1.Easy
A patient is transferred with carbapenem-resistant Enterobacterales (CRE). Which precautions are used in the hospital?
- AContact precautions
- BDroplet precautions
- CA protective environment
- DAirborne precautions
2.Easy
What is respiratory hygiene, or cough etiquette?
- AWearing an N95 respirator at all times whenever you have a cough
- BCoughing into the hands, then wiping them on clothing
- CCovering coughs with a tissue or the elbow, then cleaning the hands
- DTaking an antibiotic at the first sign of a cough
3.Easy
An adult’s platelet count is 40,000/mm3 (40 × 109/L). What does this mean?
- AA low count that only matters during surgery
- BThrombocytopenia with a raised risk of bleeding
- CA raised platelet count with a risk of clots
- DA normal platelet count for an adult
4.Medium
A patient needs to be moved up in bed and cannot help much. Which approach is safest?
- ARaise the head of the bed fully and lift the patient up by the shoulders
- BAsk the patient to push up with their heels alone
- CHave one nurse pull the patient up by the arms
- DUse a friction-reducing sheet with enough staff, with the bed flat if tolerated
5.Medium
Why must visible dirt be removed from equipment before it is disinfected?
- ADisinfectants only work on wet surfaces
- BOrganic matter can shield organisms and weaken the disinfectant
- CCleaning first is only needed for metal items
- DDirt makes the disinfectant react and work too strongly on the surface
6.Medium
Which toy is safest for a toddler?
- AA large toy with no small parts that can come off
- BA bag of marbles to sort by color
- CA balloon to play with when an adult is out of the room
- DA toy with small magnets that come out easily
7.Hard
A patient has signed a surgical consent form but tells the nurse, “I don’t really understand what they are going to do.” What should the nurse do?
- AGive the preoperative sedative so the patient relaxes
- BInform the surgeon so the procedure can be explained again before any sedation
- CExplain the risks and benefits in place of the surgeon
- DReassure the patient that the surgeon knows best and continue with the preparation
8.Hard
A visitor becomes very agitated and starts shouting at the nurse in a patient’s room. What should the nurse do first?
- ATurn away from the visitor and continue with the patient’s care as normal
- BRaise the voice to show who is in charge
- CKeep a safe distance and a clear exit, speak calmly and call security if needed
- DTouch the visitor’s arm to help them calm down
Answer key
- 1. A · Contact precautions
- 2. C · Covering coughs with a tissue or the elbow, then cleaning the hands
- 3. B · Thrombocytopenia with a raised risk of bleeding
- 4. D · Use a friction-reducing sheet with enough staff, with the bed flat if tolerated
- 5. B · Organic matter can shield organisms and weaken the disinfectant
- 6. A · A large toy with no small parts that can come off
- 7. B · Inform the surgeon so the procedure can be explained again before any sedation
- 8. C · Keep a safe distance and a clear exit, speak calmly and call security if needed
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