1.Easy
Which precautions are needed for a patient with Legionnaires’ disease (Legionella pneumonia)?
- AStandard precautions
- BAirborne precautions
- CContact precautions
- DDroplet precautions
2.Easy
How long should an alcohol-based hand rub be rubbed into the hands?
- AAbout 20–30 seconds, until the hands are dry
- BAbout 2–3 seconds
- CAt least 5 minutes
- DOnly until the rub has covered the palms
3.Easy
Why are patients usually kept nil by mouth (NPO) for a period before general anesthesia?
- ATo lower the risk of a wound infection
- BTo reduce the risk of aspirating stomach contents
- CTo prevent the patient from needing the toilet
- DTo make the patient lose weight before surgery
4.Medium
A patient is admitted to an inpatient mental health unit. Why are personal belongings checked?
- ATo remove items that could be used to harm self or others
- BTo decide which family members may visit
- CTo make a list of valuable items for insurance
- DTo find out what the patient likes to wear during the hospital stay
5.Medium
A nurse receives a needlestick injury from a patient known to have HIV. Why is it important to report it immediately?
- AReporting is only needed for injuries from IV needles
- BReporting is only needed if the wound bleeds or is deep
- CPost-exposure prophylaxis works best when started within hours
- DReporting can be done at any time within a month without changing the risk
6.Medium
A patient has received oral radioactive iodine therapy. Which precaution is usually taken?
- ALimit time close to the patient and handle body fluids per radiation policy
- BPlace the patient on droplet precautions with a surgical mask
- CEncourage pregnant visitors to sit close to the patient to give emotional support
- DLet the patient share a bathroom with other patients
7.Hard
Two look-alike vials of different drugs are stored next to each other, and a nurse almost picks the wrong one. Which response best reflects a just culture?
- AKeep the incident quiet to protect the unit’s reputation
- BDiscipline the nurse who nearly picked the wrong vial
- CTell the nurse to be more careful and do nothing else
- DReport it and fix the system, for example by separating the vials
8.Hard
During flu season, a nurse wakes up with fever, cough and muscle aches. What is the best action?
- AStay home and inform the employer according to the illness policy
- BTake an antipyretic so the fever does not show at work
- CGo to work but avoid caring for patients who have weak immune systems
- DGo to work but wear a surgical mask for the whole shift
Answer key
- 1. A · Standard precautions
- 2. A · About 20–30 seconds, until the hands are dry
- 3. B · To reduce the risk of aspirating stomach contents
- 4. A · To remove items that could be used to harm self or others
- 5. C · Post-exposure prophylaxis works best when started within hours
- 6. A · Limit time close to the patient and handle body fluids per radiation policy
- 7. D · Report it and fix the system, for example by separating the vials
- 8. A · Stay home and inform the employer according to the illness policy
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