1.Easy
Under event-related sterility, how long is a sterile package considered sterile?
- AFor exactly seven days after it was packed
- BUntil the end of the shift on which it was opened
- CUntil it is opened, torn, wet or otherwise damaged
- DForever, even if the outer wrapper gets wet
2.Easy
Under US OSHA rules, how often must a health care worker be fit-tested for a tight-fitting respirator such as an N95?
- AEvery five years, at license renewal
- BOnly after the worker has an exposure
- COnce only, when the worker is first hired by the hospital
- DAt least once a year, and when the model changes
3.Easy
In the chain of infection, which link is broken when a patient covers the mouth and nose with a tissue when coughing?
- AThe infectious agent
- BThe portal of exit
- CThe susceptible host
- DThe reservoir
4.Medium
Which patient has the highest risk of a burn from a heating pad?
- AA patient recovering from a cold
- BA patient with a sprained wrist who is fully alert
- CA patient with diabetic peripheral neuropathy
- DA healthy young adult with a strained muscle
5.Medium
A patient has a non-violent restraint. In most nursing policies, how often at minimum is it released for range of motion, toileting and skin care?
- AAt least every 2 hours
- BOnly when the patient asks for it
- COnce every 12-hour shift
- DOnce a day, during the bath
6.Medium
A patient with a fentanyl skin patch wants to use a heating pad on the area. What should the nurse teach?
- AHeat only matters if the patch is on the chest
- BHeat is fine to use, because it helps the patch stick better to the skin
- CHeat makes the patch last longer, so fewer patches are needed each month
- DAvoid heat on or near the patch, because it increases how fast the drug is absorbed
7.Hard
A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?
- AExplain that fatigue would make care unsafe and decline the extra shift
- BAgree and drink extra coffee to stay alert
- CAgree, but skip the independent medication checks to save energy on the shift
- DAgree without telling anyone about the fatigue
8.Hard
Which patient should the nurse assess first?
- AA patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
- BA patient with tuberculosis who is asking to have visitors
- CA patient with an MRSA wound due for a routine dressing change
- DA patient who wants more alcohol hand rub in the room
Answer key
- 1. C · Until it is opened, torn, wet or otherwise damaged
- 2. D · At least once a year, and when the model changes
- 3. B · The portal of exit
- 4. C · A patient with diabetic peripheral neuropathy
- 5. A · At least every 2 hours
- 6. D · Avoid heat on or near the patch, because it increases how fast the drug is absorbed
- 7. A · Explain that fatigue would make care unsafe and decline the extra shift
- 8. A · A patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
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