1.Easy
A patient has suspected meningococcal meningitis (Neisseria meningitidis). Which precautions are used?
- AContact precautions only
- BStandard precautions only
- CAirborne precautions
- DDroplet precautions
2.Easy
Which is one of The Joint Commission’s National Patient Safety Goals for hospitals?
- AIncrease the number of daily blood tests
- BImprove the accuracy of patient identification
- CReduce the cost of hospital meals and supplies
- DShorten visiting hours on every ward
3.Easy
How should a labeled specimen be sent to the laboratory?
- AIn a sealed biohazard bag, with the request form in the separate pocket
- BIn the same bag as the request form, touching the paper
- CIn an open cup placed on the transport trolley
- DLoose in the nurse’s uniform pocket so that it does not get lost on the way
4.Medium
A patient is on a ventilator. Which bed position helps to prevent ventilator-associated pneumonia?
- AHead of the bed raised 30 to 45 degrees
- BTrendelenburg position
- CLying completely flat
- DHead of the bed raised about 10 degrees
5.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
- CRegular oral care to reduce bacteria in the mouth
- DLying the patient flat for most of the day
6.Medium
A patient has shingles (herpes zoster) on one area of the chest, has a normal immune system and the lesions can be fully covered. Which precautions are usually needed?
- ADroplet precautions only
- BAirborne precautions in a negative-pressure room
- CProtective environment with positive pressure
- DStandard precautions, with the lesions covered
7.Hard
A nurse who has a cold sore (herpes labialis) is assigned to the newborn nursery. What is most appropriate?
- AInform the manager, who may reassign the nurse for now
- BWear gloves and carry on as usual
- CTell no one, and cover the lesion with makeup during shifts
- DWork as usual, since cold sores are very common
8.Hard
The fire alarm sounds, but the nurse does not know where the fire is. What should the nurse do?
- ALeave the unit and the building to find out where the fire is
- BClose the doors to patient rooms, stay on the unit and wait for instructions
- CEvacuate all patients down the stairs at once, starting with those in bed
- DOpen all doors so patients can be seen easily
Answer key
- 1. D · Droplet precautions
- 2. B · Improve the accuracy of patient identification
- 3. A · In a sealed biohazard bag, with the request form in the separate pocket
- 4. A · Head of the bed raised 30 to 45 degrees
- 5. C · Regular oral care to reduce bacteria in the mouth
- 6. D · Standard precautions, with the lesions covered
- 7. A · Inform the manager, who may reassign the nurse for now
- 8. B · Close the doors to patient rooms, stay on the unit and wait for instructions
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