1.Easy
Which measure is part of standard precautions?
- AWearing gloves when contact with blood or body fluids is expected
- BWearing an N95 respirator for every patient contact
- CWearing a gown and mask for every patient contact, whatever the task
- DPlacing every patient in a negative-pressure room
2.Easy
Surgical instruments that enter sterile tissue are “critical” items. Which processing do they need before reuse?
- ACleaning with detergent and water only
- BLow-level disinfection
- CHigh-level disinfection
- DSterilization
3.Easy
Why is a carbon monoxide detector recommended in the home?
- ACarbon monoxide is only dangerous outdoors
- BCarbon monoxide always smells like rotten eggs
- CThe detector also measures the air temperature and humidity in the home
- DCarbon monoxide has no color or smell, so people cannot detect it themselves
4.Medium
What is the purpose of “Tall Man” lettering, as in hydrOXYzine and hydrALAZINE?
- ATo show the strength of the drug
- BTo show which of the two drugs is a high-alert medication
- CTo make look-alike drug names easier to tell apart
- DTo indicate the brand name
5.Medium
A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?
- ANo eye protection, if the nurse stands to one side
- BThe glasses with a surgical mask
- CGoggles or a face shield worn over the glasses
- DThe prescription glasses alone
6.Medium
When is a prophylactic antibiotic usually given to prevent a surgical site infection?
- AThe day after surgery, once the wound is closed
- BWithin about 60 minutes before the incision
- COne week before surgery
- DOnly if a fever develops after surgery
7.Hard
A patient’s white cell differential shows a raised eosinophil count. Which cause is most consistent with this finding?
- ABone marrow suppression from chemotherapy
- BAn allergic reaction or a parasitic infection
- CAn acute bacterial infection
- DA viral infection such as a cold
8.Hard
Which action best prevents a wrong-route error with an epidural infusion?
- AUse a free IV port if the epidural port becomes blocked
- BUse the same pump type and tubing for all of the patient’s infusions
- CTape all the lines together to keep them tidy
- DLabel the epidural line and keep it on its own dedicated pump
Answer key
- 1. A · Wearing gloves when contact with blood or body fluids is expected
- 2. D · Sterilization
- 3. D · Carbon monoxide has no color or smell, so people cannot detect it themselves
- 4. C · To make look-alike drug names easier to tell apart
- 5. C · Goggles or a face shield worn over the glasses
- 6. B · Within about 60 minutes before the incision
- 7. B · An allergic reaction or a parasitic infection
- 8. D · Label the epidural line and keep it on its own dedicated pump
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