1.Easy
Why is a Gram stain often done on a specimen before the culture result is ready?
- AIt quickly sorts bacteria into groups that help choose early treatment
- BIt shows exactly which antibiotic will work
- CIt confirms whether the patient has a virus and which virus it is
- DIt measures the number of white cells in the blood
2.Easy
For which of these viruses is there no vaccine available?
- AHepatitis B
- BMeasles
- CHepatitis C
- DHepatitis A
3.Easy
What is a “never event”?
- AA serious, preventable event that should never happen, such as wrong-site surgery
- BAn event that has never been reported before
- CAn event that only happens at night
- DA rare side effect of a drug that has never been described in the literature before
4.Medium
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR is only given to pregnant women who work in hospitals
- BMMR should be given as soon as possible in the first trimester to protect the baby
- CMMR is safe at any stage of pregnancy
- DMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
5.Medium
A cup of water is spilled over an infusion pump plugged into the wall. What should the nurse do?
- ASwitch it off and unplug it safely, then have it checked before reuse
- BWipe it dry quickly with a towel and keep using it for the infusion
- CTurn the pump upside down to drain it while running
- DLeave it running and place a towel over it until it dries
6.Medium
When should the transparent dressing over a peripheral IV site be changed?
- AWhen it is damp, loose or visibly soiled
- BOnly when the patient asks for a new dressing
- CEvery hour, so the site can be cleaned again
- DOnly when the IV catheter is removed, whatever its state
7.Hard
A nurse teaches a patient with active pulmonary tuberculosis who is going home on treatment. Which statement shows a need for further teaching?
- A“I will need to take my medicines for several months.”
- B“I will cover my mouth with a tissue when I cough.”
- C“I will come back for sputum tests as planned.”
- D“I can stop taking the pills once I feel better.”
8.Hard
During a disaster, the hospital needs to free beds quickly. Which patient is the best candidate for early discharge?
- AA patient on an IV heparin infusion that is still being adjusted
- BA patient on a ventilator in the intensive care unit who is slowly improving
- CA patient admitted overnight for observation who is now stable with normal tests
- DA patient with ongoing chest pain awaiting cardiac tests
Answer key
- 1. A · It quickly sorts bacteria into groups that help choose early treatment
- 2. C · Hepatitis C
- 3. A · A serious, preventable event that should never happen, such as wrong-site surgery
- 4. D · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 5. A · Switch it off and unplug it safely, then have it checked before reuse
- 6. A · When it is damp, loose or visibly soiled
- 7. D · “I can stop taking the pills once I feel better.”
- 8. C · A patient admitted overnight for observation who is now stable with normal tests
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