1.Easy
A nurse cannot get a good seal with an N95 respirator because of a beard. Which device can be used instead?
- AA washable cloth face mask worn over the beard
- BA standard surgical mask
- CTwo surgical masks worn together
- DA powered air-purifying respirator (PAPR)
2.Easy
Which example shows indirect contact transmission?
- ABacteria on a bed rail reach a nurse’s hands and then another patient
- BA mosquito bites an infected person and then a healthy one
- CLarge droplets from a sneeze land directly on a nearby person’s face
- DA person inhales tiny particles that hang in the air of a room
3.Easy
A nurse notices a frayed electrical cord on an infusion pump. What should the nurse do?
- AAsk the patient not to touch the cord
- BWrap the cord in electrical tape and continue using it
- CKeep using it carefully until the end of the shift, then report it
- DTake the pump out of use, label it as faulty and report it
4.Medium
Which cleaning product is recommended for the room of a patient with Clostridioides difficile?
- AA scented air freshener spray
- BAlcohol-based wipes, used on every surface twice a day
- CA sporicidal agent, such as a chlorine-based solution
- DPlain water and a clean microfiber cloth
5.Medium
An alcohol-based skin prep has been used before surgery with electrosurgery. What must happen before the drapes are placed?
- AThe prep must be covered with the drapes while it is still wet
- BThe prep must be wiped off with saline
- CThe prep must be fully dry and any pooled liquid removed
- DThe prep must be warmed with a hair dryer
6.Medium
How tight should a wrist restraint be?
- AAs tight as possible so the patient cannot move the arm
- BLoose enough for the patient’s hand to slip out
- CLoose enough to fit two fingers between the restraint and the skin
- DTight enough to slow the pulse at the wrist
7.Hard
A patient with pneumonia has low blood pressure and a raised serum lactate. What does the raised lactate suggest?
- AMild dehydration from poor intake, with no further concern
- BPoor tissue perfusion, a sign of sepsis-related shock
- CRecovery from the infection is beginning
- DA normal response to having a fever
8.Hard
A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?
- AThe nurse must stop all patient care for six months
- BNo reporting is needed because the nurse is immune
- CHepatitis B immune globulin and a complete new vaccine series are both needed at once
- DNo hepatitis B treatment is needed, but the injury is still reported and followed up
Answer key
- 1. D · A powered air-purifying respirator (PAPR)
- 2. A · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 3. D · Take the pump out of use, label it as faulty and report it
- 4. C · A sporicidal agent, such as a chlorine-based solution
- 5. C · The prep must be fully dry and any pooled liquid removed
- 6. C · Loose enough to fit two fingers between the restraint and the skin
- 7. B · Poor tissue perfusion, a sign of sepsis-related shock
- 8. D · No hepatitis B treatment is needed, but the injury is still reported and followed up
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