1.Easy
How should waste contaminated with chemotherapy drugs be discarded?
- ADown the sink with plenty of water
- BIn the recycling bin with plastics
- CIn the general household-type trash bin on the ward, tied in a bag
- DIn a separate labeled container for hazardous drug waste
2.Easy
Which aid makes it safer to move a patient sideways from a bed to a stretcher?
- AA wheelchair placed between the bed and stretcher
- BA friction-reducing slide sheet or transfer board
- CPulling the patient by the arms and legs
- DA gait belt around the patient’s waist
3.Easy
Which factor is one of the strongest predictors that a patient will fall?
- ABeing female
- BWearing glasses for reading
- CA previous fall
- DHaving a private room
4.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ALow body temperature reduces blood flow and immune function in the wound
- BWarm patients do not need antibiotic prophylaxis
- CCold makes bacteria grow faster in the operating room air and on the drapes
- DWarmth sterilizes the surgical site
5.Medium
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up just before the procedure, because a waiting field may become contaminated
- BSet it up in the morning and ask a colleague to check it once
- CSet it up in the morning and cover it with a clean towel until the procedure starts
- DSet it up in the morning and leave it uncovered in an empty room
6.Medium
Which patient has the highest risk of a burn from a heating pad?
- AA patient with a sprained wrist who is fully alert
- BA healthy young adult with a strained muscle
- CA patient recovering from a cold
- DA patient with diabetic peripheral neuropathy
7.Hard
A patient with depression has suddenly become calm and is giving away personal possessions. What does this suggest?
- AThat the depression has resolved and observation can be reduced
- BThat the patient is now ready for discharge today
- CA possibly increased suicide risk that needs immediate assessment
- DThat the patient wants to make new friends on the unit
8.Hard
A patient with active pulmonary tuberculosis asks visitors to come in. What is the best response?
- AExplain the risk, limit visits and teach visitors to use the protection provided
- BAsk visitors to stand in the open doorway instead of entering the room
- CBan all contact permanently, including phone calls
- DAllow any visitor in without any precautions, to support the patient
Answer key
- 1. D · In a separate labeled container for hazardous drug waste
- 2. B · A friction-reducing slide sheet or transfer board
- 3. C · A previous fall
- 4. A · Low body temperature reduces blood flow and immune function in the wound
- 5. A · Set it up just before the procedure, because a waiting field may become contaminated
- 6. D · A patient with diabetic peripheral neuropathy
- 7. C · A possibly increased suicide risk that needs immediate assessment
- 8. A · Explain the risk, limit visits and teach visitors to use the protection provided
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