1.Easy
Which infection is mainly spread through blood and is a major risk after a needlestick injury?
- ANorovirus
- BHepatitis A
- CSeasonal influenza
- DHepatitis B
2.Easy
In the United States classification, which class of fire extinguisher is used for an electrical fire?
- AClass A
- BClass K
- CClass C
- DClass B
3.Easy
In the chain of infection, which link does vaccination break?
- AThe susceptible host
- BThe portal of exit
- CThe reservoir
- DThe infectious agent
4.Medium
A patient needs to be moved up in bed and cannot help much. Which approach is safest?
- AUse a friction-reducing sheet with enough staff, with the bed flat if tolerated
- BRaise the head of the bed fully and lift the patient up by the shoulders
- CHave one nurse pull the patient up by the arms
- DAsk the patient to push up with their heels alone
5.Medium
Why are patients on long-term corticosteroids at higher risk from infections?
- ASteroids kill the patient’s normal skin bacteria
- BSteroids make the patient’s blood more acidic, which helps bacteria grow
- CSteroids only affect the risk of fungal skin rashes
- DSteroids suppress the immune response and can hide signs of infection
6.Medium
How should the urethral meatus be cared for in a patient with an indwelling urinary catheter?
- AWith daily bladder irrigation using an antibiotic solution through the catheter
- BWith routine hygiene, using soap and water during daily washing
- CBy sliding the catheter in and out a little to clean it
- DWith antiseptic cream applied to the meatus every shift
7.Hard
A nurse picks up a heparin vial that contains 10 000 units/mL; the ward usually stocks 1000 units/mL vials. Why is extra care needed?
- ABoth vial strengths can be swapped freely
- BHeparin concentration has no effect on safety
- CThe concentrated vial is safer, because less volume is drawn up
- DUsing the more concentrated vial by mistake would give a tenfold overdose
8.Hard
A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?
- ABlame the pharmacy for the error so that the nurse and the ward are not at fault
- BTell the patient to make a formal complaint to find out
- CTell the patient nothing happened to avoid worry
- DBe honest that an error occurred and involve the provider and team in disclosure per policy
Answer key
- 1. D · Hepatitis B
- 2. C · Class C
- 3. A · The susceptible host
- 4. A · Use a friction-reducing sheet with enough staff, with the bed flat if tolerated
- 5. D · Steroids suppress the immune response and can hide signs of infection
- 6. B · With routine hygiene, using soap and water during daily washing
- 7. D · Using the more concentrated vial by mistake would give a tenfold overdose
- 8. D · Be honest that an error occurred and involve the provider and team in disclosure per policy
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