1.Easy
What should be written instead of “cc” in a medication order?
- AU
- Bcc only for oral drugs
- Ccm
- DmL
2.Easy
What is a healthcare-associated infection?
- AAn infection caught at home from a family member during recovery
- BAn infection acquired during care that was not present or incubating on admission
- CAn infection that was already present or incubating when the patient was admitted
- DAn infection that only affects health care workers, not patients
3.Easy
Why is the symbol “µg” avoided in medication orders?
- AIt means “units per gram” in some countries
- BIt is the symbol for micrograms of alcohol and is only used in laboratory reports
- CIt can be misread as “mg”, giving a dose a thousand times too high
- DIt can only be used for intravenous drugs
4.Medium
A nurse is preparing medications for two patients. What is the safest approach?
- APut both patients’ medications in one cup and sort them at the bedside
- BPrepare and give medications for one patient at a time
- CPrepare both patients’ medications together to save time
- DAsk one patient to pass the medications to the other
5.Medium
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR should be given as soon as possible in the first trimester to protect the baby
- BMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- CMMR is only given to pregnant women who work in hospitals
- DMMR is safe at any stage of pregnancy
6.Medium
How should a newborn be moved through hospital corridors?
- AIn the arms of any visitor who offers to help
- BCarried in the nurse’s arms for comfort
- CIn a bassinet, not carried in the arms
- DOn the mother’s lap in a wheelchair, without staff
7.Hard
Which action by assistive personnel requires the nurse to step in?
- APutting soiled linen straight into a laundry bag at the bedside
- BWashing hands with soap and water after leaving a C. difficile room
- CGoing from one patient’s bed to the next while wearing the same gloves
- DRemoving gloves and then cleaning the hands with alcohol rub
8.Hard
A patient with suspected sepsis has orders for blood cultures and an IV antibiotic. What is the correct order of actions?
- AGive the antibiotic and take the cultures an hour later
- BDraw the blood cultures first, then give the antibiotic without delay
- CWait for the culture results before starting the antibiotic
- DGive the antibiotic first so that treatment starts, and take the cultures the next day
Answer key
- 1. D · mL
- 2. B · An infection acquired during care that was not present or incubating on admission
- 3. C · It can be misread as “mg”, giving a dose a thousand times too high
- 4. B · Prepare and give medications for one patient at a time
- 5. B · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 6. C · In a bassinet, not carried in the arms
- 7. C · Going from one patient’s bed to the next while wearing the same gloves
- 8. B · Draw the blood cultures first, then give the antibiotic without delay
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