1.Easy
Which precautions are used for a patient with HIV infection who has no other infection?
- ADroplet precautions
- BContact precautions
- CAirborne precautions
- DStandard precautions
2.Easy
How is a contaminated isolation gown removed?
- AShake it off and then fold it neatly
- BPull it over the head with the outside facing out
- CUntie it and peel it away, rolling the outside inward
- DRemove it by gripping the front of the gown with bare hands
3.Easy
According to the ISMP (US) list of error-prone abbreviations, how should the route “subcutaneous” be written in a medication order?
- AAs “SQ”
- BAs “subcut” or “subcutaneously”
- CAs “SC”
- DAs “sub-Q” with a plus sign
4.Medium
A nurse finds a used needle in a patient’s bed linen. What should the nurse do?
- ARecap it with two hands before throwing it away
- BFold it into the linen and send it to the laundry
- CLeave it where it is for the housekeeping staff to remove later in the day
- DPick it up by the hub or with forceps, put it in a sharps container and report it
5.Medium
Where is a gait belt placed when helping a patient to walk?
- AAround the hips, directly on bare skin
- BAround the chest, under the arms
- CAround the patient’s waist, over clothing
- DAround both thighs, just above the knees
6.Medium
A family member will visit a patient on contact precautions. What should the nurse do?
- AShow them how to use the gown and gloves and how to clean their hands
- BAsk them to wear an N95 respirator only, with no gown or gloves
- CTell them visits are not allowed at all
- DTell them precautions only apply to staff
7.Hard
A patient on oxygen needs an MRI scan. Which plan is safe?
- ALeave the steel cylinder on the patient’s bed during the scan
- BTake the usual steel cylinder into the room if it is tightly strapped to the trolley frame
- CRemove the oxygen for the scan without telling anyone
- DUse only MRI-safe equipment, and never take a standard steel oxygen cylinder into the scanner room
8.Hard
A patient in the emergency waiting room has a cough for six weeks, night sweats, weight loss and blood in the sputum. What should the nurse do first?
- AMask the patient and move them to an airborne isolation room
- BAsk the patient to wait in the waiting room until called
- CPlace the patient in a shared cubicle with the curtain closed
- DStart contact precautions with a gown and gloves for staff
Answer key
- 1. D · Standard precautions
- 2. C · Untie it and peel it away, rolling the outside inward
- 3. B · As “subcut” or “subcutaneously”
- 4. D · Pick it up by the hub or with forceps, put it in a sharps container and report it
- 5. C · Around the patient’s waist, over clothing
- 6. A · Show them how to use the gown and gloves and how to clean their hands
- 7. D · Use only MRI-safe equipment, and never take a standard steel oxygen cylinder into the scanner room
- 8. A · Mask the patient and move them to an airborne isolation room
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