1.Easy
How should waste contaminated with chemotherapy drugs be discarded?
- AIn the recycling bin with plastics
- BIn a separate labeled container for hazardous drug waste
- CDown the sink with plenty of water
- DIn the general household-type trash bin on the ward, tied in a bag
2.Easy
What is terminal cleaning?
- ACleaning the hands at the end of a shift before going home
- BCleaning computer terminals at the nurses’ station
- CA full clean and disinfection of a room after the patient leaves
- DCleaning a room only once a week, whatever happens on the ward
3.Easy
In which order is personal protective equipment usually put on (CDC sequence)?
- AMask or respirator, gloves, gown, goggles or face shield
- BGoggles or face shield, gloves, mask or respirator, gown
- CGloves, gown, goggles or face shield, mask or respirator
- DGown, mask or respirator, goggles or face shield, gloves
4.Medium
A patient on contact precautions must be taken to another department for a test. What is correct?
- ACover wounds, give the patient a clean gown and tell the receiving department
- BPut the patient in a separate elevator with the doors open
- CCancel the test until the precautions are no longer needed, however urgent it is
- DHave the patient wear an N95 respirator during transport
5.Medium
A small fire starts in a waste bin in a patient’s room while the patient is in bed. What does the nurse do first?
- ARemove the patient from immediate danger
- BPhone the manager to report the fire
- COpen the windows to clear the smoke
- DGo and look for the nearest fire extinguisher
6.Medium
Hair must be removed from a planned surgical site. Which method reduces the risk of surgical site infection?
- AClipping with electric clippers just before surgery
- BShaving with a disposable razor the night before surgery
- CUsing wax strips on the morning of surgery
- DShaving with a razor just before the incision
7.Hard
A visitor is receiving an electric shock from a faulty lamp and is still touching it. What should the nurse do first?
- ASwitch off the power or unplug the lamp without touching the person
- BStart chest compressions straight away
- CThrow water over the lamp to stop the current
- DPull the visitor away from the lamp by the arm as quickly as possible
8.Hard
A patient on airborne precautions needs an urgent CT scan. Which plan is correct?
- APatient wears an N95 respirator, so staff need no protection
- BPatient masked, CT warned in advance, staff in respirators
- CPatient goes unmasked, and the CT room is cleaned the next day
- DThe scan is postponed until the patient is no longer infectious
Answer key
- 1. B · In a separate labeled container for hazardous drug waste
- 2. C · A full clean and disinfection of a room after the patient leaves
- 3. D · Gown, mask or respirator, goggles or face shield, gloves
- 4. A · Cover wounds, give the patient a clean gown and tell the receiving department
- 5. A · Remove the patient from immediate danger
- 6. A · Clipping with electric clippers just before surgery
- 7. A · Switch off the power or unplug the lamp without touching the person
- 8. B · Patient masked, CT warned in advance, staff in respirators
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