1.Easy
Which item belongs in a sharps container?
- AA soiled gauze dressing
- BA used scalpel blade
- CA pair of used gloves
- DAn empty IV bag with the tubing removed
2.Easy
In the chain of infection, a contaminated bedside table where bacteria live and multiply is an example of which link?
- AThe portal of exit
- BThe susceptible host
- CThe reservoir
- DThe portal of entry
3.Easy
Which practice makes the use of an ice pack safer?
- AUse it only on areas where the patient has no feeling, so it is not uncomfortable
- BKeep the ice pack on the skin while the patient sleeps overnight
- CPlace a cloth between the pack and the skin and limit the time it is applied
- DPut the ice pack directly on bare skin for several hours
4.Medium
A patient has a weak left leg. Which instruction about using a cane is correct?
- AKeep the cane well out to the side, away from the body
- BMove the cane and the right leg forward together
- CHold the cane in the right hand, on the stronger side
- DHold the cane in the left hand, on the weaker side
5.Medium
A patient has leftover opioid tablets after surgery. Which advice about disposal is best?
- AGive them to a friend or relative who has back pain
- BKeep them in an unlocked drawer at home in case of future pain
- CLeave them in the bathroom cabinet indefinitely
- DReturn them to a pharmacy or an approved take-back site
6.Medium
A patient is receiving opioids for pain. Which sign usually comes before opioid-induced respiratory depression?
- ARising blood pressure
- BDiarrhea
- CIncreasing sedation
- DDilated pupils
7.Hard
A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?
- AExplain that fatigue would make care unsafe and decline the extra shift
- BAgree without telling anyone about the fatigue
- CAgree, but skip the independent medication checks to save energy on the shift
- DAgree and drink extra coffee to stay alert
8.Hard
A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?
- ATelephone the family to tell them about the fall
- BAssess the patient for injury before moving them
- CLift the patient back into bed with a colleague
- DComplete an incident report while the details are fresh
Answer key
- 1. B · A used scalpel blade
- 2. C · The reservoir
- 3. C · Place a cloth between the pack and the skin and limit the time it is applied
- 4. C · Hold the cane in the right hand, on the stronger side
- 5. D · Return them to a pharmacy or an approved take-back site
- 6. C · Increasing sedation
- 7. A · Explain that fatigue would make care unsafe and decline the extra shift
- 8. B · Assess the patient for injury before moving them
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