1.Easy
What is the difference between an epidemic and a pandemic?
- AAn epidemic always affects more people than a pandemic
- BA pandemic is an epidemic that spreads across several countries or continents
- CA pandemic is a disease that only affects animals and never spreads to people
- DAn epidemic is a disease that is always present at a low level
2.Easy
When should the side rails of a young child’s hospital crib be fully raised?
- AOnly at night while the child sleeps
- BWhenever the child is in the crib and the nurse steps away
- COnly when a parent asks for them to be raised before leaving the room
- DOnly if the child has fallen before
3.Easy
Which medication is a high-alert medication?
- AAcetaminophen (paracetamol) tablets
- BInsulin
- CMultivitamin tablets
- DLactulose syrup
4.Medium
A nurse finds a used needle in a patient’s bed linen. What should the nurse do?
- ALeave it where it is for the housekeeping staff to remove later in the day
- BFold it into the linen and send it to the laundry
- CRecap it with two hands before throwing it away
- DPick it up by the hub or with forceps, put it in a sharps container and report it
5.Medium
Which nursing care reduces the risk of ventilator-associated pneumonia?
- ALeaving secretions in the mouth to protect the airway
- BLying the patient flat for most of the day
- CRegular oral care to reduce bacteria in the mouth
- DChanging the ventilator circuit every few hours
6.Medium
Many intensive care units bathe patients daily with chlorhexidine. What is the main purpose?
- ATo lower the patient’s body temperature
- BTo reduce skin bacteria and bloodstream infections linked to central lines
- CTo treat existing wound infections without the need for antibiotics
- DTo moisturize dry skin in older patients
7.Hard
A patient on long-term high-dose corticosteroids asks for the nasal spray influenza vaccine. What should the nurse explain?
- AEither type is fine, as long as it is given in the morning
- BThe nasal spray is the best choice for people on steroids, because it is not injected
- CThe nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
- DPeople on steroids should never have any influenza vaccine
8.Hard
A child with chickenpox is admitted. Which staff member is the best choice to care for the child?
- AA nurse who is pregnant and unsure of her immunity
- BA nurse who has never had chickenpox or the vaccine
- CA nurse with documented immunity to varicella
- DA student nurse with unknown immunity
Answer key
- 1. B · A pandemic is an epidemic that spreads across several countries or continents
- 2. B · Whenever the child is in the crib and the nurse steps away
- 3. B · Insulin
- 4. D · Pick it up by the hub or with forceps, put it in a sharps container and report it
- 5. C · Regular oral care to reduce bacteria in the mouth
- 6. B · To reduce skin bacteria and bloodstream infections linked to central lines
- 7. C · The nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
- 8. C · A nurse with documented immunity to varicella
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