1.Easy
An adult’s platelet count is 40,000/mm3 (40 × 109/L). What does this mean?
- AA raised platelet count with a risk of clots
- BThrombocytopenia with a raised risk of bleeding
- CA low count that only matters during surgery
- DA normal platelet count for an adult
2.Easy
When is hand hygiene needed in relation to wearing gloves?
- AOnly if the gloves are torn
- BOnly before putting gloves on
- CNever, because gloves replace hand hygiene
- DBefore putting gloves on and after taking them off
3.Easy
Which medication is a high-alert medication?
- AAcetaminophen (paracetamol) tablets
- BMultivitamin tablets
- CInsulin
- DLactulose syrup
4.Medium
Which practice reduces back strain when a nurse moves a patient or heavy object?
- ABend at the waist and keep both knees straight
- BHold the load at arm’s length to keep it steady
- CKeep the load close to the body and avoid twisting
- DStand with the feet close together for balance
5.Medium
Why are some patients screened with a nasal swab for MRSA on admission?
- ATo find carriers so precautions or decolonization can be used
- BTo diagnose a sinus infection
- CTo measure the patient’s immunity to MRSA
- DTo check whether the patient is allergic to penicillin before surgery
6.Medium
Which measure reduces errors caused by interruptions during medication preparation?
- AAnswering phone calls and pages while counting tablets, to save time
- BPreparing medications at the busiest place on the ward
- CA quiet “no interruption” zone or signal while preparing medications
- DPreparing medications for all patients at once
7.Hard
A patient on airborne precautions needs an urgent CT scan. Which plan is correct?
- APatient goes unmasked, and the CT room is cleaned the next day
- BPatient wears an N95 respirator, so staff need no protection
- CThe scan is postponed until the patient is no longer infectious
- DPatient masked, CT warned in advance, staff in respirators
8.Hard
A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?
- ALift the patient back into bed with a colleague
- BComplete an incident report while the details are fresh
- CAssess the patient for injury before moving them
- DTelephone the family to tell them about the fall
Answer key
- 1. B · Thrombocytopenia with a raised risk of bleeding
- 2. D · Before putting gloves on and after taking them off
- 3. C · Insulin
- 4. C · Keep the load close to the body and avoid twisting
- 5. A · To find carriers so precautions or decolonization can be used
- 6. C · A quiet “no interruption” zone or signal while preparing medications
- 7. D · Patient masked, CT warned in advance, staff in respirators
- 8. C · Assess the patient for injury before moving them
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