1.Easy
How should a nurse clean a stethoscope between patients?
- ARinse it under running water and dry it on a towel
- BClean it once a week, unless it is visibly dirty
- CSend it to be sterilized in an autoclave after every single patient contact
- DWipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
2.Easy
Which precautions are used for a patient with rubella (German measles)?
- ADroplet precautions
- BContact precautions only
- CAirborne precautions
- DStandard precautions only
3.Easy
What is medical asepsis?
- APractices that remove every microorganism, including spores, from an area
- BPractices that reduce the number and spread of microorganisms
- CSterilizing all equipment before every patient contact
- DGiving antibiotics to prevent infection after surgery
4.Medium
A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?
- ADissolve the tablet in a glass of hot water
- BCut the tablet in half so it is easier to swallow
- CAsk the prescriber or pharmacist for another form and not crush the tablet
- DCrush the tablet finely and mix it into a spoonful of applesauce or yogurt
5.Medium
A patient with a severe latex allergy is booked for surgery. Which measure is commonly used?
- AUse latex-free supplies and schedule the patient as the first case of the day
- BGive the patient antihistamines before surgery and then use the normal supplies
- CWrap latex items in plastic before use
- DUse latex gloves only for short procedures
6.Medium
Which practice with medication vials and syringes is safe?
- AUsing the same syringe for two patients if it is flushed
- BReusing a syringe if a new needle is attached
- CLeaving a needle in the vial’s stopper for later use
- DUsing a new sterile needle and syringe every time a vial is entered
7.Hard
A patient in the emergency waiting room has a cough for six weeks, night sweats, weight loss and blood in the sputum. What should the nurse do first?
- APlace the patient in a shared cubicle with the curtain closed
- BMask the patient and move them to an airborne isolation room
- CAsk the patient to wait in the waiting room until called
- DStart contact precautions with a gown and gloves for staff
8.Hard
Before the wound is closed, the sponge count does not match the starting count. What should happen?
- AAssume that the first count was wrong and continue
- BClose the wound to avoid a long anesthetic and recount the sponges after surgery
- CChange the count on the record so that it matches, then close the wound as planned
- DTell the surgeon and team, search for the item, and image the patient per policy if it is not found
Answer key
- 1. D · Wipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
- 2. A · Droplet precautions
- 3. B · Practices that reduce the number and spread of microorganisms
- 4. C · Ask the prescriber or pharmacist for another form and not crush the tablet
- 5. A · Use latex-free supplies and schedule the patient as the first case of the day
- 6. D · Using a new sterile needle and syringe every time a vial is entered
- 7. B · Mask the patient and move them to an airborne isolation room
- 8. D · Tell the surgeon and team, search for the item, and image the patient per policy if it is not found
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