1.Easy
Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?
- AIt is only allowed in pediatric orders
- BIt refers only to insulin units
- CIt can be misread as “IV” or as the number 10
- DIt means “inpatient use” in many hospitals
2.Easy
A blood test shows a positive hepatitis B surface antigen (HBsAg). What does this mean?
- AThe person currently has hepatitis B infection
- BThe person has never been exposed to hepatitis B
- CThe person is immune from vaccination
- DThe person has hepatitis A infection
3.Easy
Which precautions are used for a patient with rubella (German measles)?
- AStandard precautions only
- BContact precautions only
- CDroplet precautions
- DAirborne precautions
4.Medium
A small spill of blood is found on the floor. How should it be cleaned?
- ACover it with a clean sheet and keep working
- BWear gloves, absorb the blood, then clean the area with an approved disinfectant
- CLeave it until housekeeping arrives the next morning
- DWipe it up quickly with a dry cloth using bare hands, then wash the hands well
5.Medium
A nurse finds a used needle in a patient’s bed linen. What should the nurse do?
- ARecap it with two hands before throwing it away
- BLeave it where it is for the housekeeping staff to remove later in the day
- CPick it up by the hub or with forceps, put it in a sharps container and report it
- DFold it into the linen and send it to the laundry
6.Medium
Why does a nurse wear chemotherapy-tested gloves and a gown when emptying the urinal of a patient who recently had chemotherapy?
- AThe patient is on airborne precautions after treatment
- BThe urine always contains infectious bacteria after chemotherapy
- CChemotherapy makes the urine strongly acidic and corrosive
- DThe body fluids can contain active drug for a time after treatment
7.Hard
A patient dies after a wrong-drug error, and the hospital carries out a root cause analysis. What is its main focus?
- ADeciding whether to tell the family about the error
- BFinding the system and process weaknesses that allowed the error
- CIdentifying which staff member made the error and should be disciplined
- DEstimating the legal costs for the hospital
8.Hard
A patient with severe immunosuppression after a stem cell transplant is in a protective environment. Which item should not be brought into the room?
- AA family photo in a frame that has been wiped clean
- BA clean, disinfected tablet computer
- CThe patient’s own clean clothes
- DFresh flowers or potted plants
Answer key
- 1. C · It can be misread as “IV” or as the number 10
- 2. A · The person currently has hepatitis B infection
- 3. C · Droplet precautions
- 4. B · Wear gloves, absorb the blood, then clean the area with an approved disinfectant
- 5. C · Pick it up by the hub or with forceps, put it in a sharps container and report it
- 6. D · The body fluids can contain active drug for a time after treatment
- 7. B · Finding the system and process weaknesses that allowed the error
- 8. D · Fresh flowers or potted plants
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