1.Easy
Which type of room is used for a patient with severe immunosuppression, such as after a stem cell transplant?
- AA positive-pressure room with filtered air
- BAny room, as long as visitors wear gloves
- CA negative-pressure airborne isolation room
- DA shared bay with good natural ventilation and open windows
2.Easy
Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?
- AIt can be misread as “IV” or as the number 10
- BIt refers only to insulin units
- CIt is only allowed in pediatric orders
- DIt means “inpatient use” in many hospitals
3.Easy
Where should medicines be stored in a home with young children?
- AIn unlabeled containers or pill boxes so they are easy to carry around
- BIn their original containers in a locked or high cabinet
- COn the kitchen counter so doses are not forgotten
- DIn a handbag that is left on the floor or a chair
4.Medium
Which IV fluid can be given with packed red blood cells in the same line?
- A5% dextrose in water
- B5% dextrose in 0.45% sodium chloride
- CLactated Ringer’s (Hartmann’s) solution
- D0.9% sodium chloride
5.Medium
A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?
- ANo eye protection, if the nurse stands to one side
- BThe prescription glasses alone
- CThe glasses with a surgical mask
- DGoggles or a face shield worn over the glasses
6.Medium
A nurse finds a used needle in a patient’s bed linen. What should the nurse do?
- ARecap it with two hands before throwing it away
- BFold it into the linen and send it to the laundry
- CPick it up by the hub or with forceps, put it in a sharps container and report it
- DLeave it where it is for the housekeeping staff to remove later in the day
7.Hard
Which position is especially dangerous for a patient in physical restraints?
- ASitting upright in bed
- BLying on the side
- CLying on the back with the head raised
- DLying face down (prone)
8.Hard
A nurse caring for a patient with influenza on droplet precautions will assist with an aerosol-generating procedure, such as bronchoscopy. What change in PPE is needed?
- AWear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
- BWear two surgical masks, one on top of the other, for the length of the procedure
- CWear gloves only, because the procedure is short
- DNo change, because influenza only needs droplet precautions
Answer key
- 1. A · A positive-pressure room with filtered air
- 2. A · It can be misread as “IV” or as the number 10
- 3. B · In their original containers in a locked or high cabinet
- 4. D · 0.9% sodium chloride
- 5. D · Goggles or a face shield worn over the glasses
- 6. C · Pick it up by the hub or with forceps, put it in a sharps container and report it
- 7. D · Lying face down (prone)
- 8. A · Wear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
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