1.Easy
Which example shows indirect contact transmission?
- AA mosquito bites an infected person and then a healthy one
- BA person inhales tiny particles that hang in the air of a room
- CBacteria on a bed rail reach a nurse’s hands and then another patient
- DLarge droplets from a sneeze land directly on a nearby person’s face
2.Easy
What is closed-loop communication?
- ACommunication that only happens in a closed room
- BSending a message to the team without waiting for any reply or confirmation
- CThe receiver repeats the message back and the sender confirms it is correct
- DWriting every message in the patient’s chart only
3.Easy
In a fall risk tool such as the Morse Fall Scale, what does a higher score mean?
- AA lower risk of pressure injury
- BBetter mobility
- CA lower risk of falling
- DA higher risk of falling
4.Medium
Where should the dispersive (grounding) pad for electrosurgery be placed?
- AOver a bony prominence such as the hip bone
- BOver an area with scar tissue or a tattoo, so that the pad does not slip
- COn skin that is wet with antiseptic prep
- DOn clean, dry skin over a well-perfused muscle, close to the surgical site
5.Medium
Before inserting a peripheral IV, the nurse cleans the skin with chlorhexidine-alcohol. What should the nurse do next?
- AWipe it off with a dry gauze straight away
- BLet it dry fully and do not touch the site again
- CFeel for the vein again with an ungloved finger
- DBlow on the site so it dries faster
6.Medium
Which IV fluid can be given with packed red blood cells in the same line?
- A5% dextrose in 0.45% sodium chloride
- BLactated Ringer’s (Hartmann’s) solution
- C5% dextrose in water
- D0.9% sodium chloride
7.Hard
Only one airborne infection isolation room (negative pressure) is free. Which newly admitted patient should be placed in it?
- AA patient with suspected active pulmonary tuberculosis
- BA patient with an MRSA wound infection
- CA patient with confirmed seasonal influenza and a cough
- DA patient with C. difficile diarrhea
8.Hard
A competent adult patient with pneumonia wants to leave the hospital against medical advice. What should the nurse do?
- AApply wrist restraints until the provider arrives to speak with the patient
- BHide the patient’s clothes and belongings so that they cannot leave the ward
- CLock the doors so the patient cannot leave
- DExplain the risks, notify the provider and follow the policy for leaving against advice
Answer key
- 1. C · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 2. C · The receiver repeats the message back and the sender confirms it is correct
- 3. D · A higher risk of falling
- 4. D · On clean, dry skin over a well-perfused muscle, close to the surgical site
- 5. B · Let it dry fully and do not touch the site again
- 6. D · 0.9% sodium chloride
- 7. A · A patient with suspected active pulmonary tuberculosis
- 8. D · Explain the risks, notify the provider and follow the policy for leaving against advice
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