1.Easy
Which precautions are used for a patient with rubella (German measles)?
- AContact precautions only
- BAirborne precautions
- CStandard precautions only
- DDroplet precautions
2.Easy
What is terminal cleaning?
- ACleaning a room only once a week, whatever happens on the ward
- BCleaning the hands at the end of a shift before going home
- CCleaning computer terminals at the nurses’ station
- DA full clean and disinfection of a room after the patient leaves
3.Easy
Which precautions are used for a patient with pertussis (whooping cough)?
- AProtective (reverse) isolation
- BContact precautions
- CDroplet precautions
- DAirborne precautions
4.Medium
An older adult has trouble getting in and out of the bath. Which measures make bathing safer?
- ALocking the bathroom door for privacy
- BBath oil to help the person slide in and out
- CA shower chair, grab bars and a non-slip mat
- DA loose rug beside the tub to stand on
5.Medium
A patient is booked for an MRI scan. What must the nurse check beforehand?
- AWhether the patient has had a hearing test this year
- BWhether the patient has any metal implants or devices, such as a pacemaker
- CWhether the patient has eaten a large meal recently
- DWhether the patient’s blood glucose has been in the normal range today
6.Medium
How should the urethral meatus be cared for in a patient with an indwelling urinary catheter?
- ABy sliding the catheter in and out a little to clean it
- BWith antiseptic cream applied to the meatus every shift
- CWith routine hygiene, using soap and water during daily washing
- DWith daily bladder irrigation using an antibiotic solution through the catheter
7.Hard
A nurse caring for a patient with influenza on droplet precautions will assist with an aerosol-generating procedure, such as bronchoscopy. What change in PPE is needed?
- AWear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
- BNo change, because influenza only needs droplet precautions
- CWear gloves only, because the procedure is short
- DWear two surgical masks, one on top of the other, for the length of the procedure
8.Hard
A patient has had MRSA in a wound and now needs a dressing change. Which PPE is appropriate?
- AGown and gloves, plus eye protection and mask if splashes are likely
- BAn N95 respirator only, because MRSA is a resistant organism
- CNo PPE, if the hands are cleaned afterwards
- DSterile gloves only, with no gown or other protection
Answer key
- 1. D · Droplet precautions
- 2. D · A full clean and disinfection of a room after the patient leaves
- 3. C · Droplet precautions
- 4. C · A shower chair, grab bars and a non-slip mat
- 5. B · Whether the patient has any metal implants or devices, such as a pacemaker
- 6. C · With routine hygiene, using soap and water during daily washing
- 7. A · Wear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
- 8. A · Gown and gloves, plus eye protection and mask if splashes are likely
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