1.Easy
Which drug class is well known to increase the risk of falls in older adults?
- AMultivitamins
- BTopical skin moisturizers
- CBulk-forming laxatives
- DBenzodiazepines
2.Easy
Which precautions are needed for a patient with Legionnaires’ disease (Legionella pneumonia)?
- AAirborne precautions
- BStandard precautions
- CDroplet precautions
- DContact precautions
3.Easy
When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?
- AAfter touching a patient’s bed rail
- BBefore putting on clean gloves
- CWhen the hands are visibly soiled
- DBefore every subcutaneous injection
4.Medium
Which dressing waste should be disposed of in clinical (biohazard) waste?
- AA clean paper towel used to dry hands
- BThe outer paper wrapping of a sterile dressing pack
- CAn unused, still-sealed dressing past its date
- DA dressing soaked with fluid from an infected wound
5.Medium
When should droplet precautions for a patient with Neisseria meningitidis usually be stopped?
- AOnly after the patient is discharged
- BAfter the fever has been gone for one hour
- CAs soon as the first dose of antibiotic has been given
- DAfter 24 hours of effective antibiotic treatment
6.Medium
Where should the drainage bag of an indwelling urinary catheter be kept?
- AHung on the IV pole above the patient
- BBelow the level of the bladder and off the floor
- COn the floor under the bed, where it is out of the way
- DOn the bed next to the patient’s hip
7.Hard
A patient has had MRSA in a wound and now needs a dressing change. Which PPE is appropriate?
- ASterile gloves only, with no gown or other protection
- BAn N95 respirator only, because MRSA is a resistant organism
- CNo PPE, if the hands are cleaned afterwards
- DGown and gloves, plus eye protection and mask if splashes are likely
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
- CPunch the patient back in self-defense
- DRefuse to care for any patient for the rest of the week until the patient is moved
Answer key
- 1. D · Benzodiazepines
- 2. B · Standard precautions
- 3. C · When the hands are visibly soiled
- 4. D · A dressing soaked with fluid from an infected wound
- 5. D · After 24 hours of effective antibiotic treatment
- 6. B · Below the level of the bladder and off the floor
- 7. D · Gown and gloves, plus eye protection and mask if splashes are likely
- 8. B · Get medical assessment and report the assault according to policy
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