1.Easy
Where must sterile items be held to stay sterile?
- AAbove waist level and in front of the nurse
- BBehind the back
- CBelow the waist
- DAny level, as long as nothing non-sterile touches it
2.Easy
Where should medicines be stored in a home with young children?
- AIn their original containers in a locked or high cabinet
- BIn unlabeled containers or pill boxes so they are easy to carry around
- CIn a handbag that is left on the floor or a chair
- DOn the kitchen counter so doses are not forgotten
3.Easy
In the chain of infection, which link is broken when a patient covers the mouth and nose with a tissue when coughing?
- AThe portal of exit
- BThe infectious agent
- CThe susceptible host
- DThe reservoir
4.Medium
A patient has a weak left leg. Which instruction about using a cane is correct?
- AMove the cane and the right leg forward together
- BHold the cane in the right hand, on the stronger side
- CHold the cane in the left hand, on the weaker side
- DKeep the cane well out to the side, away from the body
5.Medium
When should droplet precautions for a patient with Neisseria meningitidis usually be stopped?
- AOnly after the patient is discharged
- BAfter 24 hours of effective antibiotic treatment
- CAfter the fever has been gone for one hour
- DAs soon as the first dose of antibiotic has been given
6.Medium
Which practice reduces back strain when a nurse moves a patient or heavy object?
- AHold the load at arm’s length to keep it steady
- BBend at the waist and keep both knees straight
- CStand with the feet close together for balance
- DKeep the load close to the body and avoid twisting
7.Hard
A patient’s WBC is 4,000/mm3, with 30% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?
- A1,200/mm3
- B3,500/mm3
- C140/mm3
- D1,400/mm3
8.Hard
A patient on an anticoagulant falls and hits their head but says they feel fine. What should the nurse do?
- AWait until the next day to see if a headache develops
- BNotify the provider and start neurological observations, because a brain bleed may develop
- CGive the next anticoagulant dose early to prevent clots from forming after the fall
- DHelp the patient back to bed and do nothing more if they feel fine
Answer key
- 1. A · Above waist level and in front of the nurse
- 2. A · In their original containers in a locked or high cabinet
- 3. A · The portal of exit
- 4. B · Hold the cane in the right hand, on the stronger side
- 5. B · After 24 hours of effective antibiotic treatment
- 6. D · Keep the load close to the body and avoid twisting
- 7. D · 1,400/mm3
- 8. B · Notify the provider and start neurological observations, because a brain bleed may develop
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