1.Easy
Which example shows indirect contact transmission?
- ABacteria on a bed rail reach a nurse’s hands and then another patient
- BA mosquito bites an infected person and then a healthy one
- CA person inhales tiny particles that hang in the air of a room
- DLarge droplets from a sneeze land directly on a nearby person’s face
2.Easy
Why are rings and wristwatches discouraged during direct patient care?
- AThey can interfere with the readings of patient monitors
- BThey can hold organisms and make hand hygiene less effective
- CThey can interfere with hospital Wi-Fi signals
- DThey can scratch the hospital furniture
3.Easy
A patient uses glasses and a hearing aid. How does this affect fall prevention?
- AThey should only be worn during meals and visits, to keep them from breaking
- BThey make no difference to the risk of falling
- CThey should be stored away to prevent them from being lost
- DThe glasses and hearing aid should be in place and working when the patient is awake
4.Medium
A patient on contact precautions must be taken to another department for a test. What is correct?
- AHave the patient wear an N95 respirator during transport
- BPut the patient in a separate elevator with the doors open
- CCancel the test until the precautions are no longer needed, however urgent it is
- DCover wounds, give the patient a clean gown and tell the receiving department
5.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- AGive it, because the colleague is experienced
- BDecline, and give only medications that the nurse prepared or checked personally
- CGive it, as long as the syringe has a label with the drug name on it
- DGive it, and document that the colleague prepared it
6.Medium
Two patients with very similar names are on the same unit. What is the best safety measure?
- ACall each patient by their first name only
- BFlag the similar names and check two identifiers every time
- CTransfer one of the two patients to another hospital
- DUse the room numbers to tell the patients apart
7.Hard
A nurse notices that the wrong drug was drawn up, but realizes it before giving it. What should the nurse do?
- AReport it only if the same mistake happens again on the unit
- BDiscard it, prepare the correct drug and report a near miss
- CSay nothing, because the patient was not harmed
- DGive the drug anyway, since it is already drawn up
8.Hard
A patient restrained because of violent behavior is now calm, oriented and following instructions. What should the nurse do?
- AKeep the restraints until the next provider visit
- BRemove one restraint each day to test the patient’s behavior
- CRemove the restraints, because the reason for them has ended
- DKeep the restraints until the order expires
Answer key
- 1. A · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 2. B · They can hold organisms and make hand hygiene less effective
- 3. D · The glasses and hearing aid should be in place and working when the patient is awake
- 4. D · Cover wounds, give the patient a clean gown and tell the receiving department
- 5. B · Decline, and give only medications that the nurse prepared or checked personally
- 6. B · Flag the similar names and check two identifiers every time
- 7. B · Discard it, prepare the correct drug and report a near miss
- 8. C · Remove the restraints, because the reason for them has ended
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