1.Easy
Which finding suggests a systemic infection rather than only a local one?
- ARedness around a small cut
- BFever with a raised heart rate
- CMild swelling at an injection site
- DSlight tenderness around an IV site
2.Easy
Which precautions are used for a patient with HIV infection who has no other infection?
- AAirborne precautions
- BDroplet precautions
- CContact precautions
- DStandard precautions
3.Easy
Which procedure requires surgical asepsis (sterile technique)?
- AMeasuring blood pressure on the upper arm
- BGiving a bed bath
- CInserting an indwelling urinary catheter
- DGiving an oral medication through the mouth
4.Medium
A nurse cleans an IV pump with a disinfectant wipe. What must happen for the disinfectant to work?
- AThe surface is wiped once lightly without pressure
- BThe surface is dried with a clean towel right after wiping
- CThe surface stays wet for the contact time on the product label
- DThe wipe is used on many pumps to save product
5.Medium
Which equipment practice is correct for a patient on contact precautions?
- AUsing a dedicated stethoscope and blood pressure cuff for that patient
- BUsing equipment from the clean utility room and putting it back unchanged
- CUsing the same stethoscope for all patients without cleaning
- DTaking the patient’s equipment to the next room
6.Medium
A patient has a very low platelet count. Which safety measure is appropriate?
- AUse a soft toothbrush and an electric razor
- BFloss hard each day to keep the gums healthy
- CTake rectal temperatures for accuracy
- DUse a firm toothbrush and a safety razor
7.Hard
A patient dies after a wrong-drug error, and the hospital carries out a root cause analysis. What is its main focus?
- AIdentifying which staff member made the error and should be disciplined
- BFinding the system and process weaknesses that allowed the error
- CEstimating the legal costs for the hospital
- DDeciding whether to tell the family about the error
8.Hard
A patient is receiving a high-alert drug by continuous infusion. At handover, which practice is safest?
- AThe incoming nurse checks it at the end of the shift
- BBoth nurses check the pump and bag against the prescription
- COnly the rate is checked, not the drug or concentration
- DThe outgoing nurse says that “the pump is fine” at the desk
Answer key
- 1. B · Fever with a raised heart rate
- 2. D · Standard precautions
- 3. C · Inserting an indwelling urinary catheter
- 4. C · The surface stays wet for the contact time on the product label
- 5. A · Using a dedicated stethoscope and blood pressure cuff for that patient
- 6. A · Use a soft toothbrush and an electric razor
- 7. B · Finding the system and process weaknesses that allowed the error
- 8. B · Both nurses check the pump and bag against the prescription
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