1.Easy
How should the bed be left for a patient at high risk of falls?
- AWith all four side rails up at all times
- BWith the brakes released so it can be moved quickly
- CIn the highest position
- DIn the lowest position with the brakes locked
2.Easy
In the United States, what is a “boxed warning” (black box warning) on a drug label?
- AThe strongest FDA warning, about a serious or life-threatening risk
- BA sign that the drug is no longer sold
- CA note that the drug must be kept in a locked box on the ward
- DA label for drugs that are safe in children
3.Easy
What should be written instead of “cc” in a medication order?
- AU
- BmL
- Ccc only for oral drugs
- Dcm
4.Medium
A patient is receiving opioids for pain. Which sign usually comes before opioid-induced respiratory depression?
- AIncreasing sedation
- BDiarrhea
- CDilated pupils
- DRising blood pressure
5.Medium
A nurse who never had BCG vaccine has a positive tuberculin skin test for the first time. The chest x-ray is clear and there are no symptoms. What does this most likely mean?
- ALatent TB infection, which is not contagious
- BA failed test that must be repeated next year
- CImmunity to TB from a past exposure
- DActive TB, which needs airborne isolation
6.Medium
What is the main aim of purposeful hourly rounding?
- ATo replace the need for a call light
- BTo wake the patient every hour to check orientation
- CTo count the patient’s medications every hour and check that none are missing
- DTo check pain, toileting, position and personal items before the patient needs to ask
7.Hard
In START triage, a casualty cannot walk and is breathing 36 times a minute. Which category applies?
- AGreen (minor)
- BYellow (delayed)
- CBlack (expectant or dead)
- DRed (immediate)
8.Hard
A patient given naloxone for an opioid overdose wakes up. An hour later, the patient is drowsy again with slow breathing. What is the likely reason?
- ANaloxone itself causes slow breathing and drowsiness once it has been given
- BThe patient is simply tired after the event
- CThe patient is now allergic to naloxone
- DNaloxone wears off sooner than many opioids, so the opioid effect returns
Answer key
- 1. D · In the lowest position with the brakes locked
- 2. A · The strongest FDA warning, about a serious or life-threatening risk
- 3. B · mL
- 4. A · Increasing sedation
- 5. A · Latent TB infection, which is not contagious
- 6. D · To check pain, toileting, position and personal items before the patient needs to ask
- 7. D · Red (immediate)
- 8. D · Naloxone wears off sooner than many opioids, so the opioid effect returns
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