1.Easy
A nurse sees water spilled on the floor in a patient’s room. What should be done?
- AWarn only the patient in that room
- BClean it up promptly and use a wet-floor warning sign until it is dry
- CCover it with a towel and leave it there until the floor is cleaned later
- DLeave it for the next cleaning round
2.Easy
To which patients do standard precautions apply?
- AOnly to patients having surgery
- BTo all patients, whatever their diagnosis
- COnly to patients with a known infection
- DOnly to patients in isolation rooms
3.Easy
What should be written instead of “cc” in a medication order?
- Acm
- Bcc only for oral drugs
- CU
- DmL
4.Medium
Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?
- AIt means “every day at bedtime” in some hospitals
- BIt is a Latin abbreviation, and only plain English abbreviations may be used
- CIt is only allowed for intravenous medicines
- DIt can be misread as QID or QOD, so the drug is given too often or too rarely
5.Medium
A small fire starts in a waste bin in a patient’s room while the patient is in bed. What does the nurse do first?
- APhone the manager to report the fire
- BOpen the windows to clear the smoke
- CGo and look for the nearest fire extinguisher
- DRemove the patient from immediate danger
6.Medium
A patient has a non-violent restraint. In most nursing policies, how often at minimum is it released for range of motion, toileting and skin care?
- AAt least every 2 hours
- BOnce a day, during the bath
- COnce every 12-hour shift
- DOnly when the patient asks for it
7.Hard
Several patients on a ward develop vomiting and diarrhea within two days, and a norovirus outbreak is suspected. What should the nurse do first?
- AAsk visitors to bring in bottled water for all patients
- BNotify the infection prevention team and place affected patients on contact precautions
- CWait for all the stool results to come back before taking any action
- DMove the affected patients to different wards so that fewer people are exposed
8.Hard
A flexible bronchoscope contacts mucous membranes but does not enter sterile tissue. Which level of processing is required at a minimum between patients?
- AWiping with an alcohol wipe
- BHigh-level disinfection
- CCleaning with soap and water only
- DLow-level disinfection
Answer key
- 1. B · Clean it up promptly and use a wet-floor warning sign until it is dry
- 2. B · To all patients, whatever their diagnosis
- 3. D · mL
- 4. D · It can be misread as QID or QOD, so the drug is given too often or too rarely
- 5. D · Remove the patient from immediate danger
- 6. A · At least every 2 hours
- 7. B · Notify the infection prevention team and place affected patients on contact precautions
- 8. B · High-level disinfection
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