1.Easy
A nurse cannot get a good seal with an N95 respirator because of a beard. Which device can be used instead?
- AA washable cloth face mask worn over the beard
- BA standard surgical mask
- CTwo surgical masks worn together
- DA powered air-purifying respirator (PAPR)
2.Easy
A patient is transferred with carbapenem-resistant Enterobacterales (CRE). Which precautions are used in the hospital?
- AAirborne precautions
- BA protective environment
- CContact precautions
- DDroplet precautions
3.Easy
Which vaccine is offered to health care workers mainly because of their risk of exposure to blood?
- ATyphoid vaccine
- BHepatitis B vaccine
- CRabies vaccine
- DYellow fever vaccine
4.Medium
A patient in bed has a generalized tonic-clonic seizure. What should the nurse do?
- AGive sips of water to keep the airway moist
- BTurn the patient on their side and protect them from injury without restraining
- CHold the arms and legs firmly to stop the movements
- DPut a padded tongue blade between the teeth to protect the tongue from biting
5.Medium
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR is safe at any stage of pregnancy
- BMMR is only given to pregnant women who work in hospitals
- CMMR should be given as soon as possible in the first trimester to protect the baby
- DMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
6.Medium
Which technique is correct when collecting a wound culture?
- ACollect the sample only after antibiotics have been started
- BUse one swab to sample two different wounds
- CClean the wound with sterile saline first, then swab clean tissue
- DSwab the old pus on the dressing that was just removed from the wound
7.Hard
Which patient with a suspected infection meets at least two SIRS criteria?
- ATemperature 37.2 °C and heart rate 80/min
- BTemperature 38.6 °C and heart rate 112/min
- CTemperature 36.8 °C and respiratory rate 18/min
- DRespiratory rate 16/min and WBC 8,000/mm3
8.Hard
While preparing an IV medication, a nurse sees that the syringe tip touched the medication tray after the cap came off. What should the nurse do?
- AGive the dose anyway, because the medication tray was cleaned this morning
- BBlow on the tip to remove any dust
- CWipe the tip with an alcohol swab and give the dose
- DDiscard the syringe and prepare the dose again with new equipment
Answer key
- 1. D · A powered air-purifying respirator (PAPR)
- 2. C · Contact precautions
- 3. B · Hepatitis B vaccine
- 4. B · Turn the patient on their side and protect them from injury without restraining
- 5. D · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 6. C · Clean the wound with sterile saline first, then swab clean tissue
- 7. B · Temperature 38.6 °C and heart rate 112/min
- 8. D · Discard the syringe and prepare the dose again with new equipment
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