1.Easy
A patient uses glasses and a hearing aid. How does this affect fall prevention?
- AThe glasses and hearing aid should be in place and working when the patient is awake
- BThey should be stored away to prevent them from being lost
- CThey make no difference to the risk of falling
- DThey should only be worn during meals and visits, to keep them from breaking
2.Easy
Which three elements make up the fire triangle in the operating room?
- AOxygen, nitrogen and carbon dioxide
- BAn oxidizer, an ignition source and a fuel
- CHeat, light and sound
- DWater, electricity and metal instruments
3.Easy
Which practice makes the use of an ice pack safer?
- APlace a cloth between the pack and the skin and limit the time it is applied
- BPut the ice pack directly on bare skin for several hours
- CUse it only on areas where the patient has no feeling, so it is not uncomfortable
- DKeep the ice pack on the skin while the patient sleeps overnight
4.Medium
Why are independent double checks used for some medicines, such as insulin and heparin infusions?
- ATo make the preparation process faster
- BTo share responsibility between two nurses if an error happens
- CA second person checking separately catches missed errors
- DBecause these drugs are very expensive to waste
5.Medium
A visitor with a cold wants to see a patient who has severe neutropenia. What should the nurse advise?
- AVisit but avoid touching the patient’s bed
- BVisit only if the cold started more than a day ago
- CVisit as usual after washing the hands
- DPostpone the visit until the visitor is well
6.Medium
Why must visible dirt be removed from equipment before it is disinfected?
- AOrganic matter can shield organisms and weaken the disinfectant
- BDisinfectants only work on wet surfaces
- CCleaning first is only needed for metal items
- DDirt makes the disinfectant react and work too strongly on the surface
7.Hard
A nurse who has a cold sore (herpes labialis) is assigned to the newborn nursery. What is most appropriate?
- AInform the manager, who may reassign the nurse for now
- BTell no one, and cover the lesion with makeup during shifts
- CWork as usual, since cold sores are very common
- DWear gloves and carry on as usual
8.Hard
A patient’s cardiac monitor alarms often because of artifact, and a colleague suggests turning the alarm off. What is the best response?
- ATurn the alarm volume down as low as it will go
- BDisconnect the monitor overnight so the patient can sleep
- CTurn the alarm off and check the monitor screen at the nurses’ station every hour instead
- DKeep the alarm on, fix the cause such as electrode placement, and adjust limits only per policy
Answer key
- 1. A · The glasses and hearing aid should be in place and working when the patient is awake
- 2. B · An oxidizer, an ignition source and a fuel
- 3. A · Place a cloth between the pack and the skin and limit the time it is applied
- 4. C · A second person checking separately catches missed errors
- 5. D · Postpone the visit until the visitor is well
- 6. A · Organic matter can shield organisms and weaken the disinfectant
- 7. A · Inform the manager, who may reassign the nurse for now
- 8. D · Keep the alarm on, fix the cause such as electrode placement, and adjust limits only per policy
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