1.Easy
In the chain of infection, which link does vaccination break?
- AThe portal of exit
- BThe reservoir
- CThe infectious agent
- DThe susceptible host
2.Easy
What type of room is needed for a patient on airborne precautions?
- AA single room with positive pressure and filtered air
- BA shared bay with the curtains drawn around the bed
- CAny single room with a window, with the door left open for observation
- DA single negative-pressure room (airborne infection isolation room)
3.Easy
A culture and sensitivity report says the organism is “sensitive” to an antibiotic. What does this mean?
- AThe antibiotic is expected to stop the organism growing
- BThe patient is allergic to the antibiotic and should not be given it
- CThe organism causes an allergic reaction to the drug
- DThe organism has become resistant to the antibiotic
4.Medium
A patient on oxygen is being taken to another department by wheelchair. What should the nurse check first?
- AThat the portable cylinder has enough oxygen for the whole trip
- BThat the oxygen is turned off during the transfer to save the supply in the tank
- CThat the cylinder is the largest size available
- DThat the cylinder is placed on the patient’s lap
5.Medium
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AStop hand hygiene until the skin heals
- BUse the hand lotion approved by the facility to keep the skin intact
- CWear gloves all day instead of cleaning the hands between patients
- DUse any lotion from home, whatever its contents
6.Medium
A patient has received oral radioactive iodine therapy. Which precaution is usually taken?
- APlace the patient on droplet precautions with a surgical mask
- BEncourage pregnant visitors to sit close to the patient to give emotional support
- CLet the patient share a bathroom with other patients
- DLimit time close to the patient and handle body fluids per radiation policy
7.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?
- AUse simple English and many hand gestures
- BLet the child interpret, because the family prefers it
- CUse a professional medical interpreter
- DGive written instructions in English only
8.Hard
The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?
- AA normal change in the patient’s blood group over the years since the last test
- BA wrong-patient sample, so the test is repeated and the event reported
- CA laboratory machine fault, so no action is needed
- DThe previous result was wrong, so it is deleted
Answer key
- 1. D · The susceptible host
- 2. D · A single negative-pressure room (airborne infection isolation room)
- 3. A · The antibiotic is expected to stop the organism growing
- 4. A · That the portable cylinder has enough oxygen for the whole trip
- 5. B · Use the hand lotion approved by the facility to keep the skin intact
- 6. D · Limit time close to the patient and handle body fluids per radiation policy
- 7. C · Use a professional medical interpreter
- 8. B · A wrong-patient sample, so the test is repeated and the event reported
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