1.Easy
In the chain of infection, which link is broken by hand hygiene?
- AThe portal of exit only
- BThe mode of transmission
- CThe infectious agent’s reservoir only
- DThe susceptible host only
2.Easy
What does sterilization achieve that disinfection does not?
- AIt removes visible dirt and organic matter from surfaces
- BIt destroys all microorganisms, including bacterial spores
- CIt stops organisms from growing for one day only
- DIt kills viruses but leaves all bacteria alive
3.Easy
When should a sharps container be replaced?
- AOnly when sharps begin to stick out of the opening at the top
- BOnly when it is completely full to the top
- CWhen it reaches the fill line, about three-quarters full
- DOnce a month, regardless of how full it is
4.Medium
Which practice is safe when transferring a patient from a bed to a stretcher?
- ALeave the stretcher wheels unlocked so it can move with the patient
- BLower the stretcher side rails during transport
- CLock the wheels of both the bed and the stretcher before moving the patient
- DHave the patient slide across without help or a slide sheet
5.Medium
An infusion pump’s drug library warns that the programmed dose is above the safe limit. What should the nurse do?
- AOverride the alert, because pump alerts are often wrong
- BRecheck the order, the calculation and the pump settings first
- CSwitch off the drug library for this infusion
- DContinue the infusion and recheck the pump at the end of the shift
6.Medium
A patient wants to use their own electric hair dryer in the hospital. What is correct?
- AIt can be used straight away if it looks new
- BIt can be plugged into an extension lead under the bed
- CIt is checked for electrical safety according to hospital policy before use
- DIt can be used in the bathroom near the sink if the patient is careful
7.Hard
A nurse teaches a patient who has had a splenectomy. Which statement shows a need for further teaching?
- A“I will get medical help quickly if I get a high temperature.”
- B“I will tell all of my health care providers that I have no spleen.”
- C“I will keep my vaccinations up to date.”
- D“Now that my spleen is out, a fever is nothing to worry about.”
8.Hard
A nurse teaches new parents about safe infant sleep. Which statement shows a need for further teaching?
- A“We will put a soft bumper pad and a blanket in the crib so the baby is cozy.”
- B“We will not smoke near the baby.”
- C“We will lay the baby on the back for every sleep, including naps.”
- D“We will keep the crib in our room, next to our bed, for the first months.”
Answer key
- 1. B · The mode of transmission
- 2. B · It destroys all microorganisms, including bacterial spores
- 3. C · When it reaches the fill line, about three-quarters full
- 4. C · Lock the wheels of both the bed and the stretcher before moving the patient
- 5. B · Recheck the order, the calculation and the pump settings first
- 6. C · It is checked for electrical safety according to hospital policy before use
- 7. D · “Now that my spleen is out, a fever is nothing to worry about.”
- 8. A · “We will put a soft bumper pad and a blanket in the crib so the baby is cozy.”
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