1.Easy
A nurse cannot get a good seal with an N95 respirator because of a beard. Which device can be used instead?
- AA standard surgical mask
- BTwo surgical masks worn together
- CA washable cloth face mask worn over the beard
- DA powered air-purifying respirator (PAPR)
2.Easy
Which finding suggests a systemic infection rather than only a local one?
- ASlight tenderness around an IV site
- BRedness around a small cut
- CMild swelling at an injection site
- DFever with a raised heart rate
3.Easy
How should the bed be left for a patient at high risk of falls?
- AIn the highest position
- BWith all four side rails up at all times
- CIn the lowest position with the brakes locked
- DWith the brakes released so it can be moved quickly
4.Medium
What is the purpose of “Tall Man” lettering, as in hydrOXYzine and hydrALAZINE?
- ATo indicate the brand name
- BTo show which of the two drugs is a high-alert medication
- CTo make look-alike drug names easier to tell apart
- DTo show the strength of the drug
5.Medium
A patient cannot bear weight and cannot help with transfers. Which method is safest to move the patient from bed to chair?
- AOne nurse doing a standing pivot transfer
- BAsking the patient to stand and try their best
- CTwo nurses lifting the patient under the arms
- DA mechanical lift used by enough trained staff
6.Medium
A patient with suspected tuberculosis is in a negative-pressure room. Which practice is correct?
- AKeep the door closed except when entering or leaving
- BLet visitors enter without any protection
- CKeep the door open so staff can see the patient at all times
- DTurn off the room ventilation at night
7.Hard
A nurse teaches an older adult about preventing falls at home. Which statement shows a need for further teaching?
- A“I had grab bars put in next to the toilet.”
- B“I keep small rugs in the hall so my feet stay warm.”
- C“I use night lights between my bedroom and the bathroom.”
- D“I wear shoes with non-slip soles around the house.”
8.Hard
A patient who speaks little English is being discharged with new medications. The patient’s 12-year-old child offers to interpret. What should the nurse do?
- AGive written instructions in English only
- BUse simple English and many hand gestures
- CUse a professional medical interpreter
- DLet the child interpret, because the family prefers it
Answer key
- 1. D · A powered air-purifying respirator (PAPR)
- 2. D · Fever with a raised heart rate
- 3. C · In the lowest position with the brakes locked
- 4. C · To make look-alike drug names easier to tell apart
- 5. D · A mechanical lift used by enough trained staff
- 6. A · Keep the door closed except when entering or leaving
- 7. B · “I keep small rugs in the hall so my feet stay warm.”
- 8. C · Use a professional medical interpreter
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