1.Easy
Under event-related sterility, how long is a sterile package considered sterile?
- AUntil it is opened, torn, wet or otherwise damaged
- BFor exactly seven days after it was packed
- CUntil the end of the shift on which it was opened
- DForever, even if the outer wrapper gets wet
2.Easy
What does sterilization achieve that disinfection does not?
- AIt destroys all microorganisms, including bacterial spores
- BIt stops organisms from growing for one day only
- CIt kills viruses but leaves all bacteria alive
- DIt removes visible dirt and organic matter from surfaces
3.Easy
What is the purpose of the “time-out” just before a surgical procedure?
- ATo count the instruments and swabs after the operation
- BTo confirm the patient, procedure and site with the whole team
- CTo give the surgical team a short rest before they start operating
- DTo have the patient sign the consent form
4.Medium
A patient with poorly controlled seizures asks about activities at home. Which advice is most important?
- ANever swim or bathe alone
- BSleep sitting up in a chair
- CAvoid drinking water before bed
- DAvoid all forms of exercise
5.Medium
When putting on sterile gloves, how does the nurse put on the second glove?
- AHold the inside of the second glove with the gloved hand
- BSlide the gloved fingers under the second glove’s cuff and pull it on
- CPull the second glove on by its fingertips, using the bare hand
- DUse the bare hand to adjust the outside of the first glove
6.Medium
How should the urethral meatus be cared for in a patient with an indwelling urinary catheter?
- AWith routine hygiene, using soap and water during daily washing
- BBy sliding the catheter in and out a little to clean it
- CWith daily bladder irrigation using an antibiotic solution through the catheter
- DWith antiseptic cream applied to the meatus every shift
7.Hard
A patient is on contact precautions. Which task is appropriate for the nurse to delegate to assistive personnel?
- AHelping the patient bathe while wearing a gown and gloves
- BAssessing the wound for new signs of infection during the bath
- CTeaching the family how to follow the precautions
- DDeciding when the precautions can be stopped
8.Hard
A nurse working with a patient on contact precautions realizes the gown has a tear at the sleeve. What should the nurse do?
- ACover the tear with a strip of tape and carry on
- BContinue working, since the tear is small and only on the sleeve
- CPut a second gown on top of the torn one
- DMove away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
Answer key
- 1. A · Until it is opened, torn, wet or otherwise damaged
- 2. A · It destroys all microorganisms, including bacterial spores
- 3. B · To confirm the patient, procedure and site with the whole team
- 4. A · Never swim or bathe alone
- 5. B · Slide the gloved fingers under the second glove’s cuff and pull it on
- 6. A · With routine hygiene, using soap and water during daily washing
- 7. A · Helping the patient bathe while wearing a gown and gloves
- 8. D · Move away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
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