1.Easy
Which example shows indirect contact transmission?
- ALarge droplets from a sneeze land directly on a nearby person’s face
- BA person inhales tiny particles that hang in the air of a room
- CBacteria on a bed rail reach a nurse’s hands and then another patient
- DA mosquito bites an infected person and then a healthy one
2.Easy
On a sterile field, which area is considered non-sterile?
- AThe outer border of about 2.5 cm (1 inch)
- BThe whole field once it has been opened to the air
- COnly the corners
- DThe center of the field
3.Easy
What is seclusion?
- AClosing the curtains during personal care
- BPlacing a patient on contact precautions in a single room with the door closed
- CKeeping a patient alone in a room or area that they are prevented from leaving
- DMoving a patient to a private room at their request
4.Medium
Why can side rails be dangerous for a confused, restless patient?
- ASide rails stop staff from reaching the patient in an emergency
- BThe patient may climb over them or get trapped in gaps
- CSide rails make the bed move by itself
- DSide rails always cause pressure injuries
5.Medium
When should the transparent dressing over a peripheral IV site be changed?
- AOnly when the IV catheter is removed, whatever its state
- BOnly when the patient asks for a new dressing
- CWhen it is damp, loose or visibly soiled
- DEvery hour, so the site can be cleaned again
6.Medium
A patient with poorly controlled seizures asks about activities at home. Which advice is most important?
- ANever swim or bathe alone
- BSleep sitting up in a chair
- CAvoid all forms of exercise
- DAvoid drinking water before bed
7.Hard
Which position is especially dangerous for a patient in physical restraints?
- ALying on the side
- BLying on the back with the head raised
- CSitting upright in bed
- DLying face down (prone)
8.Hard
A patient with a sealed radioactive implant reports that the implant has fallen out onto the bed. What should the nurse do?
- AAsk the patient to hold it until help arrives
- BPick it up with gloved hands and put it in the clinical waste
- CUse long-handled forceps to place it in the lead container
- DLeave it on the bed until the radiation team arrives tomorrow
Answer key
- 1. C · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 2. A · The outer border of about 2.5 cm (1 inch)
- 3. C · Keeping a patient alone in a room or area that they are prevented from leaving
- 4. B · The patient may climb over them or get trapped in gaps
- 5. C · When it is damp, loose or visibly soiled
- 6. A · Never swim or bathe alone
- 7. D · Lying face down (prone)
- 8. C · Use long-handled forceps to place it in the lead container
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