1.Easy
Why should nurses who give direct patient care not wear artificial nails?
- AThey are a problem only in operating rooms
- BThey react with alcohol hand rub and damage the skin of the hands
- CThey make gloves easier to put on and take off
- DArtificial nails carry more bacteria and are harder to clean
2.Easy
Which item belongs in a sharps container?
- AAn empty IV bag with the tubing removed
- BA pair of used gloves
- CA soiled gauze dressing
- DA used scalpel blade
3.Easy
How should a nurse clean a stethoscope between patients?
- ARinse it under running water and dry it on a towel
- BWipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
- CSend it to be sterilized in an autoclave after every single patient contact
- DClean it once a week, unless it is visibly dirty
4.Medium
A nurse cleans an IV pump with a disinfectant wipe. What must happen for the disinfectant to work?
- AThe surface stays wet for the contact time on the product label
- BThe surface is dried with a clean towel right after wiping
- CThe wipe is used on many pumps to save product
- DThe surface is wiped once lightly without pressure
5.Medium
The barcode scanner warns that the medication does not match the patient’s record. What should the nurse do?
- AScan a different patient’s wristband
- BStop and find out why before giving the medication
- CGive the medication and report the warning later in the shift
- DOverride the warning and give the medication
6.Medium
Why are independent double checks used for some medicines, such as insulin and heparin infusions?
- ABecause these drugs are very expensive to waste
- BTo share responsibility between two nurses if an error happens
- CA second person checking separately catches missed errors
- DTo make the preparation process faster
7.Hard
A nurse teaches a patient about home oxygen safety. Which statement shows a need for further teaching?
- A“I can light candles at dinner if my oxygen is turned down low.”
- B“I will put a ‘no smoking’ sign on my front door for visitors.”
- C“I will keep my oxygen away from the stove.”
- D“I will keep my spare cylinders upright and secured.”
8.Hard
A patient with suspected pertussis needs to stay in a shared bay because no single room is free. What is the most appropriate arrangement while infection control is contacted?
- APlace the patient next to an immunocompromised patient
- BUse no precautions at all until a single room becomes free
- CUse airborne precautions with an N95 respirator for everyone
- DCurtains drawn, over 1 meter (3 feet) of space, masks for close contact
Answer key
- 1. D · Artificial nails carry more bacteria and are harder to clean
- 2. D · A used scalpel blade
- 3. B · Wipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
- 4. A · The surface stays wet for the contact time on the product label
- 5. B · Stop and find out why before giving the medication
- 6. C · A second person checking separately catches missed errors
- 7. A · “I can light candles at dinner if my oxygen is turned down low.”
- 8. D · Curtains drawn, over 1 meter (3 feet) of space, masks for close contact
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