1.Easy
A blood test shows a positive hepatitis B surface antigen (HBsAg). What does this mean?
- AThe person has hepatitis A infection
- BThe person is immune from vaccination
- CThe person has never been exposed to hepatitis B
- DThe person currently has hepatitis B infection
2.Easy
When is eye protection part of standard precautions?
- AOnly in the operating room
- BOnly when caring for a patient who has an eye infection such as conjunctivitis
- COnly when the patient is on airborne precautions
- DWhen splashes or sprays of blood or body fluids are likely
3.Easy
In quality improvement, what does the PDSA cycle stand for?
- APrepare, Deliver, Score, Assess
- BPlan, Document, Supervise, Audit
- CPredict, Decide, Start, Analyze
- DPlan, Do, Study, Act
4.Medium
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AWear gloves all day instead of cleaning the hands between patients
- BUse the hand lotion approved by the facility to keep the skin intact
- CStop hand hygiene until the skin heals
- DUse any lotion from home, whatever its contents
5.Medium
Which IV fluid can be given with packed red blood cells in the same line?
- ALactated Ringer’s (Hartmann’s) solution
- B5% dextrose in water
- C5% dextrose in 0.45% sodium chloride
- D0.9% sodium chloride
6.Medium
An infant has had a cleft lip repair. Why are elbow restraints often used?
- ATo hold the IV line in place during feeds and stop it being pulled out
- BTo stop the infant’s hands reaching the mouth while still allowing arm movement
- CTo prevent the infant from sucking a pacifier
- DTo keep the infant from rolling over in the crib
7.Hard
A nurse teaches a patient about care of a surgical incision at home. Which statement shows a need for further teaching?
- A“If the wound gets red and drains pus, I will wait for my appointment next month.”
- B“I will call the clinic if I get a fever or more pain around the wound.”
- C“I will keep the dressing clean and dry as I was shown.”
- D“I will wash my hands with soap before I touch or change the dressing.”
8.Hard
A patient with fever and a spreading rash is suspected of having smallpox. Which precautions are needed?
- ADroplet precautions with a surgical mask
- BStandard precautions only
- CAirborne and contact precautions
- DContact precautions only
Answer key
- 1. D · The person currently has hepatitis B infection
- 2. D · When splashes or sprays of blood or body fluids are likely
- 3. D · Plan, Do, Study, Act
- 4. B · Use the hand lotion approved by the facility to keep the skin intact
- 5. D · 0.9% sodium chloride
- 6. B · To stop the infant’s hands reaching the mouth while still allowing arm movement
- 7. A · “If the wound gets red and drains pus, I will wait for my appointment next month.”
- 8. C · Airborne and contact precautions
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