1.Easy
Which precautions are used for a patient with HIV infection who has no other infection?
- AAirborne precautions
- BStandard precautions
- CDroplet precautions
- DContact precautions
2.Easy
Which precautions are used for a child with impetigo?
- ADroplet precautions
- BA protective environment
- CContact precautions
- DAirborne precautions
3.Easy
Which precautions are used for an infant in diapers who has rotavirus diarrhea?
- AA protective environment
- BAirborne precautions
- CContact precautions
- DDroplet precautions
4.Medium
Before helping a patient from bed into a wheelchair, what should the nurse do with the wheelchair?
- ALeave the brakes off so the chair can move along with the patient during the pivot
- BPlace it on the patient’s weaker side so that side is supported
- CLock the brakes and place it close to the bed on the patient’s stronger side
- DPlace it at the foot of the bed, facing away
5.Medium
An infant has had a cleft lip repair. Why are elbow restraints often used?
- ATo prevent the infant from sucking a pacifier
- BTo hold the IV line in place during feeds and stop it being pulled out
- CTo stop the infant’s hands reaching the mouth while still allowing arm movement
- DTo keep the infant from rolling over in the crib
6.Medium
Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?
- AIt means “every day at bedtime” in some hospitals
- BIt is a Latin abbreviation, and only plain English abbreviations may be used
- CIt is only allowed for intravenous medicines
- DIt can be misread as QID or QOD, so the drug is given too often or too rarely
7.Hard
A patient is on contact precautions. Which task is appropriate for the nurse to delegate to assistive personnel?
- AHelping the patient bathe while wearing a gown and gloves
- BAssessing the wound for new signs of infection during the bath
- CTeaching the family how to follow the precautions
- DDeciding when the precautions can be stopped
8.Hard
A nurse caring for a patient with influenza on droplet precautions will assist with an aerosol-generating procedure, such as bronchoscopy. What change in PPE is needed?
- AWear two surgical masks, one on top of the other, for the length of the procedure
- BWear gloves only, because the procedure is short
- CNo change, because influenza only needs droplet precautions
- DWear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
Answer key
- 1. B · Standard precautions
- 2. C · Contact precautions
- 3. C · Contact precautions
- 4. C · Lock the brakes and place it close to the bed on the patient’s stronger side
- 5. C · To stop the infant’s hands reaching the mouth while still allowing arm movement
- 6. D · It can be misread as QID or QOD, so the drug is given too often or too rarely
- 7. A · Helping the patient bathe while wearing a gown and gloves
- 8. D · Wear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
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