1.Easy
Which practice makes the use of an ice pack safer?
- APut the ice pack directly on bare skin for several hours
- BKeep the ice pack on the skin while the patient sleeps overnight
- CPlace a cloth between the pack and the skin and limit the time it is applied
- DUse it only on areas where the patient has no feeling, so it is not uncomfortable
2.Easy
How should a nurse clean a stethoscope between patients?
- AClean it once a week, unless it is visibly dirty
- BRinse it under running water and dry it on a towel
- CSend it to be sterilized in an autoclave after every single patient contact
- DWipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
3.Easy
A patient is colonized with vancomycin-resistant enterococci (VRE). Which precautions are used?
- AAirborne precautions
- BDroplet precautions
- CContact precautions
- DProtective (reverse) isolation
4.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
5.Medium
While a sterile field is being prepared, the nurse turns away from it to answer a question. What is correct?
- AThe field is still sterile because nobody touched it in the meantime
- BThe field can be used if it is covered afterwards
- CThe field is considered contaminated and must be set up again
- DOnly the items nearest the nurse need to be replaced
6.Medium
When should the transparent dressing over a peripheral IV site be changed?
- AOnly when the IV catheter is removed, whatever its state
- BOnly when the patient asks for a new dressing
- CEvery hour, so the site can be cleaned again
- DWhen it is damp, loose or visibly soiled
7.Hard
Which patient most needs fall precautions?
- AAn alert patient on bed rest who follows instructions
- BA young adult with a broken finger who walks steadily and safely unaided
- CA patient awaiting discharge who walks independently
- DAn older patient, newly confused, on a sedative, with an unsteady gait
8.Hard
A nurse who is not immune to chickenpox was exposed to a patient with varicella before precautions began. What usually happens?
- AThe nurse continues working with all patients as usual, including newborns
- BThe nurse must take a two-week course of antibiotics to prevent the infection
- CThe nurse is assessed and kept from patient contact during the incubation period per policy
- DThe nurse only needs to wear gloves for the next month
Answer key
- 1. C · Place a cloth between the pack and the skin and limit the time it is applied
- 2. D · Wipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
- 3. C · Contact precautions
- 4. D · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 5. C · The field is considered contaminated and must be set up again
- 6. D · When it is damp, loose or visibly soiled
- 7. D · An older patient, newly confused, on a sedative, with an unsteady gait
- 8. C · The nurse is assessed and kept from patient contact during the incubation period per policy
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