1.Easy
A nurse cannot get a good seal with an N95 respirator because of a beard. Which device can be used instead?
- AA standard surgical mask
- BTwo surgical masks worn together
- CA powered air-purifying respirator (PAPR)
- DA washable cloth face mask worn over the beard
2.Easy
Which precautions are used for a patient with mumps?
- AAirborne precautions
- BStandard precautions only
- CDroplet precautions
- DContact precautions only
3.Easy
A culture and sensitivity report says the organism is “sensitive” to an antibiotic. What does this mean?
- AThe patient is allergic to the antibiotic and should not be given it
- BThe antibiotic is expected to stop the organism growing
- CThe organism has become resistant to the antibiotic
- DThe organism causes an allergic reaction to the drug
4.Medium
How should a newborn be moved through hospital corridors?
- ACarried in the nurse’s arms for comfort
- BIn a bassinet, not carried in the arms
- CIn the arms of any visitor who offers to help
- DOn the mother’s lap in a wheelchair, without staff
5.Medium
Sterile saline is spilled on a sterile drape that lies on a non-sterile table. What does this mean?
- AThe field stays sterile, because saline is sterile
- BThe field becomes sterile again when it dries
- CThe field is contaminated, because moisture can carry organisms through the drape
- DOnly the wet part is contaminated, so items can be moved to the dry part
6.Medium
A patient with active pulmonary tuberculosis must go to the radiology department. How should the patient be transported?
- AWearing a surgical mask, with radiology warned in advance
- BWearing an N95 respirator that has not been fit-tested
- CWearing gloves and a gown, with no mask needed
- DWithout a mask, because the corridor is well ventilated and short
7.Hard
A patient on an anticoagulant falls and hits their head but says they feel fine. What should the nurse do?
- AWait until the next day to see if a headache develops
- BHelp the patient back to bed and do nothing more if they feel fine
- CGive the next anticoagulant dose early to prevent clots from forming after the fall
- DNotify the provider and start neurological observations, because a brain bleed may develop
8.Hard
A patient is admitted with acute diarrhea, and C. difficile is suspected. The test result is pending. When should contact precautions start?
- AOnly if the patient develops a fever
- BAfter three days of diarrhea
- CStraight away, without waiting for the test result
- DOnly when the test result comes back positive
Answer key
- 1. C · A powered air-purifying respirator (PAPR)
- 2. C · Droplet precautions
- 3. B · The antibiotic is expected to stop the organism growing
- 4. B · In a bassinet, not carried in the arms
- 5. C · The field is contaminated, because moisture can carry organisms through the drape
- 6. A · Wearing a surgical mask, with radiology warned in advance
- 7. D · Notify the provider and start neurological observations, because a brain bleed may develop
- 8. C · Straight away, without waiting for the test result
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