1.Easy
A patient is colonized with vancomycin-resistant enterococci (VRE). Which precautions are used?
- AAirborne precautions
- BProtective (reverse) isolation
- CContact precautions
- DDroplet precautions
2.Easy
In quality improvement, what does the PDSA cycle stand for?
- APrepare, Deliver, Score, Assess
- BPlan, Do, Study, Act
- CPredict, Decide, Start, Analyze
- DPlan, Document, Supervise, Audit
3.Easy
Which precautions are used for a patient with HIV infection who has no other infection?
- AContact precautions
- BStandard precautions
- CDroplet precautions
- DAirborne precautions
4.Medium
When should an N95 respirator be removed after caring for a patient on airborne precautions?
- AAfter leaving the room and closing the door
- BStraight after entering the room
- CBefore taking off the gloves, inside the room
- DNever; it is worn for the rest of the shift
5.Medium
Which part of a sterile surgical gown is considered sterile once it is on?
- AThe front from chest to the level of the sterile field, and the sleeves
- BOnly the back of the gown, which nobody touches
- CThe front from the neck down to the knees
- DThe whole gown, including the back, the collar and the area below the waist
6.Medium
Which nurse should not be assigned to a patient with a sealed radioactive implant?
- AA nurse trained in radiation safety
- BA nurse who is pregnant
- CA nurse who has worked on the unit for two years
- DA nurse wearing a dosimeter badge
7.Hard
A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?
- A“We will put the rear-facing seat in the front so we can see the baby.”
- B“We will use the car seat for every trip, even short ones.”
- C“We will install the seat in the back seat, facing the rear.”
- D“We will make sure the harness straps are snug against the baby’s chest.”
8.Hard
A patient on contact precautions for MRSA has become withdrawn and says, “Everyone avoids me.” What is the best nursing action?
- AStop the precautions for a few days so the patient feels less isolated and alone
- BAsk the provider for a sedative to help the patient cope
- CKeep visits short to limit the risk of spreading MRSA
- DExplain why the precautions are needed and plan regular, unhurried time in the room
Answer key
- 1. C · Contact precautions
- 2. B · Plan, Do, Study, Act
- 3. B · Standard precautions
- 4. A · After leaving the room and closing the door
- 5. A · The front from chest to the level of the sterile field, and the sleeves
- 6. B · A nurse who is pregnant
- 7. A · “We will put the rear-facing seat in the front so we can see the baby.”
- 8. D · Explain why the precautions are needed and plan regular, unhurried time in the room
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