1.Easy
What do staff usually wear when entering the room of a patient on droplet precautions?
- AA full hazmat suit
- BA surgical mask
- CAn N95 respirator only
- DSterile gloves
2.Easy
In the chain of infection, a contaminated bedside table where bacteria live and multiply is an example of which link?
- AThe portal of exit
- BThe portal of entry
- CThe reservoir
- DThe susceptible host
3.Easy
What is the incubation period of an infection?
- AThe time between entry of the organism and the first symptoms
- BThe time when the person recovers and symptoms fade
- CThe time when the specific symptoms are at their worst
- DThe time from the first vague symptoms to specific symptoms
4.Medium
An infant has had a cleft lip repair. Why are elbow restraints often used?
- ATo hold the IV line in place during feeds and stop it being pulled out
- BTo prevent the infant from sucking a pacifier
- CTo keep the infant from rolling over in the crib
- DTo stop the infant’s hands reaching the mouth while still allowing arm movement
5.Medium
An alcohol-based skin prep has been used before surgery with electrosurgery. What must happen before the drapes are placed?
- AThe prep must be covered with the drapes while it is still wet
- BThe prep must be wiped off with saline
- CThe prep must be warmed with a hair dryer
- DThe prep must be fully dry and any pooled liquid removed
6.Medium
A patient with diabetes will use lancets and insulin needles at home. Which teaching about disposal is correct?
- APut them loose in the household trash bag, as long as the bag is tied shut
- BPut them in a puncture-resistant container with a lid and follow local disposal rules
- CRecap each needle with two hands before putting it in the kitchen trash
- DFlush the used lancets and needles down the toilet
7.Hard
A confused patient in wrist restraints has cool, pale fingers on one hand and a weak radial pulse on that side. What should the nurse do first?
- ADocument the findings carefully and recheck in two hours
- BLoosen that restraint and assess the hand’s circulation
- CTighten the other restraint to stop the patient pulling
- DRaise the hand on a pillow, leaving the restraint as it is
8.Hard
A nurse picks up a heparin vial that contains 10 000 units/mL; the ward usually stocks 1000 units/mL vials. Why is extra care needed?
- AUsing the more concentrated vial by mistake would give a tenfold overdose
- BThe concentrated vial is safer, because less volume is drawn up
- CBoth vial strengths can be swapped freely
- DHeparin concentration has no effect on safety
Answer key
- 1. B · A surgical mask
- 2. C · The reservoir
- 3. A · The time between entry of the organism and the first symptoms
- 4. D · To stop the infant’s hands reaching the mouth while still allowing arm movement
- 5. D · The prep must be fully dry and any pooled liquid removed
- 6. B · Put them in a puncture-resistant container with a lid and follow local disposal rules
- 7. B · Loosen that restraint and assess the hand’s circulation
- 8. A · Using the more concentrated vial by mistake would give a tenfold overdose
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