1.Easy
What is the main difference between an N95 respirator and a surgical mask?
- AThere is no real difference, so they can be swapped freely for any type of precautions
- BA surgical mask filters smaller particles than an N95
- CAn N95 is only worn by patients, and surgical masks only by staff
- DAn N95 filters small airborne particles, while a surgical mask mainly blocks droplets
2.Easy
After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?
- AWith the freshly washed hands
- BWith the bare forearm before drying
- CThe tap is left running for the next person
- DWith a clean, dry paper towel
3.Easy
Before a nurse wears an N95 respirator, what is required?
- ANothing, because one size fits every face
- BWashing it with soap before first use
- CWearing a surgical mask underneath it
- DA fit test, plus a seal check at each use
4.Medium
A patient is booked for an MRI scan. What must the nurse check beforehand?
- AWhether the patient has any metal implants or devices, such as a pacemaker
- BWhether the patient has had a hearing test this year
- CWhether the patient has eaten a large meal recently
- DWhether the patient’s blood glucose has been in the normal range today
5.Medium
A patient is on a ventilator. Which bed position helps to prevent ventilator-associated pneumonia?
- ATrendelenburg position
- BHead of the bed raised 30 to 45 degrees
- CHead of the bed raised about 10 degrees
- DLying completely flat
6.Medium
A patient walking with a gait belt suddenly starts to fall. What should the nurse do?
- ALet go of the belt and run to call for help
- BHold the belt, widen the stance and ease the patient gently to the floor
- CPull the patient backwards quickly toward the bed
- DGrab the patient under both arms and try hard to keep them standing up
7.Hard
Several patients arrive with suspected inhalational anthrax after a deliberate release. Which precautions are needed for their care?
- AContact precautions with gowns and gloves
- BAirborne precautions in negative-pressure rooms, because spores are inhaled
- CStandard precautions, because it is not spread from person to person
- DDroplet precautions with surgical masks
8.Hard
Two look-alike vials of different drugs are stored next to each other, and a nurse almost picks the wrong one. Which response best reflects a just culture?
- AKeep the incident quiet to protect the unit’s reputation
- BDiscipline the nurse who nearly picked the wrong vial
- CTell the nurse to be more careful and do nothing else
- DReport it and fix the system, for example by separating the vials
Answer key
- 1. D · An N95 filters small airborne particles, while a surgical mask mainly blocks droplets
- 2. D · With a clean, dry paper towel
- 3. D · A fit test, plus a seal check at each use
- 4. A · Whether the patient has any metal implants or devices, such as a pacemaker
- 5. B · Head of the bed raised 30 to 45 degrees
- 6. B · Hold the belt, widen the stance and ease the patient gently to the floor
- 7. C · Standard precautions, because it is not spread from person to person
- 8. D · Report it and fix the system, for example by separating the vials
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