive with treatment
- 8. A · Explain the risks, agree on ways to reduce them, respect the decision and document
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