1.Easy
Which procedure requires surgical asepsis (sterile technique)?
- AGiving a bed bath
- BInserting an indwelling urinary catheter
- CGiving an oral medication through the mouth
- DMeasuring blood pressure on the upper arm
2.Easy
In the chain of infection, a contaminated bedside table where bacteria live and multiply is an example of which link?
- AThe portal of exit
- BThe reservoir
- CThe portal of entry
- DThe susceptible host
3.Easy
What is an iatrogenic infection?
- AAn infection that is present from birth
- BAn infection caused by a treatment, test or procedure
- CAn infection caught from a family pet at home
- DAn infection that comes from the patient’s own skin flora
4.Medium
A patient’s identification wristband is missing. A medication is due. What should the nurse do?
- AConfirm identity with two identifiers and apply a new wristband first
- BSkip the medication until the next day
- CGive it, because the nurse recognizes the patient from yesterday
- DUse the room and bed number to confirm identity
5.Medium
Before giving a tablet, the patient says, “This pill looks different from my usual one.” What should the nurse do?
- AGive half the pill and watch for any unusual effects
- BReassure the patient and give the pill
- CTell the patient that all pills look different in hospital
- DStop and recheck the order and the drug before giving it
6.Medium
A patient needs to be moved up in bed and cannot help much. Which approach is safest?
- AHave one nurse pull the patient up by the arms
- BUse a friction-reducing sheet with enough staff, with the bed flat if tolerated
- CRaise the head of the bed fully and lift the patient up by the shoulders
- DAsk the patient to push up with their heels alone
7.Hard
A patient’s white cell differential shows a raised eosinophil count. Which cause is most consistent with this finding?
- AAn acute bacterial infection
- BBone marrow suppression from chemotherapy
- CA viral infection such as a cold
- DAn allergic reaction or a parasitic infection
8.Hard
Several patients on a ward develop vomiting and diarrhea within two days, and a norovirus outbreak is suspected. What should the nurse do first?
- AMove the affected patients to different wards so that fewer people are exposed
- BAsk visitors to bring in bottled water for all patients
- CNotify the infection prevention team and place affected patients on contact precautions
- DWait for all the stool results to come back before taking any action
Answer key
- 1. B · Inserting an indwelling urinary catheter
- 2. B · The reservoir
- 3. B · An infection caused by a treatment, test or procedure
- 4. A · Confirm identity with two identifiers and apply a new wristband first
- 5. D · Stop and recheck the order and the drug before giving it
- 6. B · Use a friction-reducing sheet with enough staff, with the bed flat if tolerated
- 7. D · An allergic reaction or a parasitic infection
- 8. C · Notify the infection prevention team and place affected patients on contact precautions
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