1.Easy
Which precautions are used for a patient with Mycoplasma pneumoniae pneumonia?
- AContact precautions only
- BDroplet precautions
- CAirborne precautions
- DStandard precautions only
2.Easy
What is a chemical restraint?
- AA cream applied to the wrists under a restraint
- BA drug used to control behavior that is not standard treatment for the condition
- CA drug given to relieve pain after surgery
- DA drug used to prevent infection in a patient who has a restraint applied
3.Easy
What is a healthcare-associated infection?
- AAn infection caught at home from a family member during recovery
- BAn infection acquired during care that was not present or incubating on admission
- CAn infection that only affects health care workers, not patients
- DAn infection that was already present or incubating when the patient was admitted
4.Medium
Hair must be removed from a planned surgical site. Which method reduces the risk of surgical site infection?
- AShaving with a razor just before the incision
- BClipping with electric clippers just before surgery
- CShaving with a disposable razor the night before surgery
- DUsing wax strips on the morning of surgery
5.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- AGive it, and document that the colleague prepared it
- BDecline, and give only medications that the nurse prepared or checked personally
- CGive it, because the colleague is experienced
- DGive it, as long as the syringe has a label with the drug name on it
6.Medium
A patient on nasal cannula oxygen has dry lips. Which product should the nurse offer?
- AA scented petroleum ointment
- BAn oil-based lip balm
- CA water-based lip lubricant
- DPetroleum jelly
7.Hard
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
- AYes, near misses are reported so system weaknesses can be fixed
- BOnly if the same error happens three times
- CNo, because reporting near misses only blames the pharmacy staff for nothing
- DNo, because the patient was not harmed
8.Hard
A nurse has just started a unit of red blood cells when a colleague asks for urgent help with another patient. What is the best action?
- AStay with the transfusing patient for the first 15 minutes and ask another nurse to help
- BSpeed up the transfusion so it finishes sooner
- CPause the transfusion until the nurse is free again
- DLeave to help the other patient, and check the transfusion again in about an hour
Answer key
- 1. B · Droplet precautions
- 2. B · A drug used to control behavior that is not standard treatment for the condition
- 3. B · An infection acquired during care that was not present or incubating on admission
- 4. B · Clipping with electric clippers just before surgery
- 5. B · Decline, and give only medications that the nurse prepared or checked personally
- 6. C · A water-based lip lubricant
- 7. A · Yes, near misses are reported so system weaknesses can be fixed
- 8. A · Stay with the transfusing patient for the first 15 minutes and ask another nurse to help
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