1.Easy
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- AContact precautions only
- BDroplet precautions
- CAirborne precautions
- DStandard precautions only
2.Easy
What do the letters in SBAR stand for?
- ASymptoms, Baseline, Assessment, Response
- BSituation, Background, Assessment, Recommendation
- CSituation, Behavior, Analysis, Review
- DSummary, Background, Assessment, Result
3.Easy
Under event-related sterility, how long is a sterile package considered sterile?
- AForever, even if the outer wrapper gets wet
- BUntil the end of the shift on which it was opened
- CFor exactly seven days after it was packed
- DUntil it is opened, torn, wet or otherwise damaged
4.Medium
While a sterile field is being prepared, the nurse turns away from it to answer a question. What is correct?
- AThe field can be used if it is covered afterwards
- BThe field is still sterile because nobody touched it in the meantime
- CThe field is considered contaminated and must be set up again
- DOnly the items nearest the nurse need to be replaced
5.Medium
Before a blood transfusion is started, which check is required?
- AThe patient’s identity is checked against the blood product and its paperwork at the bedside
- BThe patient signs the blood bag label to confirm their name before it is hung
- CThe nurse checks only that the bag number matches the order
- DOne nurse checks the blood product against the order at the nurses’ station
6.Medium
Why are some patients screened with a nasal swab for MRSA on admission?
- ATo measure the patient’s immunity to MRSA
- BTo diagnose a sinus infection
- CTo check whether the patient is allergic to penicillin before surgery
- DTo find carriers so precautions or decolonization can be used
7.Hard
A nurse caring for a patient with influenza on droplet precautions will assist with an aerosol-generating procedure, such as bronchoscopy. What change in PPE is needed?
- AWear two surgical masks, one on top of the other, for the length of the procedure
- BWear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
- CNo change, because influenza only needs droplet precautions
- DWear gloves only, because the procedure is short
8.Hard
Why can a patient with severe neutropenia have a serious infection but little redness, swelling or pus?
- AAntibiotics given with chemotherapy hide all signs of infection
- BNeutropenia makes infections stay limited to the skin
- CChemotherapy kills the bacteria before they can multiply
- DThere are too few neutrophils to produce the usual inflammatory signs
Answer key
- 1. B · Droplet precautions
- 2. B · Situation, Background, Assessment, Recommendation
- 3. D · Until it is opened, torn, wet or otherwise damaged
- 4. C · The field is considered contaminated and must be set up again
- 5. A · The patient’s identity is checked against the blood product and its paperwork at the bedside
- 6. D · To find carriers so precautions or decolonization can be used
- 7. B · Wear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
- 8. D · There are too few neutrophils to produce the usual inflammatory signs
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