1.Easy
What does ESBL stand for in an ESBL-producing organism?
- AExtended-spectrum beta-lactamase
- BExtended-surface biofilm layer
- CEnhanced staphylococcal bacterial load
- DEnteric serum beta-lymphocyte
2.Easy
Which precautions are used for a patient with mumps?
- AAirborne precautions
- BDroplet precautions
- CStandard precautions only
- DContact precautions only
3.Easy
A nurse notices that a medication is past its expiry date. What should the nurse do?
- ANot give it, and return it according to policy
- BGive a double dose to make up for lost strength
- CGive it, if it is less than one month expired
- DGive it, because medicines work for years after expiry
4.Medium
A patient with a fentanyl skin patch wants to use a heating pad on the area. What should the nurse teach?
- AAvoid heat on or near the patch, because it increases how fast the drug is absorbed
- BHeat makes the patch last longer, so fewer patches are needed each month
- CHeat only matters if the patch is on the chest
- DHeat is fine to use, because it helps the patch stick better to the skin
5.Medium
A nurse who never had BCG vaccine has a positive tuberculin skin test for the first time. The chest x-ray is clear and there are no symptoms. What does this most likely mean?
- AA failed test that must be repeated next year
- BLatent TB infection, which is not contagious
- CActive TB, which needs airborne isolation
- DImmunity to TB from a past exposure
6.Medium
A patient with suspected tuberculosis is in a negative-pressure room. Which practice is correct?
- AKeep the door closed except when entering or leaving
- BTurn off the room ventilation at night
- CLet visitors enter without any protection
- DKeep the door open so staff can see the patient at all times
7.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?
- ASpeed up the transfusion so it finishes sooner
- BPause the transfusion until the nurse is free again
- CStay with the transfusing patient for the first 15 minutes and ask another nurse to help
- DLeave to help the other patient, and check the transfusion again in about an hour
8.Hard
Shortly after a patient falls, the team holds a brief “post-fall huddle”. What is its main purpose?
- ATo find out quickly why the fall happened and change the care plan to prevent another
- BTo decide which staff member was to blame for the fall
- CTo agree on what the team will tell the patient’s lawyer and the family
- DTo complete the patient’s discharge paperwork
Answer key
- 1. A · Extended-spectrum beta-lactamase
- 2. B · Droplet precautions
- 3. A · Not give it, and return it according to policy
- 4. A · Avoid heat on or near the patch, because it increases how fast the drug is absorbed
- 5. B · Latent TB infection, which is not contagious
- 6. A · Keep the door closed except when entering or leaving
- 7. C · Stay with the transfusing patient for the first 15 minutes and ask another nurse to help
- 8. A · To find out quickly why the fall happened and change the care plan to prevent another
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