1.Easy
Which precautions are used for a hospitalized patient with head lice (pediculosis)?
- AA protective environment
- BContact precautions
- CAirborne precautions
- DDroplet precautions
2.Easy
What is a chemical restraint?
- AA drug given to relieve pain after surgery
- BA drug used to prevent infection in a patient who has a restraint applied
- CA drug used to control behavior that is not standard treatment for the condition
- DA cream applied to the wrists under a restraint
3.Easy
Which precautions are used for a patient with respiratory syncytial virus (RSV)?
- AAirborne precautions
- BProtective (reverse) isolation
- CNo precautions beyond hand hygiene
- DContact precautions
4.Medium
A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?
- AA tuberculin skin test, which is read 24 hours after it is placed
- BNo screening, because BCG prevents all TB
- CAn interferon-gamma release assay (IGRA) blood test
- DA chest x-ray every month for the first year
5.Medium
When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?
- AAt the start of each shift to save time later
- BWhenever the nurse is sure of the dose
- CWhenever the pharmacist is slow to review new orders and the patient is waiting
- DOnly in an urgent situation where delay would harm the patient, per policy
6.Medium
The laboratory calls with a critical lab result by phone. What should the nurse do?
- ARemember the value and enter it in the chart at the end of the shift
- BWait for the printed report to arrive before telling the provider about it
- CTell the patient the result first and then call the provider
- DWrite it down, read it back to confirm and report it to the provider promptly
7.Hard
A patient in a vest restraint has slid down in bed, and the vest is pressing against the neck. What should the nurse do first?
- ARelease the restraint at once and reposition the patient
- BWrite a note about the event in the chart
- CTighten the vest so the patient cannot slide down again
- DCall the provider to ask about a different restraint
8.Hard
A patient has signed a surgical consent form but tells the nurse, “I don’t really understand what they are going to do.” What should the nurse do?
- AReassure the patient that the surgeon knows best and continue with the preparation
- BGive the preoperative sedative so the patient relaxes
- CExplain the risks and benefits in place of the surgeon
- DInform the surgeon so the procedure can be explained again before any sedation
Answer key
- 1. B · Contact precautions
- 2. C · A drug used to control behavior that is not standard treatment for the condition
- 3. D · Contact precautions
- 4. C · An interferon-gamma release assay (IGRA) blood test
- 5. D · Only in an urgent situation where delay would harm the patient, per policy
- 6. D · Write it down, read it back to confirm and report it to the provider promptly
- 7. A · Release the restraint at once and reposition the patient
- 8. D · Inform the surgeon so the procedure can be explained again before any sedation
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