1.Easy
Why do hospital electrical devices have three-prong plugs?
- AThe third prong grounds the device and carries stray current safely away
- BThe third prong stops the plug from being pulled out by accident
- CThe third prong lets the device draw a higher voltage from the wall socket
- DThe third prong connects the device to a backup battery
2.Easy
Why is a carbon monoxide detector recommended in the home?
- ACarbon monoxide is only dangerous outdoors
- BThe detector also measures the air temperature and humidity in the home
- CCarbon monoxide has no color or smell, so people cannot detect it themselves
- DCarbon monoxide always smells like rotten eggs
3.Easy
Why is a transmission-based precautions sign placed at the door of a patient’s room?
- ATo tell everyone the patient’s diagnosis and test results
- BTo show that the room has been cleaned
- CTo stop all staff and visitors from entering the room for any reason
- DTo tell staff and visitors which precautions and PPE are needed before entering
4.Medium
Which glove-removal technique is correct?
- APull both gloves off at the same time by the fingertips
- BPeel the first off by its outside, then slide a bare finger under the second cuff
- CRemove the second glove by pinching its outside with the bare hand, then wash
- DWash the gloved hands and reuse the gloves for the next task
5.Medium
Which nurse should not be assigned to a patient with a sealed radioactive implant?
- AA nurse who is pregnant
- BA nurse wearing a dosimeter badge
- CA nurse trained in radiation safety
- DA nurse who has worked on the unit for two years
6.Medium
A confused patient keeps pulling at an IV line. Which is a less restrictive option to consider before wrist restraints?
- ATying both arms to the bed frame
- BGiving a sedative every few hours
- CUsing a vest restraint in the chair so that the patient’s hands stay down
- DCovering the site with a sleeve or using hand mitts with supervision
7.Hard
A patient has had MRSA in a wound and now needs a dressing change. Which PPE is appropriate?
- ASterile gloves only, with no gown or other protection
- BNo PPE, if the hands are cleaned afterwards
- CAn N95 respirator only, because MRSA is a resistant organism
- DGown and gloves, plus eye protection and mask if splashes are likely
8.Hard
A nurse notices that a patient’s infusion pump is set to a rate ten times higher than the prescription. The patient seems well. What is the first action?
- AWait to see whether any side effects develop
- BAsk the patient whether they feel different, and continue
- CLeave the rate and document the finding in the notes
- DStop or correct the infusion, then assess the patient
Answer key
- 1. A · The third prong grounds the device and carries stray current safely away
- 2. C · Carbon monoxide has no color or smell, so people cannot detect it themselves
- 3. D · To tell staff and visitors which precautions and PPE are needed before entering
- 4. B · Peel the first off by its outside, then slide a bare finger under the second cuff
- 5. A · A nurse who is pregnant
- 6. D · Covering the site with a sleeve or using hand mitts with supervision
- 7. D · Gown and gloves, plus eye protection and mask if splashes are likely
- 8. D · Stop or correct the infusion, then assess the patient
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