1.Easy
Which safety advice should be given to parents of a child who rides a bicycle?
- AWear a helmet only on busy roads with traffic
- BWear a helmet only for long rides
- CWear a properly fitted helmet on every ride
- DA helmet is only needed for adults
2.Easy
What should be written instead of “cc” in a medication order?
- AU
- BmL
- Ccc only for oral drugs
- Dcm
3.Easy
What is the main safety purpose of needleless IV connectors?
- ATo make IV fluids flow faster
- BTo reduce needlestick injuries to staff
- CTo remove the need for hand hygiene
- DTo stop the patient from moving the IV line
4.Medium
The laboratory calls with a critical lab result by phone. What should the nurse do?
- AWait for the printed report to arrive before telling the provider about it
- BRemember the value and enter it in the chart at the end of the shift
- CWrite it down, read it back to confirm and report it to the provider promptly
- DTell the patient the result first and then call the provider
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?
- AActive TB, which needs airborne isolation
- BA failed test that must be repeated next year
- CLatent TB infection, which is not contagious
- DImmunity to TB from a past exposure
6.Medium
Which technique is correct when collecting a wound culture?
- ACollect the sample only after antibiotics have been started
- BUse one swab to sample two different wounds
- CClean the wound with sterile saline first, then swab clean tissue
- DSwab the old pus on the dressing that was just removed from the wound
7.Hard
A patient with active pulmonary tuberculosis asks visitors to come in. What is the best response?
- AAllow any visitor in without any precautions, to support the patient
- BBan all contact permanently, including phone calls
- CExplain the risk, limit visits and teach visitors to use the protection provided
- DAsk visitors to stand in the open doorway instead of entering the room
8.Hard
A bag of chemotherapy drug leaks onto the floor. What is the first step?
- ALeave it to dry, then clean it up at the end of the shift
- BPut on the spill kit’s protective equipment and contain the spill
- CAsk the cleaner to mop it up with the usual mop
- DWipe it up quickly with paper towels and bare hands
Answer key
- 1. C · Wear a properly fitted helmet on every ride
- 2. B · mL
- 3. B · To reduce needlestick injuries to staff
- 4. C · Write it down, read it back to confirm and report it to the provider promptly
- 5. C · Latent TB infection, which is not contagious
- 6. C · Clean the wound with sterile saline first, then swab clean tissue
- 7. C · Explain the risk, limit visits and teach visitors to use the protection provided
- 8. B · Put on the spill kit’s protective equipment and contain the spill
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