1.Easy
Which practice makes the use of an ice pack safer?
- AKeep the ice pack on the skin while the patient sleeps overnight
- BPlace a cloth between the pack and the skin and limit the time it is applied
- CUse it only on areas where the patient has no feeling, so it is not uncomfortable
- DPut the ice pack directly on bare skin for several hours
2.Easy
In the fire extinguisher acronym PASS, what does the A stand for?
- AAssess the size of the room
- BAlert the fire department
- CAim at the base of the fire
- DActivate the fire alarm
3.Easy
In which order is personal protective equipment usually put on (CDC sequence)?
- AGloves, gown, goggles or face shield, mask or respirator
- BGown, mask or respirator, goggles or face shield, gloves
- CGoggles or face shield, gloves, mask or respirator, gown
- DMask or respirator, gloves, gown, goggles or face shield
4.Medium
Which glove-removal technique is correct?
- AWash the gloved hands and reuse the gloves for the next task
- BPeel the first off by its outside, then slide a bare finger under the second cuff
- CRemove the second glove by pinching its outside with the bare hand, then wash
- DPull both gloves off at the same time by the fingertips
5.Medium
A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?
- AContact the local poison advice service now for specific advice
- BGive syrup of ipecac from the medicine cabinet
- CMake the child vomit, using a finger at the back of the throat
- DWait to see whether any symptoms develop over the next day
6.Medium
A patient has received oral radioactive iodine therapy. Which precaution is usually taken?
- ALimit time close to the patient and handle body fluids per radiation policy
- BEncourage pregnant visitors to sit close to the patient to give emotional support
- CLet the patient share a bathroom with other patients
- DPlace the patient on droplet precautions with a surgical mask
7.Hard
A patient with suspected sepsis has orders for blood cultures and an IV antibiotic. What is the correct order of actions?
- AWait for the culture results before starting the antibiotic
- BGive the antibiotic and take the cultures an hour later
- CGive the antibiotic first so that treatment starts, and take the cultures the next day
- DDraw the blood cultures first, then give the antibiotic without delay
8.Hard
A patient’s WBC is 4,000/mm3, with 30% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?
- A140/mm3
- B1,400/mm3
- C3,500/mm3
- D1,200/mm3
Answer key
- 1. B · Place a cloth between the pack and the skin and limit the time it is applied
- 2. C · Aim at the base of the fire
- 3. B · Gown, mask or respirator, goggles or face shield, gloves
- 4. B · Peel the first off by its outside, then slide a bare finger under the second cuff
- 5. A · Contact the local poison advice service now for specific advice
- 6. A · Limit time close to the patient and handle body fluids per radiation policy
- 7. D · Draw the blood cultures first, then give the antibiotic without delay
- 8. B · 1,400/mm3
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