1.Easy
When is hand hygiene needed in relation to wearing gloves?
- ABefore putting gloves on and after taking them off
- BNever, because gloves replace hand hygiene
- COnly if the gloves are torn
- DOnly before putting gloves on
2.Easy
Which precautions are used for a patient with Mycoplasma pneumoniae pneumonia?
- AStandard precautions only
- BDroplet precautions
- CAirborne precautions
- DContact precautions only
3.Easy
Which syringe is used to measure a dose of insulin?
- AAn oral syringe marked in mL
- BA tuberculin syringe marked in mL
- CAn insulin syringe marked in units
- DA 5 mL syringe marked in mL
4.Medium
A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?
- AA chest x-ray every month for the first year
- BAn interferon-gamma release assay (IGRA) blood test
- CA tuberculin skin test, which is read 24 hours after it is placed
- DNo screening, because BCG prevents all TB
5.Medium
A patient is on suicide precautions. Which room safety measure is appropriate?
- AAllow glass bottles if the patient seems calm
- BKeep the door closed at all times so the patient has privacy
- CLet the patient keep a personal razor for shaving, as long as staff are told
- DRemove items that could be used for self-harm, such as belts and cords
6.Medium
During a norovirus outbreak on a ward, which hand hygiene method should staff use after patient care?
- AWashing with soap and water
- BWiping hands on a paper towel only
- CNo hand hygiene if gloves were worn
- DAlcohol hand rub only
7.Hard
A patient given naloxone for an opioid overdose wakes up. An hour later, the patient is drowsy again with slow breathing. What is the likely reason?
- AThe patient is simply tired after the event
- BNaloxone wears off sooner than many opioids, so the opioid effect returns
- CThe patient is now allergic to naloxone
- DNaloxone itself causes slow breathing and drowsiness once it has been given
8.Hard
A patient is admitted with suspected pneumonic plague after a possible bioterrorism release. Which precautions are used?
- AContact precautions only
- BDroplet precautions
- CStandard precautions only
- DAirborne precautions
Answer key
- 1. A · Before putting gloves on and after taking them off
- 2. B · Droplet precautions
- 3. C · An insulin syringe marked in units
- 4. B · An interferon-gamma release assay (IGRA) blood test
- 5. D · Remove items that could be used for self-harm, such as belts and cords
- 6. A · Washing with soap and water
- 7. B · Naloxone wears off sooner than many opioids, so the opioid effect returns
- 8. B · Droplet precautions
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