1.Easy
A nurse notices a frayed electrical cord on an infusion pump. What should the nurse do?
- ATake the pump out of use, label it as faulty and report it
- BWrap the cord in electrical tape and continue using it
- CKeep using it carefully until the end of the shift, then report it
- DAsk the patient not to touch the cord
2.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
3.Easy
In the chain of infection, which link is broken by hand hygiene?
- AThe mode of transmission
- BThe portal of exit only
- CThe susceptible host only
- DThe infectious agent’s reservoir only
4.Medium
Which IV fluid can be given with packed red blood cells in the same line?
- ALactated Ringer’s (Hartmann’s) solution
- B0.9% sodium chloride
- C5% dextrose in 0.45% sodium chloride
- D5% dextrose in water
5.Medium
A patient receiving continuous nasogastric feeding has pulled the tube partly out. What should the nurse do first?
- AIncrease the feed rate to make up for the lost time
- BStop the feeding until the tube position is checked
- CTape the tube in its new position and continue
- DPush the tube back in and restart the feed
6.Medium
A patient is on suicide precautions. Which room safety measure is appropriate?
- ALet the patient keep a personal razor for shaving, as long as staff are told
- BRemove items that could be used for self-harm, such as belts and cords
- CAllow glass bottles if the patient seems calm
- DKeep the door closed at all times so the patient has privacy
7.Hard
During an oral drug round, a patient asks to take a tablet later. The nurse leaves it on the bedside table. What is the main safety problem?
- ATablets dissolve quickly when left in the open air
- BThe tablet may lose its color and become hard to identify later
- CThe nurse cannot confirm it was taken, and another person could take it
- DThere is no safety problem if the patient is alert
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 when the test result comes back positive
- BOnly if the patient develops a fever
- CAfter three days of diarrhea
- DStraight away, without waiting for the test result
Answer key
- 1. A · Take the pump out of use, label it as faulty and report it
- 2. C · A powered air-purifying respirator (PAPR)
- 3. A · The mode of transmission
- 4. B · 0.9% sodium chloride
- 5. B · Stop the feeding until the tube position is checked
- 6. B · Remove items that could be used for self-harm, such as belts and cords
- 7. C · The nurse cannot confirm it was taken, and another person could take it
- 8. D · Straight away, without waiting for the test result
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