1.Easy
A drug was prescribed by a provider and dispensed by a pharmacist. Who is accountable for checking it before giving it?
- AOnly the prescriber
- BThe nurse manager on duty
- COnly the pharmacist
- DThe nurse who gives it
2.Easy
A corridor is filling with smoke. How should staff move through it?
- AHold their breath and run through
- BOpen all windows on the way
- CStay low, below the smoke
- DStand up straight and walk quickly
3.Easy
In quality improvement, what does the PDSA cycle stand for?
- APlan, Do, Study, Act
- BPrepare, Deliver, Score, Assess
- CPlan, Document, Supervise, Audit
- DPredict, Decide, Start, Analyze
4.Medium
Which nursing care reduces the risk of ventilator-associated pneumonia?
- AChanging the ventilator circuit every few hours
- BLeaving secretions in the mouth to protect the airway
- CLying the patient flat for most of the day
- DRegular oral care to reduce bacteria in the mouth
5.Medium
A patient is admitted to an inpatient mental health unit. Why are personal belongings checked?
- ATo remove items that could be used to harm self or others
- BTo find out what the patient likes to wear during the hospital stay
- CTo make a list of valuable items for insurance
- DTo decide which family members may visit
6.Medium
A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?
- AThe prescription glasses alone
- BNo eye protection, if the nurse stands to one side
- CThe glasses with a surgical mask
- DGoggles or a face shield worn over the glasses
7.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
- CComplete an incident report while the details are fresh
- DLift the patient back into bed with a colleague
8.Hard
A nurse calls a provider using SBAR about a patient with falling blood pressure. Which statement is the “Recommendation”?
- A“I think he needs to be assessed now. Can you come within the next 15 minutes?”
- B“His blood pressure has fallen from 130/80 to 88/50 over the last two hours.”
- C“He is 72 and had a bowel resection yesterday.”
- D“I am calling about Mr. Jansen in room 12, who is hypotensive.”
Answer key
- 1. D · The nurse who gives it
- 2. C · Stay low, below the smoke
- 3. A · Plan, Do, Study, Act
- 4. D · Regular oral care to reduce bacteria in the mouth
- 5. A · To remove items that could be used to harm self or others
- 6. D · Goggles or a face shield worn over the glasses
- 7. B · Assess the patient for injury before moving them
- 8. A · “I think he needs to be assessed now. Can you come within the next 15 minutes?”
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