1.Easy
To which patients do standard precautions apply?
- AOnly to patients with a known infection
- BTo all patients, whatever their diagnosis
- COnly to patients in isolation rooms
- DOnly to patients having surgery
2.Easy
A patient has suspected meningococcal meningitis (Neisseria meningitidis). Which precautions are used?
- ADroplet precautions
- BStandard precautions only
- CAirborne precautions
- DContact precautions only
3.Easy
What should be written instead of “cc” in a medication order?
- Acc only for oral drugs
- BmL
- Ccm
- DU
4.Medium
Why is blood glucose control important around the time of surgery?
- AGlucose levels only affect patients who have type 1 diabetes
- BHigh glucose makes anesthetic drugs work for much longer and delays waking up
- CLow glucose is needed around surgery so that the wound edges close more quickly
- DHigh glucose impairs white cell function and raises the risk of surgical site infection
5.Medium
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- ADiscard it, because its contents cannot be confirmed
- BGive it to the patient whose medication is due
- CAsk nearby staff and use it if someone recognizes it
- DLabel it with the most likely drug name
6.Medium
A patient is on a ventilator. Which bed position helps to prevent ventilator-associated pneumonia?
- ALying completely flat
- BHead of the bed raised 30 to 45 degrees
- CHead of the bed raised about 10 degrees
- DTrendelenburg position
7.Hard
A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?
- AAgree and drink extra coffee to stay alert
- BAgree without telling anyone about the fatigue
- CAgree, but skip the independent medication checks to save energy on the shift
- DExplain that fatigue would make care unsafe and decline the extra shift
8.Hard
A patient on airborne precautions needs an urgent CT scan. Which plan is correct?
- APatient masked, CT warned in advance, staff in respirators
- BPatient goes unmasked, and the CT room is cleaned the next day
- CThe scan is postponed until the patient is no longer infectious
- DPatient wears an N95 respirator, so staff need no protection
Answer key
- 1. B · To all patients, whatever their diagnosis
- 2. A · Droplet precautions
- 3. B · mL
- 4. D · High glucose impairs white cell function and raises the risk of surgical site infection
- 5. A · Discard it, because its contents cannot be confirmed
- 6. B · Head of the bed raised 30 to 45 degrees
- 7. D · Explain that fatigue would make care unsafe and decline the extra shift
- 8. A · Patient masked, CT warned in advance, staff in respirators
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