1.Easy
Which drug class is well known to increase the risk of falls in older adults?
- ATopical skin moisturizers
- BMultivitamins
- CBulk-forming laxatives
- DBenzodiazepines
2.Easy
Which measure is part of standard precautions?
- APlacing every patient in a negative-pressure room
- BWearing a gown and mask for every patient contact, whatever the task
- CWearing an N95 respirator for every patient contact
- DWearing gloves when contact with blood or body fluids is expected
3.Easy
How should a labeled specimen be sent to the laboratory?
- AIn a sealed biohazard bag, with the request form in the separate pocket
- BLoose in the nurse’s uniform pocket so that it does not get lost on the way
- CIn the same bag as the request form, touching the paper
- DIn an open cup placed on the transport trolley
4.Medium
A visitor with a cold wants to see a patient who has severe neutropenia. What should the nurse advise?
- AVisit but avoid touching the patient’s bed
- BVisit only if the cold started more than a day ago
- CVisit as usual after washing the hands
- DPostpone the visit until the visitor is well
5.Medium
During a norovirus outbreak on a ward, which hand hygiene method should staff use after patient care?
- AWiping hands on a paper towel only
- BAlcohol hand rub only
- CWashing with soap and water
- DNo hand hygiene if gloves were worn
6.Medium
How tight should a wrist restraint be?
- AAs tight as possible so the patient cannot move the arm
- BLoose enough for the patient’s hand to slip out
- CLoose enough to fit two fingers between the restraint and the skin
- DTight enough to slow the pulse at the wrist
7.Hard
Which action by assistive personnel requires the nurse to step in?
- AWashing hands with soap and water after leaving a C. difficile room
- BRemoving gloves and then cleaning the hands with alcohol rub
- CGoing from one patient’s bed to the next while wearing the same gloves
- DPutting soiled linen straight into a laundry bag at the bedside
8.Hard
A nurse teaches a patient who has had a splenectomy. Which statement shows a need for further teaching?
- A“Now that my spleen is out, a fever is nothing to worry about.”
- B“I will tell all of my health care providers that I have no spleen.”
- C“I will get medical help quickly if I get a high temperature.”
- D“I will keep my vaccinations up to date.”
Answer key
- 1. D · Benzodiazepines
- 2. D · Wearing gloves when contact with blood or body fluids is expected
- 3. A · In a sealed biohazard bag, with the request form in the separate pocket
- 4. D · Postpone the visit until the visitor is well
- 5. C · Washing with soap and water
- 6. C · Loose enough to fit two fingers between the restraint and the skin
- 7. C · Going from one patient’s bed to the next while wearing the same gloves
- 8. A · “Now that my spleen is out, a fever is nothing to worry about.”
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