1.Easy
How is a contaminated isolation gown removed?
- APull it over the head with the outside facing out
- BRemove it by gripping the front of the gown with bare hands
- CShake it off and then fold it neatly
- DUntie it and peel it away, rolling the outside inward
2.Easy
Which item is “non-critical” and needs only cleaning and low-level disinfection between patients?
- AA flexible gastroscope
- BA blood pressure cuff
- CA central venous catheter
- DA set of surgical forceps
3.Easy
Which factor is one of the strongest predictors that a patient will fall?
- AWearing glasses for reading
- BBeing female
- CA previous fall
- DHaving a private room
4.Medium
A patient has a very low platelet count. Which safety measure is appropriate?
- AUse a soft toothbrush and an electric razor
- BFloss hard each day to keep the gums healthy
- CTake rectal temperatures for accuracy
- DUse a firm toothbrush and a safety razor
5.Medium
When should droplet precautions for a patient with Neisseria meningitidis usually be stopped?
- AAfter the fever has been gone for one hour
- BAfter 24 hours of effective antibiotic treatment
- CAs soon as the first dose of antibiotic has been given
- DOnly after the patient is discharged
6.Medium
Which instruction about using a standard walker is correct?
- AMove the walker forward, then step into it
- BWalk well ahead of the walker for balance
- CPush up from the walker to stand from a chair
- DCarry the walker and use it only when tired
7.Hard
During bedside handoff, the patient says, “I’m allergic to sulfa drugs,” but no allergy is recorded. What should the nurse do?
- AClarify the reaction, update the allergy record and tell the prescriber
- BWait until the patient is discharged to update the record
- CIgnore it, because the electronic record is more reliable than the patient’s memory
- DTell the patient that sulfa drugs are always safe
8.Hard
A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?
- AAssess the patient for injury before moving them
- BLift the patient back into bed with a colleague
- CComplete an incident report while the details are fresh
- DTelephone the family to tell them about the fall
Answer key
- 1. D · Untie it and peel it away, rolling the outside inward
- 2. B · A blood pressure cuff
- 3. C · A previous fall
- 4. A · Use a soft toothbrush and an electric razor
- 5. B · After 24 hours of effective antibiotic treatment
- 6. A · Move the walker forward, then step into it
- 7. A · Clarify the reaction, update the allergy record and tell the prescriber
- 8. A · Assess the patient for injury before moving them
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