1.Easy
What does the virulence of an organism describe?
- AHow long it survives on surfaces
- BIts ability to cause severe disease
- CHow well it responds to antibiotics
- DThe number of people it has infected
2.Easy
Which signs are typical of a local infection in a wound?
- APallor, coolness and numbness
- BBluish skin and a weak distal pulse
- CRedness, warmth, swelling and pain
- DDry, flaky skin with mild itching
3.Easy
Which of these counts as a physical restraint?
- AUsing a gait belt while helping a patient walk in the corridor
- BRaising all four side rails to stop a patient from getting out of bed
- CPlacing the bed in its lowest position
- DUsing a bed exit alarm for a patient at high risk of falling at night
4.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- AGive it, and document that the colleague prepared it
- BGive it, as long as the syringe has a label with the drug name on it
- CDecline, and give only medications that the nurse prepared or checked personally
- DGive it, because the colleague is experienced
5.Medium
Which glove-removal technique is correct?
- APeel the first off by its outside, then slide a bare finger under the second cuff
- BPull both gloves off at the same time by the fingertips
- CWash the gloved hands and reuse the gloves for the next task
- DRemove the second glove by pinching its outside with the bare hand, then wash
6.Medium
A patient has botulism after eating contaminated food. Which precautions are needed?
- AStandard precautions
- BAirborne precautions
- CDroplet precautions
- DContact precautions
7.Hard
The fire alarm sounds, but the nurse does not know where the fire is. What should the nurse do?
- AOpen all doors so patients can be seen easily
- BLeave the unit and the building to find out where the fire is
- CEvacuate all patients down the stairs at once, starting with those in bed
- DClose the doors to patient rooms, stay on the unit and wait for instructions
8.Hard
A patient with suspected sepsis has orders for blood cultures and an IV antibiotic. What is the correct order of actions?
- ADraw the blood cultures first, then give the antibiotic without delay
- BGive the antibiotic first so that treatment starts, and take the cultures the next day
- CWait for the culture results before starting the antibiotic
- DGive the antibiotic and take the cultures an hour later
Answer key
- 1. B · Its ability to cause severe disease
- 2. C · Redness, warmth, swelling and pain
- 3. B · Raising all four side rails to stop a patient from getting out of bed
- 4. C · Decline, and give only medications that the nurse prepared or checked personally
- 5. A · Peel the first off by its outside, then slide a bare finger under the second cuff
- 6. A · Standard precautions
- 7. D · Close the doors to patient rooms, stay on the unit and wait for instructions
- 8. A · Draw the blood cultures first, then give the antibiotic without delay
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