1.Easy
After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?
- AWith the freshly washed hands
- BThe tap is left running for the next person
- CWith a clean, dry paper towel
- DWith the bare forearm before drying
2.Easy
In the United States classification, which class of fire extinguisher is used for an electrical fire?
- AClass K
- BClass A
- CClass B
- DClass C
3.Easy
Which practice makes the use of an ice pack safer?
- APlace a cloth between the pack and the skin and limit the time it is applied
- BUse it only on areas where the patient has no feeling, so it is not uncomfortable
- CKeep the ice pack on the skin while the patient sleeps overnight
- DPut the ice pack directly on bare skin for several hours
4.Medium
A peripheral IV site is red, warm and tender along the vein. What should the nurse do?
- ARemove the catheter and insert a new one at another site if still needed
- BFlush the catheter harder to clear the vein and keep using the same site
- CApply a warm pack and keep using the same site
- DIncrease the infusion rate to finish the bag sooner
5.Medium
A small spill of blood is found on the floor. How should it be cleaned?
- AWear gloves, absorb the blood, then clean the area with an approved disinfectant
- BLeave it until housekeeping arrives the next morning
- CWipe it up quickly with a dry cloth using bare hands, then wash the hands well
- DCover it with a clean sheet and keep working
6.Medium
When should an N95 respirator be removed after caring for a patient on airborne precautions?
- AAfter leaving the room and closing the door
- BStraight after entering the room
- CBefore taking off the gloves, inside the room
- DNever; it is worn for the rest of the shift
7.Hard
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
- AOnly if the same error happens three times
- BYes, near misses are reported so system weaknesses can be fixed
- CNo, because reporting near misses only blames the pharmacy staff for nothing
- DNo, because the patient was not harmed
8.Hard
Which action by a nurse shows that the five moments of hand hygiene are being followed?
- AShe cleans her hands only when they look dirty
- BShe cleans her hands only at the start and end of the shift
- CShe wears the same gloves between two patients
- DShe cleans her hands after touching the bed rail
Answer key
- 1. C · With a clean, dry paper towel
- 2. D · Class C
- 3. A · Place a cloth between the pack and the skin and limit the time it is applied
- 4. A · Remove the catheter and insert a new one at another site if still needed
- 5. A · Wear gloves, absorb the blood, then clean the area with an approved disinfectant
- 6. A · After leaving the room and closing the door
- 7. B · Yes, near misses are reported so system weaknesses can be fixed
- 8. D · She cleans her hands after touching the bed rail
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