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
- BA washable cloth face mask worn over the beard
- CTwo surgical masks worn together
- DA powered air-purifying respirator (PAPR)
2.Easy
What should be written instead of “cc” in a medication order?
- Acc only for oral drugs
- BmL
- CU
- Dcm
3.Easy
When is hand hygiene needed in relation to wearing gloves?
- AOnly before putting gloves on
- BOnly if the gloves are torn
- CNever, because gloves replace hand hygiene
- DBefore putting gloves on and after taking them off
4.Medium
Which dressing waste should be disposed of in clinical (biohazard) waste?
- AThe outer paper wrapping of a sterile dressing pack
- BA clean paper towel used to dry hands
- CA dressing soaked with fluid from an infected wound
- DAn unused, still-sealed dressing past its date
5.Medium
When walking with axillary crutches, where should the patient’s weight be taken?
- AOn the shoulders, with the crutches pressed upward
- BOn the hands, with the crutch tops a few finger widths below the armpits
- COn the armpits, resting on the crutch tops
- DOn the elbows, kept bent at a right angle with the crutch tops tucked under the arms
6.Medium
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- AAsk nearby staff and use it if someone recognizes it
- BDiscard it, because its contents cannot be confirmed
- CLabel it with the most likely drug name
- DGive it to the patient whose medication is due
7.Hard
A patient with severe immunosuppression after a stem cell transplant is in a protective environment. Which item should not be brought into the room?
- AA family photo in a frame that has been wiped clean
- BFresh flowers or potted plants
- CA clean, disinfected tablet computer
- DThe patient’s own clean clothes
8.Hard
A nurse who is not immune to chickenpox was exposed to a patient with varicella before precautions began. What usually happens?
- AThe nurse is assessed and kept from patient contact during the incubation period per policy
- BThe nurse only needs to wear gloves for the next month
- CThe nurse must take a two-week course of antibiotics to prevent the infection
- DThe nurse continues working with all patients as usual, including newborns
Answer key
- 1. D · A powered air-purifying respirator (PAPR)
- 2. B · mL
- 3. D · Before putting gloves on and after taking them off
- 4. C · A dressing soaked with fluid from an infected wound
- 5. B · On the hands, with the crutch tops a few finger widths below the armpits
- 6. B · Discard it, because its contents cannot be confirmed
- 7. B · Fresh flowers or potted plants
- 8. A · The nurse is assessed and kept from patient contact during the incubation period per policy
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