1.Easy
Under event-related sterility, how long is a sterile package considered sterile?
- AUntil the end of the shift on which it was opened
- BForever, even if the outer wrapper gets wet
- CUntil it is opened, torn, wet or otherwise damaged
- DFor exactly seven days after it was packed
2.Easy
How can patients take part in infection prevention?
- ABy being encouraged to ask staff whether they have cleaned their hands
- BBy stopping their antibiotics on their own as soon as they feel a little better
- CBy sharing equipment with other patients
- DBy cleaning their own IV sites with tap water
3.Easy
When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?
- AAfter touching a patient’s bed rail
- BWhen the hands are visibly soiled
- CBefore every subcutaneous injection
- DBefore putting on clean gloves
4.Medium
During a surgical hand scrub, how are the hands held?
- ABelow the elbows, so water runs off the fingertips into the sink
- BAt the level of the waist, close to the body
- CAbove the elbows, so water runs from the fingertips toward the elbows
- DPointing downward into the sink at all times
5.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- AWarm patients do not need antibiotic prophylaxis
- BLow body temperature reduces blood flow and immune function in the wound
- CWarmth sterilizes the surgical site
- DCold makes bacteria grow faster in the operating room air and on the drapes
6.Medium
Why are blood cultures usually taken from two separate venipuncture sites?
- ATo reduce the total amount of blood taken
- BBecause each site tests a different antibiotic
- CTo make the results come back faster from the laboratory
- DTo help tell a true infection from skin contamination
7.Hard
A patient on long-term high-dose corticosteroids asks for the nasal spray influenza vaccine. What should the nurse explain?
- AThe nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
- BPeople on steroids should never have any influenza vaccine
- CEither type is fine, as long as it is given in the morning
- DThe nasal spray is the best choice for people on steroids, because it is not injected
8.Hard
Victims of a chemical spill arrive at the emergency department with liquid on their skin and clothing. What is the priority before they enter the building?
- ATake a full history in the waiting room
- BDecontaminate them outside, with staff wearing appropriate PPE
- CGive them hospital gowns and seat them in triage
- DTake them straight into the resuscitation room so treatment is not delayed
Answer key
- 1. C · Until it is opened, torn, wet or otherwise damaged
- 2. A · By being encouraged to ask staff whether they have cleaned their hands
- 3. B · When the hands are visibly soiled
- 4. C · Above the elbows, so water runs from the fingertips toward the elbows
- 5. B · Low body temperature reduces blood flow and immune function in the wound
- 6. D · To help tell a true infection from skin contamination
- 7. A · The nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
- 8. B · Decontaminate them outside, with staff wearing appropriate PPE
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