1.Easy
When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?
- ABefore every subcutaneous injection
- BWhen the hands are visibly soiled
- CAfter touching a patient’s bed rail
- DBefore putting on clean gloves
2.Easy
How should a dose of half a milligram be written?
- A0.5 mg
- B1/2mg
- C.5 mg
- D0.50 mg
3.Easy
A patient has confirmed seasonal influenza. Which transmission-based precautions are used?
- ANo precautions beyond hand hygiene
- BAirborne precautions
- CContact precautions only
- DDroplet precautions
4.Medium
A patient has shingles (herpes zoster) on one area of the chest, has a normal immune system and the lesions can be fully covered. Which precautions are usually needed?
- AProtective environment with positive pressure
- BStandard precautions, with the lesions covered
- CDroplet precautions only
- DAirborne precautions in a negative-pressure room
5.Medium
A patient with delirium is at risk of falls and of pulling out lines. Which option is less restrictive than restraints?
- AA vest restraint applied for the whole night
- BFour side rails raised and the door closed so the patient stays in bed
- CA sedative given every few hours as needed
- DA trained sitter or video monitoring with staff nearby
6.Medium
Why can side rails be dangerous for a confused, restless patient?
- ASide rails always cause pressure injuries
- BSide rails stop staff from reaching the patient in an emergency
- CThe patient may climb over them or get trapped in gaps
- DSide rails make the bed move by itself
7.Hard
During a urinary catheter insertion with sterile technique, the catheter tip touches the patient’s thigh. What should the nurse do?
- ARinse the tip with sterile water and then continue
- BWipe the tip with an antiseptic and continue
- CDiscard the catheter and use a new sterile one
- DContinue, because the thigh was cleaned
8.Hard
A nurse teaches a patient about home oxygen safety. Which statement shows a need for further teaching?
- A“I will keep my spare cylinders upright and secured.”
- B“I will put a ‘no smoking’ sign on my front door for visitors.”
- C“I can light candles at dinner if my oxygen is turned down low.”
- D“I will keep my oxygen away from the stove.”
Answer key
- 1. B · When the hands are visibly soiled
- 2. A · 0.5 mg
- 3. D · Droplet precautions
- 4. B · Standard precautions, with the lesions covered
- 5. D · A trained sitter or video monitoring with staff nearby
- 6. C · The patient may climb over them or get trapped in gaps
- 7. C · Discard the catheter and use a new sterile one
- 8. C · “I can light candles at dinner if my oxygen is turned down low.”
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