1.Easy
How is a contaminated isolation gown removed?
- AUntie it and peel it away, rolling the outside inward
- BRemove it by gripping the front of the gown with bare hands
- CShake it off and then fold it neatly
- DPull it over the head with the outside facing out
2.Easy
Which precautions are used for a patient with respiratory syncytial virus (RSV)?
- AContact precautions
- BNo precautions beyond hand hygiene
- CProtective (reverse) isolation
- DAirborne precautions
3.Easy
What does sterilization achieve that disinfection does not?
- AIt stops organisms from growing for one day only
- BIt kills viruses but leaves all bacteria alive
- CIt removes visible dirt and organic matter from surfaces
- DIt destroys all microorganisms, including bacterial spores
4.Medium
When should a nurse call the rapid response team?
- AOnly when the patient’s family makes a complaint
- BWhen a patient shows an acute decline, such as new confusion or a sharp change in vital signs
- COnly when the provider has written an order for a rapid response call in the chart
- DOnly after a patient has had a cardiac or respiratory arrest on the ward
5.Medium
Two patients with very similar names are on the same unit. What is the best safety measure?
- ACall each patient by their first name only
- BFlag the similar names and check two identifiers every time
- CTransfer one of the two patients to another hospital
- DUse the room numbers to tell the patients apart
6.Medium
An alcohol-based skin prep has been used before surgery with electrosurgery. What must happen before the drapes are placed?
- AThe prep must be fully dry and any pooled liquid removed
- BThe prep must be covered with the drapes while it is still wet
- CThe prep must be wiped off with saline
- DThe prep must be warmed with a hair dryer
7.Hard
A patient on long-term high-dose corticosteroids asks for the nasal spray influenza vaccine. What should the nurse explain?
- AThe nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
- BPeople on steroids should never have any influenza vaccine
- CEither type is fine, as long as it is given in the morning
- DThe nasal spray is the best choice for people on steroids, because it is not injected
8.Hard
A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?
- ADo it anyway, using only the device manual and the instructions on the screen
- BLeave the device untouched and not tell anyone
- CTell the charge nurse and ask for help or a change of assignment
- DAsk the patient or the family to explain how the device works
Answer key
- 1. A · Untie it and peel it away, rolling the outside inward
- 2. A · Contact precautions
- 3. D · It destroys all microorganisms, including bacterial spores
- 4. B · When a patient shows an acute decline, such as new confusion or a sharp change in vital signs
- 5. B · Flag the similar names and check two identifiers every time
- 6. A · The prep must be fully dry and any pooled liquid removed
- 7. A · The nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
- 8. C · Tell the charge nurse and ask for help or a change of assignment
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