1.Easy
When is a tuberculin skin test (Mantoux test) read?
- A12 hours after the injection
- B15 minutes after the injection
- C7 to 10 days after the injection
- D48 to 72 hours after the injection
2.Easy
When is eye protection part of standard precautions?
- AWhen splashes or sprays of blood or body fluids are likely
- BOnly in the operating room
- COnly when caring for a patient who has an eye infection such as conjunctivitis
- DOnly when the patient is on airborne precautions
3.Easy
Which finding suggests a systemic infection rather than only a local one?
- AFever with a raised heart rate
- BSlight tenderness around an IV site
- CRedness around a small cut
- DMild swelling at an injection site
4.Medium
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- BMMR should be given as soon as possible in the first trimester to protect the baby
- CMMR is safe at any stage of pregnancy
- DMMR is only given to pregnant women who work in hospitals
5.Medium
A patient has fallen, and the nurse completes an incident report. Which statement about this report is correct?
- AIt is only needed when the patient is injured
- BIt is written factually and does not replace documenting the fall in the patient’s record
- CIt replaces the need to document the fall in the patient’s record
- DA copy of it is placed in the patient’s chart so all staff know about the fall
6.Medium
Which nurse should not be assigned to a patient with a sealed radioactive implant?
- AA nurse wearing a dosimeter badge
- BA nurse trained in radiation safety
- CA nurse who has worked on the unit for two years
- DA nurse who is pregnant
7.Hard
A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?
- ABlame the pharmacy for the error so that the nurse and the ward are not at fault
- BBe honest that an error occurred and involve the provider and team in disclosure per policy
- CTell the patient to make a formal complaint to find out
- DTell the patient nothing happened to avoid worry
8.Hard
A patient with a common cold asks for antibiotics “to be on the safe side”. Which response is best?
- AAsk the provider to prescribe antibiotics anyway so that the patient is reassured
- BExplain that antibiotics do not work on viruses and overuse breeds resistant bacteria
- CSuggest using leftover antibiotics from a previous illness
- DTell the patient that antibiotics will shorten the cold by several days
Answer key
- 1. D · 48 to 72 hours after the injection
- 2. A · When splashes or sprays of blood or body fluids are likely
- 3. A · Fever with a raised heart rate
- 4. A · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 5. B · It is written factually and does not replace documenting the fall in the patient’s record
- 6. D · A nurse who is pregnant
- 7. B · Be honest that an error occurred and involve the provider and team in disclosure per policy
- 8. B · Explain that antibiotics do not work on viruses and overuse breeds resistant bacteria
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