1.Easy
Which finding suggests a systemic infection rather than only a local one?
- AMild swelling at an injection site
- BRedness around a small cut
- CSlight tenderness around an IV site
- DFever with a raised heart rate
2.Easy
What is the main difference between an N95 respirator and a surgical mask?
- AA surgical mask filters smaller particles than an N95
- BAn N95 filters small airborne particles, while a surgical mask mainly blocks droplets
- CAn N95 is only worn by patients, and surgical masks only by staff
- DThere is no real difference, so they can be swapped freely for any type of precautions
3.Easy
A corridor is filling with smoke. How should staff move through it?
- AOpen all windows on the way
- BStay low, below the smoke
- CStand up straight and walk quickly
- DHold their breath and run through
4.Medium
A patient is on seizure precautions. Which equipment should be ready at the bedside?
- AAn ice pack to place on the forehead
- BRestraints ready for all four limbs
- CA tongue blade to put between the teeth
- DWorking suction and oxygen equipment
5.Medium
A confused patient keeps pulling at an IV line. Which is a less restrictive option to consider before wrist restraints?
- ATying both arms to the bed frame
- BCovering the site with a sleeve or using hand mitts with supervision
- CGiving a sedative every few hours
- DUsing a vest restraint in the chair so that the patient’s hands stay down
6.Medium
A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?
- ALay it on the medication tray and discard it later
- BRecap it carefully with both hands and dispose of it after the drug round
- CActivate the safety device and drop it into a sharps container at once
- DBend the needle to make it unusable, then discard it
7.Hard
A nurse arrives at the scene of a fire in a corridor and the fire is spreading. Patients are in nearby rooms. What should the nurse do after raising the alarm?
- AOpen all doors and windows to let the smoke escape
- BTake patients to the ground floor in the nearest elevator
- CTry to put out the spreading fire alone with an extinguisher
- DClose doors and move patients in danger horizontally behind fire doors
8.Hard
A patient’s WBC is 4,000/mm3, with 30% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?
- A1,400/mm3
- B140/mm3
- C3,500/mm3
- D1,200/mm3
Answer key
- 1. D · Fever with a raised heart rate
- 2. B · An N95 filters small airborne particles, while a surgical mask mainly blocks droplets
- 3. B · Stay low, below the smoke
- 4. D · Working suction and oxygen equipment
- 5. B · Covering the site with a sleeve or using hand mitts with supervision
- 6. C · Activate the safety device and drop it into a sharps container at once
- 7. D · Close doors and move patients in danger horizontally behind fire doors
- 8. A · 1,400/mm3
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