1.Easy
Where must sterile items be held to stay sterile?
- AAbove waist level and in front of the nurse
- BAny level, as long as nothing non-sterile touches it
- CBelow the waist
- DBehind the back
2.Easy
In a fall risk tool such as the Morse Fall Scale, what does a higher score mean?
- AA lower risk of falling
- BA lower risk of pressure injury
- CBetter mobility
- DA higher risk of falling
3.Easy
Which type of latex reaction is the most dangerous?
- AIrritant contact dermatitis
- BType I (immediate) hypersensitivity
- CType IV (delayed) hypersensitivity
- DDry skin from frequent hand washing
4.Medium
Two patients infected with the same organism are admitted, and no single room is available. What is an accepted option?
- ACohorting them in the same room, according to infection control advice
- BPlacing each with a patient who has a weakened immune system
- CPlacing them in the corridor
- DStopping contact precautions
5.Medium
A nurse has been fit-tested for an N95 respirator. What should the nurse do each time it is put on?
- AMoisten the edges so it seals better
- BPerform a user seal check
- CArrange a new fit test
- DWear a surgical mask underneath it
6.Medium
A new antibiotic is prescribed for a patient. What should the nurse check before giving the first dose?
- AOnly the patient’s blood pressure and pulse before giving the drug
- BThe patient’s allergies, by checking the record and asking the patient
- CThe patient’s preferred pharmacy
- DOnly the time of the patient’s last meal and drink
7.Hard
The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?
- AA wrong-patient sample, so the test is repeated and the event reported
- BThe previous result was wrong, so it is deleted
- CA normal change in the patient’s blood group over the years since the last test
- DA laboratory machine fault, so no action is needed
8.Hard
An 80-year-old patient took a sleeping tablet an hour ago and now wants to go to the bathroom. What should the nurse do?
- ATell the patient to go alone and use the call light if needed
- BTell the patient to wait until the morning
- CRaise all four side rails so the patient stays in bed
- DWalk with the patient to the bathroom and stay close by
Answer key
- 1. A · Above waist level and in front of the nurse
- 2. D · A higher risk of falling
- 3. B · Type I (immediate) hypersensitivity
- 4. A · Cohorting them in the same room, according to infection control advice
- 5. B · Perform a user seal check
- 6. B · The patient’s allergies, by checking the record and asking the patient
- 7. A · A wrong-patient sample, so the test is repeated and the event reported
- 8. D · Walk with the patient to the bathroom and stay close by
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