1.Easy
In the chain of infection, which link is broken when a patient covers the mouth and nose with a tissue when coughing?
- AThe infectious agent
- BThe reservoir
- CThe portal of exit
- DThe susceptible host
2.Easy
Why are patients usually kept nil by mouth (NPO) for a period before general anesthesia?
- ATo prevent the patient from needing the toilet
- BTo make the patient lose weight before surgery
- CTo lower the risk of a wound infection
- DTo reduce the risk of aspirating stomach contents
3.Easy
A child is admitted with chickenpox (varicella). Which precautions are needed?
- AStandard precautions only
- BDroplet precautions, with a surgical mask
- CContact precautions, with gown and gloves
- DAirborne and contact precautions
4.Medium
Which practice with medication vials and syringes is safe?
- AUsing a new sterile needle and syringe every time a vial is entered
- BReusing a syringe if a new needle is attached
- CLeaving a needle in the vial’s stopper for later use
- DUsing the same syringe for two patients if it is flushed
5.Medium
Why must visible dirt be removed from equipment before it is disinfected?
- ACleaning first is only needed for metal items
- BOrganic matter can shield organisms and weaken the disinfectant
- CDirt makes the disinfectant react and work too strongly on the surface
- DDisinfectants only work on wet surfaces
6.Medium
A nurse receives a verbal order by telephone. What is the safest practice?
- ARemember it and write it down at the end of the shift
- BWrite it down and read it back to the prescriber
- CAsk a colleague to listen in and remember it as well
- DCarry it out without recording it
7.Hard
A nurse teaches a patient about home oxygen safety. Which statement shows a need for further teaching?
- A“I will keep my spare cylinders upright and secured.”
- B“I will keep my oxygen away from the stove.”
- C“I will put a ‘no smoking’ sign on my front door for visitors.”
- D“I can light candles at dinner if my oxygen is turned down low.”
8.Hard
A nurse arrives at the scene of a fire in a corridor and the fire is spreading. Patients are in nearby rooms. What should the nurse do after raising the alarm?
- ATake patients to the ground floor in the nearest elevator
- BOpen all doors and windows to let the smoke escape
- CClose doors and move patients in danger horizontally behind fire doors
- DTry to put out the spreading fire alone with an extinguisher
Answer key
- 1. C · The portal of exit
- 2. D · To reduce the risk of aspirating stomach contents
- 3. D · Airborne and contact precautions
- 4. A · Using a new sterile needle and syringe every time a vial is entered
- 5. B · Organic matter can shield organisms and weaken the disinfectant
- 6. B · Write it down and read it back to the prescriber
- 7. D · “I can light candles at dinner if my oxygen is turned down low.”
- 8. C · Close doors and move patients in danger horizontally behind fire doors
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