1.Easy
What is the purpose of hip protectors for older adults at risk of falls?
- ATo hold a urinary catheter in place
- BTo reduce the chance of a hip fracture if a fall happens
- CTo stop the person from falling at all when they walk
- DTo keep the hips warm in a cold room at night
2.Easy
On a sterile field, which area is considered non-sterile?
- AThe whole field once it has been opened to the air
- BThe outer border of about 2.5 cm (1 inch)
- CThe center of the field
- DOnly the corners
3.Easy
In quality improvement, what does the PDSA cycle stand for?
- APlan, Do, Study, Act
- BPrepare, Deliver, Score, Assess
- CPredict, Decide, Start, Analyze
- DPlan, Document, Supervise, Audit
4.Medium
A nurse who never had BCG vaccine has a positive tuberculin skin test for the first time. The chest x-ray is clear and there are no symptoms. What does this most likely mean?
- AA failed test that must be repeated next year
- BActive TB, which needs airborne isolation
- CLatent TB infection, which is not contagious
- DImmunity to TB from a past exposure
5.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- AWarm patients do not need antibiotic prophylaxis
- BCold makes bacteria grow faster in the operating room air and on the drapes
- CLow body temperature reduces blood flow and immune function in the wound
- DWarmth sterilizes the surgical site
6.Medium
A nurse receives a verbal order by telephone. What is the safest practice?
- AAsk a colleague to listen in and remember it as well
- BRemember it and write it down at the end of the shift
- CWrite it down and read it back to the prescriber
- DCarry it out without recording it
7.Hard
A patient with dementia is often found at the exit doors trying to leave the unit. Which measure is most appropriate?
- AUse an electronic wander alert, supervise closely and offer meaningful activity
- BGive a sedative each time the patient goes to the door
- CKeep the patient in a chair with a vest restraint
- DLock the patient alone in a single room so that they cannot reach the exit doors
8.Hard
A nurse finds that a patient has been taking their own sleeping pills from a bedside drawer while also receiving a hypnotic from the ward. What should the nurse do?
- AStop giving the hospital hypnotic without telling the provider or the pharmacy
- BThrow the patient’s pills away in the bin
- CLet the patient keep them, since they are the patient’s own
- DSecure the home medication per policy and inform the provider
Answer key
- 1. B · To reduce the chance of a hip fracture if a fall happens
- 2. B · The outer border of about 2.5 cm (1 inch)
- 3. A · Plan, Do, Study, Act
- 4. C · Latent TB infection, which is not contagious
- 5. C · Low body temperature reduces blood flow and immune function in the wound
- 6. C · Write it down and read it back to the prescriber
- 7. A · Use an electronic wander alert, supervise closely and offer meaningful activity
- 8. D · Secure the home medication per policy and inform the provider
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