1.Easy
When is hand hygiene needed in relation to wearing gloves?
- ANever, because gloves replace hand hygiene
- BOnly if the gloves are torn
- COnly before putting gloves on
- DBefore putting gloves on and after taking them off
2.Easy
What type of room is needed for a patient on airborne precautions?
- AAny single room with a window, with the door left open for observation
- BA single negative-pressure room (airborne infection isolation room)
- CA single room with positive pressure and filtered air
- DA shared bay with the curtains drawn around the bed
3.Easy
What is an iatrogenic infection?
- AAn infection that comes from the patient’s own skin flora
- BAn infection caught from a family pet at home
- CAn infection that is present from birth
- DAn infection caused by a treatment, test or procedure
4.Medium
A patient in bed has a generalized tonic-clonic seizure. What should the nurse do?
- ATurn the patient on their side and protect them from injury without restraining
- BHold the arms and legs firmly to stop the movements
- CPut a padded tongue blade between the teeth to protect the tongue from biting
- DGive sips of water to keep the airway moist
5.Medium
Which statement about the use of physical restraints is correct?
- AStanding as-needed restraint orders are good practice
- BAlternatives come first, and a time-limited order is needed
- CRestraints are checked once at the end of each shift
- DRestraints can be used whenever the unit is short of nursing staff
6.Medium
A nurse receives a needlestick injury from a patient known to have HIV. Why is it important to report it immediately?
- AReporting is only needed if the wound bleeds or is deep
- BPost-exposure prophylaxis works best when started within hours
- CReporting is only needed for injuries from IV needles
- DReporting can be done at any time within a month without changing the risk
7.Hard
A patient is prescribed hydralazine, but the pharmacy has sent hydroxyzine. What should the nurse do?
- ANot give it, and contact the pharmacy to obtain the correct drug
- BGive it, because the two drug names are almost the same
- CGive half the dose of hydroxyzine as a compromise
- DGive it now and tell the prescriber afterwards
8.Hard
A unit keeps vials of concentrated potassium chloride in the ward stock cupboard. Why do many safety guidelines advise against this?
- APotassium chloride is too expensive to keep as general ward stock
- BPotassium chloride vials expire within a day of opening
- CPotassium chloride must always be given by mouth
- DUndiluted concentrate given by mistake can stop the heart
Answer key
- 1. D · Before putting gloves on and after taking them off
- 2. B · A single negative-pressure room (airborne infection isolation room)
- 3. D · An infection caused by a treatment, test or procedure
- 4. A · Turn the patient on their side and protect them from injury without restraining
- 5. B · Alternatives come first, and a time-limited order is needed
- 6. B · Post-exposure prophylaxis works best when started within hours
- 7. A · Not give it, and contact the pharmacy to obtain the correct drug
- 8. D · Undiluted concentrate given by mistake can stop the heart
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