1.Easy
Which three principles reduce staff exposure to radiation?
- AGloves, gowns and goggles
- BHand hygiene, masks and ventilation
- CSpeed, height and color
- DTime, distance and shielding
2.Easy
Which precautions are used for an infant in diapers who has rotavirus diarrhea?
- AA protective environment
- BDroplet precautions
- CContact precautions
- DAirborne precautions
3.Easy
Which type of room is used for a patient with severe immunosuppression, such as after a stem cell transplant?
- AA positive-pressure room with filtered air
- BAny room, as long as visitors wear gloves
- CA negative-pressure airborne isolation room
- DA shared bay with good natural ventilation and open windows
4.Medium
Which technique is correct when collecting a wound culture?
- ACollect the sample only after antibiotics have been started
- BUse one swab to sample two different wounds
- CClean the wound with sterile saline first, then swab clean tissue
- DSwab the old pus on the dressing that was just removed from the wound
5.Medium
After teaching a patient about a new medication, how does the nurse best check understanding?
- AGive a printed leaflet about the drug and assume the patient will read it at home
- BAsk “Do you understand?” and accept a yes
- CAsk the patient to explain in their own words how and when to take it
- DAsk the family whether they understood the teaching
6.Medium
When should droplet precautions for a patient with Neisseria meningitidis usually be stopped?
- AAfter the fever has been gone for one hour
- BOnly after the patient is discharged
- CAs soon as the first dose of antibiotic has been given
- DAfter 24 hours of effective antibiotic treatment
7.Hard
A patient with pulmonary tuberculosis has been on treatment. Which findings usually allow airborne isolation to end?
- AThe cough has stopped, even with no sputum tests
- BThe patient has been in hospital for one week and has taken every dose of medicine
- COne negative chest x-ray after starting treatment
- DThree negative sputum smears, clinical improvement and continued therapy
8.Hard
In US nursing practice, which task should the RN not assign to an LPN/LVN?
- AGiving scheduled oral antibiotics to a stable patient
- BA dressing change on a healing surgical wound that has no signs of infection
- CReinforcing hand hygiene teaching that the RN has already given
- DThe initial admission assessment of a new patient with suspected sepsis
Answer key
- 1. D · Time, distance and shielding
- 2. C · Contact precautions
- 3. A · A positive-pressure room with filtered air
- 4. C · Clean the wound with sterile saline first, then swab clean tissue
- 5. C · Ask the patient to explain in their own words how and when to take it
- 6. D · After 24 hours of effective antibiotic treatment
- 7. D · Three negative sputum smears, clinical improvement and continued therapy
- 8. D · The initial admission assessment of a new patient with suspected sepsis
Full step-by-step solutions: practise this topic on examproblems.com.