1.Easy
What does sterilization achieve that disinfection does not?
- AIt removes visible dirt and organic matter from surfaces
- BIt destroys all microorganisms, including bacterial spores
- CIt kills viruses but leaves all bacteria alive
- DIt stops organisms from growing for one day only
2.Easy
In the United States, what is a “boxed warning” (black box warning) on a drug label?
- AA label for drugs that are safe in children
- BA note that the drug must be kept in a locked box on the ward
- CThe strongest FDA warning, about a serious or life-threatening risk
- DA sign that the drug is no longer sold
3.Easy
Which precautions are used for a patient with respiratory syncytial virus (RSV)?
- ANo precautions beyond hand hygiene
- BContact precautions
- CProtective (reverse) isolation
- DAirborne precautions
4.Medium
A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?
- AThe glasses with a surgical mask
- BGoggles or a face shield worn over the glasses
- CNo eye protection, if the nurse stands to one side
- DThe prescription glasses alone
5.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- AWarm patients do not need antibiotic prophylaxis
- BLow body temperature reduces blood flow and immune function in the wound
- CWarmth sterilizes the surgical site
- DCold makes bacteria grow faster in the operating room air and on the drapes
6.Medium
Which assessment is most important while a patient is in wrist restraints?
- AThe patient’s height and weight
- BThe patient’s hearing in both ears with a watch test
- CThe patient’s food and drink preferences for the day
- DCirculation, sensation and skin beyond the restraint
7.Hard
In US nursing practice, which task should the RN not assign to an LPN/LVN?
- AGiving scheduled oral antibiotics to a stable patient
- BA dressing change on a healing surgical wound that has no signs of infection
- CThe initial admission assessment of a new patient with suspected sepsis
- DReinforcing hand hygiene teaching that the RN has already given
8.Hard
A patient punches a nurse during care. The nurse is not seriously hurt. What should the nurse do?
- APunch the patient back in self-defense
- BGet medical assessment and report the assault according to policy
- CRefuse to care for any patient for the rest of the week until the patient is moved
- DSay nothing, because violence is part of the job
Answer key
- 1. B · It destroys all microorganisms, including bacterial spores
- 2. C · The strongest FDA warning, about a serious or life-threatening risk
- 3. B · Contact precautions
- 4. B · Goggles or a face shield worn over the glasses
- 5. B · Low body temperature reduces blood flow and immune function in the wound
- 6. D · Circulation, sensation and skin beyond the restraint
- 7. C · The initial admission assessment of a new patient with suspected sepsis
- 8. B · Get medical assessment and report the assault according to policy
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