1.Easy
When is eye protection part of standard precautions?
- AWhen splashes or sprays of blood or body fluids are likely
- BOnly when caring for a patient who has an eye infection such as conjunctivitis
- COnly when the patient is on airborne precautions
- DOnly in the operating room
2.Easy
What is terminal cleaning?
- ACleaning computer terminals at the nurses’ station
- BA full clean and disinfection of a room after the patient leaves
- CCleaning the hands at the end of a shift before going home
- DCleaning a room only once a week, whatever happens on the ward
3.Easy
Malaria is passed to people through the bite of an infected mosquito. Which mode of transmission is this?
- AVector-borne transmission
- BDroplet transmission
- CDirect contact transmission
- DAirborne transmission
4.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ALow body temperature reduces blood flow and immune function in the wound
- BWarmth sterilizes the surgical site
- CWarm patients do not need antibiotic prophylaxis
- DCold makes bacteria grow faster in the operating room air and on the drapes
5.Medium
Which cleaning product is recommended for the room of a patient with Clostridioides difficile?
- AA sporicidal agent, such as a chlorine-based solution
- BPlain water and a clean microfiber cloth
- CA scented air freshener spray
- DAlcohol-based wipes, used on every surface twice a day
6.Medium
A patient on a diuretic is at high risk of falls and often gets up at night. Which measure is most helpful?
- AKeeping the room completely dark at night to help the patient sleep
- BScheduled toileting, with the call light and walking aid in reach
- CTelling the patient not to drink anything after lunch
- DGiving the diuretic at bedtime so it works overnight
7.Hard
According to the “Swiss cheese” model of error, why do errors reach patients?
- AOne careless person makes a mistake that no system could stop
- BTechnology fails more often than people do
- CWeaknesses in several layers of defense line up at the same time
- DPatients often do not follow their care instructions
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
- BGive them hospital gowns and seat them in triage
- CTake them straight into the resuscitation room so treatment is not delayed
- DDecontaminate them outside, with staff wearing appropriate PPE
Answer key
- 1. A · When splashes or sprays of blood or body fluids are likely
- 2. B · A full clean and disinfection of a room after the patient leaves
- 3. A · Vector-borne transmission
- 4. A · Low body temperature reduces blood flow and immune function in the wound
- 5. A · A sporicidal agent, such as a chlorine-based solution
- 6. B · Scheduled toileting, with the call light and walking aid in reach
- 7. C · Weaknesses in several layers of defense line up at the same time
- 8. D · Decontaminate them outside, with staff wearing appropriate PPE
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