1.Easy
Where should the straps of a limb restraint be secured?
- ATo the mattress handles, using a firm square knot
- BTo the side rail, using a secure double knot
- CTo the bedside table, so it can be moved
- DTo the bed frame, with a quick-release knot
2.Easy
A nurse cannot get a good seal with an N95 respirator because of a beard. Which device can be used instead?
- AA washable cloth face mask worn over the beard
- BA powered air-purifying respirator (PAPR)
- CA standard surgical mask
- DTwo surgical masks worn together
3.Easy
What is the difference between an epidemic and a pandemic?
- AAn epidemic is a disease that is always present at a low level
- BA pandemic is an epidemic that spreads across several countries or continents
- CA pandemic is a disease that only affects animals and never spreads to people
- DAn epidemic always affects more people than a pandemic
4.Medium
In a hospital fire, which means of moving patients is usually avoided?
- AStairs
- BElevators (lifts)
- CWheeling beds through fire doors
- DMoving horizontally to another area on the same floor behind fire doors
5.Medium
While a sterile field is being prepared, the nurse turns away from it to answer a question. What is correct?
- AThe field can be used if it is covered afterwards
- BOnly the items nearest the nurse need to be replaced
- CThe field is still sterile because nobody touched it in the meantime
- DThe field is considered contaminated and must be set up again
6.Medium
A family member will visit a patient on contact precautions. What should the nurse do?
- ATell them precautions only apply to staff
- BShow them how to use the gown and gloves and how to clean their hands
- CAsk them to wear an N95 respirator only, with no gown or gloves
- DTell them visits are not allowed at all
7.Hard
A confused patient keeps pulling at a nasogastric tube. Which approach should be tried first?
- AA sedative so that the patient sleeps quietly through the night
- BWrist restraints straight away to protect the tube
- CRemoving the tube without consulting the team
- DLess restrictive measures, such as reorientation and a sitter
8.Hard
In START triage, a casualty cannot walk and is breathing 36 times a minute. Which category applies?
- AYellow (delayed)
- BRed (immediate)
- CGreen (minor)
- DBlack (expectant or dead)
Answer key
- 1. D · To the bed frame, with a quick-release knot
- 2. B · A powered air-purifying respirator (PAPR)
- 3. B · A pandemic is an epidemic that spreads across several countries or continents
- 4. B · Elevators (lifts)
- 5. D · The field is considered contaminated and must be set up again
- 6. B · Show them how to use the gown and gloves and how to clean their hands
- 7. D · Less restrictive measures, such as reorientation and a sitter
- 8. B · Red (immediate)
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