1.Easy
What type of room is needed for a patient on airborne precautions?
- AAny single room with a window, with the door left open for observation
- BA shared bay with the curtains drawn around the bed
- CA single negative-pressure room (airborne infection isolation room)
- DA single room with positive pressure and filtered air
2.Easy
After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?
- AWith the bare forearm before drying
- BWith the freshly washed hands
- CThe tap is left running for the next person
- DWith a clean, dry paper towel
3.Easy
Which measure is part of standard precautions?
- AWearing gloves when contact with blood or body fluids is expected
- BPlacing every patient in a negative-pressure room
- CWearing a gown and mask for every patient contact, whatever the task
- DWearing an N95 respirator for every patient contact
4.Medium
How should a portable oxygen cylinder be kept in a patient’s room?
- ALaid on the bed next to the patient
- BPlaced next to a heater to keep it warm
- CSecured upright in a stand or holder
- DLying loose on the floor beside the bed
5.Medium
Sputum specimens are ordered to look for acid-fast bacilli (TB). How are they usually collected?
- AThree specimens collected after an antiseptic mouthwash
- BOne saliva sample collected at any convenient time of day
- COne specimen of sputum collected straight after the evening meal, when coughing is easiest
- DThree deep-cough specimens collected 8 to 24 hours apart, at least one early in the morning
6.Medium
Why can side rails be dangerous for a confused, restless patient?
- ASide rails stop staff from reaching the patient in an emergency
- BSide rails always cause pressure injuries
- CThe patient may climb over them or get trapped in gaps
- DSide rails make the bed move by itself
7.Hard
A patient has a rash, and both smallpox and chickenpox are considered. Which finding suggests smallpox?
- ALesions at different stages, most dense on the trunk
- BA rash that is very itchy and starts on the trunk
- CSmall crops of new lesions appearing over several days in a row
- DLesions all at the same stage, most dense on the face and limbs
8.Hard
A patient restrained because of violent behavior is now calm, oriented and following instructions. What should the nurse do?
- AKeep the restraints until the order expires
- BRemove one restraint each day to test the patient’s behavior
- CKeep the restraints until the next provider visit
- DRemove the restraints, because the reason for them has ended
Answer key
- 1. C · A single negative-pressure room (airborne infection isolation room)
- 2. D · With a clean, dry paper towel
- 3. A · Wearing gloves when contact with blood or body fluids is expected
- 4. C · Secured upright in a stand or holder
- 5. D · Three deep-cough specimens collected 8 to 24 hours apart, at least one early in the morning
- 6. C · The patient may climb over them or get trapped in gaps
- 7. D · Lesions all at the same stage, most dense on the face and limbs
- 8. D · Remove the restraints, because the reason for them has ended
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