1.Easy
Which type of latex reaction is the most dangerous?
- AIrritant contact dermatitis
- BType IV (delayed) hypersensitivity
- CDry skin from frequent hand washing
- DType I (immediate) hypersensitivity
2.Easy
Which of these counts as a physical restraint?
- AUsing a bed exit alarm for a patient at high risk of falling at night
- BPlacing the bed in its lowest position
- CUsing a gait belt while helping a patient walk in the corridor
- DRaising all four side rails to stop a patient from getting out of bed
3.Easy
Why are rings and wristwatches discouraged during direct patient care?
- AThey can hold organisms and make hand hygiene less effective
- BThey can scratch the hospital furniture
- CThey can interfere with the readings of patient monitors
- DThey can interfere with hospital Wi-Fi signals
4.Medium
A small spill of blood is found on the floor. How should it be cleaned?
- AWipe it up quickly with a dry cloth using bare hands, then wash the hands well
- BLeave it until housekeeping arrives the next morning
- CWear gloves, absorb the blood, then clean the area with an approved disinfectant
- DCover it with a clean sheet and keep working
5.Medium
Which practice makes shift handoff safer?
- AGiving handoff from memory without any structure
- BLeaving written notes only, without a chance for questions
- CGiving handoff in a busy corridor so that the outgoing nurse can leave on time
- DUsing a standard format such as SBAR or I-PASS, with time for questions
6.Medium
A patient cannot bear weight and cannot help with transfers. Which method is safest to move the patient from bed to chair?
- AOne nurse doing a standing pivot transfer
- BAsking the patient to stand and try their best
- CTwo nurses lifting the patient under the arms
- DA mechanical lift used by enough trained staff
7.Hard
A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?
- AThe nurse must stop all patient care for six months
- BNo reporting is needed because the nurse is immune
- CNo hepatitis B treatment is needed, but the injury is still reported and followed up
- DHepatitis B immune globulin and a complete new vaccine series are both needed at once
8.Hard
A patient on chemotherapy develops shingles over several areas on both sides of the body. Which precautions are needed?
- AContact precautions only, with gloves for dressing changes
- BAirborne and contact precautions until all lesions are crusted
- CStandard precautions only, with the lesions covered
- DDroplet precautions until the pain settles
Answer key
- 1. D · Type I (immediate) hypersensitivity
- 2. D · Raising all four side rails to stop a patient from getting out of bed
- 3. A · They can hold organisms and make hand hygiene less effective
- 4. C · Wear gloves, absorb the blood, then clean the area with an approved disinfectant
- 5. D · Using a standard format such as SBAR or I-PASS, with time for questions
- 6. D · A mechanical lift used by enough trained staff
- 7. C · No hepatitis B treatment is needed, but the injury is still reported and followed up
- 8. B · Airborne and contact precautions until all lesions are crusted
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