1.Easy
How is a contaminated isolation gown removed?
- AUntie it and peel it away, rolling the outside inward
- BPull it over the head with the outside facing out
- CShake it off and then fold it neatly
- DRemove it by gripping the front of the gown with bare hands
2.Easy
To which patients do standard precautions apply?
- AOnly to patients having surgery
- BOnly to patients with a known infection
- COnly to patients in isolation rooms
- DTo all patients, whatever their diagnosis
3.Easy
Under event-related sterility, how long is a sterile package considered sterile?
- AUntil the end of the shift on which it was opened
- BUntil it is opened, torn, wet or otherwise damaged
- CForever, even if the outer wrapper gets wet
- DFor exactly seven days after it was packed
4.Medium
Sterile saline is spilled on a sterile drape that lies on a non-sterile table. What does this mean?
- AThe field is contaminated, because moisture can carry organisms through the drape
- BThe field stays sterile, because saline is sterile
- CThe field becomes sterile again when it dries
- DOnly the wet part is contaminated, so items can be moved to the dry part
5.Medium
Before helping a patient from bed into a wheelchair, what should the nurse do with the wheelchair?
- ALock the brakes and place it close to the bed on the patient’s stronger side
- BPlace it at the foot of the bed, facing away
- CLeave the brakes off so the chair can move along with the patient during the pivot
- DPlace it on the patient’s weaker side so that side is supported
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?
- AOnce every 12-hour shift
- BOnly when the patient asks for it
- CAt least every 2 hours
- DOnce a day, during the bath
7.Hard
A patient with suspected pertussis needs to stay in a shared bay because no single room is free. What is the most appropriate arrangement while infection control is contacted?
- AUse no precautions at all until a single room becomes free
- BPlace the patient next to an immunocompromised patient
- CCurtains drawn, over 1 meter (3 feet) of space, masks for close contact
- DUse airborne precautions with an N95 respirator for everyone
8.Hard
A nurse calculates a child’s prescribed dose and finds it is ten times higher than the usual dose for the child’s weight. What should the nurse do?
- AGive one-tenth of the dose without telling anyone about it
- BGive half the dose and watch the child closely
- CHold the dose and verify it with the prescriber and pharmacist
- DGive it, because the prescriber must have a reason
Answer key
- 1. A · Untie it and peel it away, rolling the outside inward
- 2. D · To all patients, whatever their diagnosis
- 3. B · Until it is opened, torn, wet or otherwise damaged
- 4. A · The field is contaminated, because moisture can carry organisms through the drape
- 5. A · Lock the brakes and place it close to the bed on the patient’s stronger side
- 6. C · At least every 2 hours
- 7. C · Curtains drawn, over 1 meter (3 feet) of space, masks for close contact
- 8. C · Hold the dose and verify it with the prescriber and pharmacist
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