1.Easy
Why is a Gram stain often done on a specimen before the culture result is ready?
- AIt quickly sorts bacteria into groups that help choose early treatment
- BIt measures the number of white cells in the blood
- CIt confirms whether the patient has a virus and which virus it is
- DIt shows exactly which antibiotic will work
2.Easy
What is an adverse event in patient safety?
- AA side effect that is listed and explained before treatment
- BHarm to a patient caused by health care, not by the illness
- CA complaint from a patient about the hospital food
- DAn error that is noticed before it reaches the patient
3.Easy
Where must sterile items be held to stay sterile?
- ABelow the waist
- BAbove waist level and in front of the nurse
- CBehind the back
- DAny level, as long as nothing non-sterile touches it
4.Medium
When should the transparent dressing over a peripheral IV site be changed?
- AWhen it is damp, loose or visibly soiled
- BOnly when the IV catheter is removed, whatever its state
- COnly when the patient asks for a new dressing
- DEvery hour, so the site can be cleaned again
5.Medium
A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?
- AWait to see whether any symptoms develop over the next day
- BContact the local poison advice service now for specific advice
- CGive syrup of ipecac from the medicine cabinet
- DMake the child vomit, using a finger at the back of the throat
6.Medium
A nurse is preparing medications for two patients. What is the safest approach?
- APut both patients’ medications in one cup and sort them at the bedside
- BPrepare and give medications for one patient at a time
- CAsk one patient to pass the medications to the other
- DPrepare both patients’ medications together to save time
7.Hard
A patient with suspected pertussis needs to stay in a shared bay because no single room is free. What is the most appropriate arrangement while infection control is contacted?
- ACurtains drawn, over 1 meter (3 feet) of space, masks for close contact
- BPlace the patient next to an immunocompromised patient
- CUse no precautions at all until a single room becomes free
- DUse airborne precautions with an N95 respirator for everyone
8.Hard
A nurse finds an unknown liquid leaking from a container in the utility room, with a strong smell. What should the nurse do first?
- ALeave the area, keep others out and alert the trained response team
- BPour water over it to dilute it
- CMop it up with paper towels
- DMove closer and smell it carefully to identify what the substance is
Answer key
- 1. A · It quickly sorts bacteria into groups that help choose early treatment
- 2. B · Harm to a patient caused by health care, not by the illness
- 3. B · Above waist level and in front of the nurse
- 4. A · When it is damp, loose or visibly soiled
- 5. B · Contact the local poison advice service now for specific advice
- 6. B · Prepare and give medications for one patient at a time
- 7. A · Curtains drawn, over 1 meter (3 feet) of space, masks for close contact
- 8. A · Leave the area, keep others out and alert the trained response team
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