1.Easy
A blood test shows a positive hepatitis B surface antigen (HBsAg). What does this mean?
- AThe person currently has hepatitis B infection
- BThe person is immune from vaccination
- CThe person has hepatitis A infection
- DThe person has never been exposed to hepatitis B
2.Easy
Why should nurses who give direct patient care not wear artificial nails?
- AThey react with alcohol hand rub and damage the skin of the hands
- BThey are a problem only in operating rooms
- CArtificial nails carry more bacteria and are harder to clean
- DThey make gloves easier to put on and take off
3.Easy
What is the purpose of a dosimeter badge worn by staff who work with radiation?
- ATo open doors to the radiology department
- BTo measure how much radiation the wearer has been exposed to
- CTo show staff which patients are radioactive after treatment
- DTo protect the wearer from radiation
4.Medium
A patient has highly contagious viral conjunctivitis. Which teaching is most important?
- AWash hands often and do not share towels, pillows or eye drops
- BKeep using the same contact lenses to protect the eyes
- CRub the eyes gently to remove the discharge
- DWear a surgical mask whenever someone else is in the room
5.Medium
Why should a child’s weight be recorded only in kilograms?
- AScales that show kilograms are always more accurate than those that show pounds
- BKilograms are easier for parents to remember
- CMixing up pounds and kilograms can lead to large dosing errors
- DChildren weigh less, so smaller units are needed
6.Medium
A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?
- ALay it on the medication tray and discard it later
- BActivate the safety device and drop it into a sharps container at once
- CBend the needle to make it unusable, then discard it
- DRecap it carefully with both hands and dispose of it after the drug round
7.Hard
A nursing student describes how they remove PPE (gown, gloves and a mask worn for splash protection) at the doorway before leaving a contact precautions room. Which statement shows a need for further teaching?
- A“I roll the gown inward as I take it off.”
- B“I clean my hands as soon as all the PPE is off.”
- C“I remove my gloves without touching the outside with my bare hand.”
- D“I take off my mask first, and then I take off my gloves.”
8.Hard
A patient punches a nurse during care. The nurse is not seriously hurt. What should the nurse do?
- ASay nothing, because violence is part of the job
- BGet medical assessment and report the assault according to policy
- CRefuse to care for any patient for the rest of the week until the patient is moved
- DPunch the patient back in self-defense
Answer key
- 1. A · The person currently has hepatitis B infection
- 2. C · Artificial nails carry more bacteria and are harder to clean
- 3. B · To measure how much radiation the wearer has been exposed to
- 4. A · Wash hands often and do not share towels, pillows or eye drops
- 5. C · Mixing up pounds and kilograms can lead to large dosing errors
- 6. B · Activate the safety device and drop it into a sharps container at once
- 7. D · “I take off my mask first, and then I take off my gloves.”
- 8. B · Get medical assessment and report the assault according to policy
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