1.Easy
Which precautions are used for a patient with rubella (German measles)?
- AAirborne precautions
- BContact precautions only
- CDroplet precautions
- DStandard precautions only
2.Easy
Which PPE is needed when a nurse draws blood from a vein?
- AA sterile gown
- BAn N95 respirator
- CA full face shield and boots
- DGloves
3.Easy
An adult’s white blood cell count is 18,000/mm3 (18 × 109/L). How is this best described?
- AWithin the normal range
- BLow (leukopenia)
- CRaised (leukocytosis)
- DNormal for an older adult
4.Medium
A patient on a diuretic is at high risk of falls and often gets up at night. Which measure is most helpful?
- AKeeping the room completely dark at night to help the patient sleep
- BScheduled toileting, with the call light and walking aid in reach
- CTelling the patient not to drink anything after lunch
- DGiving the diuretic at bedtime so it works overnight
5.Medium
Where should the dispersive (grounding) pad for electrosurgery be placed?
- AOver a bony prominence such as the hip bone
- BOn skin that is wet with antiseptic prep
- COn clean, dry skin over a well-perfused muscle, close to the surgical site
- DOver an area with scar tissue or a tattoo, so that the pad does not slip
6.Medium
Why must an insulin pen never be used for more than one patient, even with a new needle?
- AEach pen holds only one dose of insulin
- BBlood can flow back into the cartridge and spread infection
- CSharing a pen changes the dose that is delivered
- DThe insulin in the pen would expire faster once it is shared
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?
- ALet the child interpret, because the family prefers it
- BUse a professional medical interpreter
- CUse simple English and many hand gestures
- DGive written instructions in English only
8.Hard
A nurse teaches an older adult about preventing falls at home. Which statement shows a need for further teaching?
- A“I wear shoes with non-slip soles around the house.”
- B“I keep small rugs in the hall so my feet stay warm.”
- C“I had grab bars put in next to the toilet.”
- D“I use night lights between my bedroom and the bathroom.”
Answer key
- 1. C · Droplet precautions
- 2. D · Gloves
- 3. C · Raised (leukocytosis)
- 4. B · Scheduled toileting, with the call light and walking aid in reach
- 5. C · On clean, dry skin over a well-perfused muscle, close to the surgical site
- 6. B · Blood can flow back into the cartridge and spread infection
- 7. B · Use a professional medical interpreter
- 8. B · “I keep small rugs in the hall so my feet stay warm.”
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