1.Easy
Under US OSHA rules, how often must a health care worker be fit-tested for a tight-fitting respirator such as an N95?
- AOnce only, when the worker is first hired by the hospital
- BAt least once a year, and when the model changes
- CEvery five years, at license renewal
- DOnly after the worker has an exposure
2.Easy
A nurse notices a frayed electrical cord on an infusion pump. What should the nurse do?
- ATake the pump out of use, label it as faulty and report it
- BKeep using it carefully until the end of the shift, then report it
- CWrap the cord in electrical tape and continue using it
- DAsk the patient not to touch the cord
3.Easy
Which foods are commonly linked to cross-reactions in people with a latex allergy?
- AApples, carrots, lettuce and peas
- BRice, potatoes, oats and bread
- CMilk, eggs, wheat and peanuts
- DBanana, avocado, kiwi and chestnut
4.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
- BTell them precautions only apply to staff
- CTell them visits are not allowed at all
- DAsk them to wear an N95 respirator only, with no gown or gloves
5.Medium
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AStop hand hygiene until the skin heals
- BUse the hand lotion approved by the facility to keep the skin intact
- CUse any lotion from home, whatever its contents
- DWear gloves all day instead of cleaning the hands between patients
6.Medium
A nurse receives a needlestick injury from a patient known to have HIV. Why is it important to report it immediately?
- AReporting can be done at any time within a month without changing the risk
- BReporting is only needed for injuries from IV needles
- CReporting is only needed if the wound bleeds or is deep
- DPost-exposure prophylaxis works best when started within hours
7.Hard
Two look-alike vials of different drugs are stored next to each other, and a nurse almost picks the wrong one. Which response best reflects a just culture?
- ATell the nurse to be more careful and do nothing else
- BReport it and fix the system, for example by separating the vials
- CDiscipline the nurse who nearly picked the wrong vial
- DKeep the incident quiet to protect the unit’s reputation
8.Hard
A patient with severe immunosuppression after a stem cell transplant is in a protective environment. Which item should not be brought into the room?
- AThe patient’s own clean clothes
- BFresh flowers or potted plants
- CA clean, disinfected tablet computer
- DA family photo in a frame that has been wiped clean
Answer key
- 1. B · At least once a year, and when the model changes
- 2. A · Take the pump out of use, label it as faulty and report it
- 3. D · Banana, avocado, kiwi and chestnut
- 4. A · Show them how to use the gown and gloves and how to clean their hands
- 5. B · Use the hand lotion approved by the facility to keep the skin intact
- 6. D · Post-exposure prophylaxis works best when started within hours
- 7. B · Report it and fix the system, for example by separating the vials
- 8. B · Fresh flowers or potted plants
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