1.Easy
When should the side rails of a young child’s hospital crib be fully raised?
- AOnly when a parent asks for them to be raised before leaving the room
- BWhenever the child is in the crib and the nurse steps away
- COnly at night while the child sleeps
- DOnly if the child has fallen before
2.Easy
Before a nurse wears an N95 respirator, what is required?
- AA fit test, plus a seal check at each use
- BNothing, because one size fits every face
- CWashing it with soap before first use
- DWearing a surgical mask underneath it
3.Easy
Which type of knot is used to secure the straps of a restraint?
- AA knot tied on the patient’s wrist
- BA square knot
- CA tight double knot
- DA quick-release knot
4.Medium
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- ADiscard it, because its contents cannot be confirmed
- BAsk nearby staff and use it if someone recognizes it
- CLabel it with the most likely drug name
- DGive it to the patient whose medication is due
5.Medium
Before inserting a peripheral IV, the nurse cleans the skin with chlorhexidine-alcohol. What should the nurse do next?
- AWipe it off with a dry gauze straight away
- BFeel for the vein again with an ungloved finger
- CBlow on the site so it dries faster
- DLet it dry fully and do not touch the site again
6.Medium
Why does a nurse wear chemotherapy-tested gloves and a gown when emptying the urinal of a patient who recently had chemotherapy?
- AChemotherapy makes the urine strongly acidic and corrosive
- BThe patient is on airborne precautions after treatment
- CThe urine always contains infectious bacteria after chemotherapy
- DThe body fluids can contain active drug for a time after treatment
7.Hard
During a urinary catheter insertion with sterile technique, the catheter tip touches the patient’s thigh. What should the nurse do?
- ADiscard the catheter and use a new sterile one
- BContinue, because the thigh was cleaned
- CRinse the tip with sterile water and then continue
- DWipe the tip with an antiseptic and continue
8.Hard
A patient on airborne precautions for tuberculosis wants to walk in the hallway. What is the best response?
- AAllow it, as long as the patient wears an N95 respirator in the corridor
- BExplain that they must stay in the room, and offer ways to stay active inside it
- CAllow it, if they avoid the nurses’ station
- DAllow it, as long as they walk quickly
Answer key
- 1. B · Whenever the child is in the crib and the nurse steps away
- 2. A · A fit test, plus a seal check at each use
- 3. D · A quick-release knot
- 4. A · Discard it, because its contents cannot be confirmed
- 5. D · Let it dry fully and do not touch the site again
- 6. D · The body fluids can contain active drug for a time after treatment
- 7. A · Discard the catheter and use a new sterile one
- 8. B · Explain that they must stay in the room, and offer ways to stay active inside it
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