1.Easy
Which three principles reduce staff exposure to radiation?
- ATime, distance and shielding
- BSpeed, height and color
- CGloves, gowns and goggles
- DHand hygiene, masks and ventilation
2.Easy
How should a dose of half a milligram be written?
- A0.50 mg
- B1/2mg
- C.5 mg
- D0.5 mg
3.Easy
What does ESBL stand for in an ESBL-producing organism?
- AExtended-spectrum beta-lactamase
- BEnteric serum beta-lymphocyte
- CEnhanced staphylococcal bacterial load
- DExtended-surface biofilm layer
4.Medium
A nurse who never had BCG vaccine has a positive tuberculin skin test for the first time. The chest x-ray is clear and there are no symptoms. What does this most likely mean?
- AActive TB, which needs airborne isolation
- BA failed test that must be repeated next year
- CImmunity to TB from a past exposure
- DLatent TB infection, which is not contagious
5.Medium
A patient with diabetes will use lancets and insulin needles at home. Which teaching about disposal is correct?
- APut them in a puncture-resistant container with a lid and follow local disposal rules
- BRecap each needle with two hands before putting it in the kitchen trash
- CFlush the used lancets and needles down the toilet
- DPut them loose in the household trash bag, as long as the bag is tied shut
6.Medium
Which practice with medication vials and syringes is safe?
- ALeaving a needle in the vial’s stopper for later use
- BUsing the same syringe for two patients if it is flushed
- CReusing a syringe if a new needle is attached
- DUsing a new sterile needle and syringe every time a vial is entered
7.Hard
A patient is on contact precautions. Which task is appropriate for the nurse to delegate to assistive personnel?
- ADeciding when the precautions can be stopped
- BHelping the patient bathe while wearing a gown and gloves
- CTeaching the family how to follow the precautions
- DAssessing the wound for new signs of infection during the bath
8.Hard
A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?
- AAgree, but skip the independent medication checks to save energy on the shift
- BAgree and drink extra coffee to stay alert
- CExplain that fatigue would make care unsafe and decline the extra shift
- DAgree without telling anyone about the fatigue
Answer key
- 1. A · Time, distance and shielding
- 2. D · 0.5 mg
- 3. A · Extended-spectrum beta-lactamase
- 4. D · Latent TB infection, which is not contagious
- 5. A · Put them in a puncture-resistant container with a lid and follow local disposal rules
- 6. D · Using a new sterile needle and syringe every time a vial is entered
- 7. B · Helping the patient bathe while wearing a gown and gloves
- 8. C · Explain that fatigue would make care unsafe and decline the extra shift
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