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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which infection is mainly spread through blood and is a major risk after a needlestick injury?
ANorovirus
BSeasonal influenza
CHepatitis A
DHepatitis B
2.سهلة
Which item belongs in a sharps container?
AAn empty IV bag with the tubing removed
BA used scalpel blade
CA pair of used gloves
DA soiled gauze dressing
3.سهلة
What is an iatrogenic infection?
AAn infection caught from a family pet at home
BAn infection that is present from birth
CAn infection caused by a treatment, test or procedure
DAn infection that comes from the patient’s own skin flora
4.متوسطة
Why is blood glucose control important around the time of surgery?
AHigh glucose makes anesthetic drugs work for much longer and delays waking up
BLow glucose is needed around surgery so that the wound edges close more quickly
CHigh glucose impairs white cell function and raises the risk of surgical site infection
DGlucose levels only affect patients who have type 1 diabetes
5.متوسطة
How are neuromuscular blocking drugs, such as vecuronium, safely stored?
AMixed in the same bin as other high-use drugs
BNext to common IV antibiotics so they are easy to find
CIn the general stock cupboard with the other IV drugs and no special labels
DSeparate from other drugs, with a warning that they cause paralysis
6.متوسطة
قبل الوصول إلى محور القسطرة الوريدية المركزية، ماذا ينبغي أن تفعل الممرضة؟
Aمسحه سريعًا بشاش معقم جاف
Bلا شيء، لأن المحور محمي بغطاء معقم
Cفرك المحور بمطهّر وتركه حتى يجف
Dالنفخ برفق على المحور لإزالة الغبار
7.صعبة
During a disaster, the hospital needs to free beds quickly. Which patient is the best candidate for early discharge?
AA patient on a ventilator in the intensive care unit who is slowly improving
BA patient admitted overnight for observation who is now stable with normal tests
CA patient with ongoing chest pain awaiting cardiac tests
DA patient on an IV heparin infusion that is still being adjusted
8.صعبة
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
ANo, because reporting near misses only blames the pharmacy staff for nothing
BOnly if the same error happens three times
CNo, because the patient was not harmed
DYes, near misses are reported so system weaknesses can be fixed
مفتاح الإجابات
1. D · Hepatitis B
2. B · A used scalpel blade
3. C · An infection caused by a treatment, test or procedure
4. C · High glucose impairs white cell function and raises the risk of surgical site infection
5. D · Separate from other drugs, with a warning that they cause paralysis
6. C · فرك المحور بمطهّر وتركه حتى يجف
7. B · A patient admitted overnight for observation who is now stable with normal tests
8. D · Yes, near misses are reported so system weaknesses can be fixed
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