1.Easy
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- ADroplet precautions
- BStandard precautions only
- CAirborne precautions
- DContact precautions only
2.Easy
Which measure is part of standard precautions?
- AWearing gloves when contact with blood or body fluids is expected
- BPlacing every patient in a negative-pressure room
- CWearing a gown and mask for every patient contact, whatever the task
- DWearing an N95 respirator for every patient contact
3.Easy
Which precautions are needed for a patient with scabies?
- ADroplet precautions
- BAirborne precautions
- CContact precautions
- DNo special precautions
4.Medium
How is a urine specimen for culture obtained from an indwelling catheter?
- ABy removing the catheter and sending its tip for culture
- BFrom the urine already collected in the drainage bag at the bedside
- CFrom the sampling port, after cleaning it, using aseptic technique
- DBy disconnecting the catheter from the drainage tubing
5.Medium
When opening a sterile pack on a table, which flap is opened first?
- AWhichever side flap is easiest to reach
- BThe flap closest to the nurse
- CAll flaps at once
- DThe flap furthest away from the nurse
6.Medium
When should an N95 respirator be removed after caring for a patient on airborne precautions?
- AAfter leaving the room and closing the door
- BBefore taking off the gloves, inside the room
- CStraight after entering the room
- DNever; it is worn for the rest of the shift
7.Hard
During bedside handoff, the patient says, “I’m allergic to sulfa drugs,” but no allergy is recorded. What should the nurse do?
- ATell the patient that sulfa drugs are always safe
- BWait until the patient is discharged to update the record
- CClarify the reaction, update the allergy record and tell the prescriber
- DIgnore it, because the electronic record is more reliable than the patient’s memory
8.Hard
A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?
- ADiscuss the concern with the patient and let them decide
- BState the concern clearly a second time and, if still unresolved, use the chain of command
- CCarry out the order as written, because the prescriber has heard the concern
- DRefuse to care for the patient for the rest of the shift until the prescriber apologizes
Answer key
- 1. A · Droplet precautions
- 2. A · Wearing gloves when contact with blood or body fluids is expected
- 3. C · Contact precautions
- 4. C · From the sampling port, after cleaning it, using aseptic technique
- 5. D · The flap furthest away from the nurse
- 6. A · After leaving the room and closing the door
- 7. C · Clarify the reaction, update the allergy record and tell the prescriber
- 8. B · State the concern clearly a second time and, if still unresolved, use the chain of command
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