1.Easy
What is an opportunistic infection?
- AAn infection that only occurs after surgery or another invasive procedure
- BAn infection caught while traveling abroad
- CAn infection that takes advantage of a weakened immune system
- DAn infection that always clears without treatment
2.Easy
What does the virulence of an organism describe?
- AHow long it survives on surfaces
- BIts ability to cause severe disease
- CThe number of people it has infected
- DHow well it responds to antibiotics
3.Easy
A culture and sensitivity report says the organism is “sensitive” to an antibiotic. What does this mean?
- AThe patient is allergic to the antibiotic and should not be given it
- BThe antibiotic is expected to stop the organism growing
- CThe organism causes an allergic reaction to the drug
- DThe organism has become resistant to the antibiotic
4.Medium
How should a newborn be moved through hospital corridors?
- AIn the arms of any visitor who offers to help
- BOn the mother’s lap in a wheelchair, without staff
- CIn a bassinet, not carried in the arms
- DCarried in the nurse’s arms for comfort
5.Medium
A portable x-ray is taken at the bedside. Which action protects the nurse?
- ALook directly at the x-ray tube during the exposure to check its position
- BStay close to the patient to keep them still without protection
- CStep away from the patient or wear a lead apron during the exposure
- DStand next to the patient and hold the film without protection
6.Medium
Before a blood transfusion is started, which check is required?
- AOne nurse checks the blood product against the order at the nurses’ station
- BThe nurse checks only that the bag number matches the order
- CThe patient signs the blood bag label to confirm their name before it is hung
- DThe patient’s identity is checked against the blood product and its paperwork at the bedside
7.Hard
A patient refuses to wear an identification wristband. What should the nurse do?
- AAccept the refusal and identify the patient by room number and bed space instead
- BForce the band onto the patient’s wrist
- CExplain why it is needed, use other ID methods per policy and document
- DStop giving the patient any care until they agree to wear the band
8.Hard
In US nursing practice, which task should the RN not assign to an LPN/LVN?
- AReinforcing hand hygiene teaching that the RN has already given
- BA dressing change on a healing surgical wound that has no signs of infection
- CThe initial admission assessment of a new patient with suspected sepsis
- DGiving scheduled oral antibiotics to a stable patient
Answer key
- 1. C · An infection that takes advantage of a weakened immune system
- 2. B · Its ability to cause severe disease
- 3. B · The antibiotic is expected to stop the organism growing
- 4. C · In a bassinet, not carried in the arms
- 5. C · Step away from the patient or wear a lead apron during the exposure
- 6. D · The patient’s identity is checked against the blood product and its paperwork at the bedside
- 7. C · Explain why it is needed, use other ID methods per policy and document
- 8. C · The initial admission assessment of a new patient with suspected sepsis
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