1.Easy
How long should an alcohol-based hand rub be rubbed into the hands?
- AOnly until the rub has covered the palms
- BAt least 5 minutes
- CAbout 20–30 seconds, until the hands are dry
- DAbout 2–3 seconds
2.Easy
After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?
- AWith a clean, dry paper towel
- BThe tap is left running for the next person
- CWith the freshly washed hands
- DWith the bare forearm before drying
3.Easy
An adult’s platelet count is 40,000/mm3 (40 × 109/L). What does this mean?
- AThrombocytopenia with a raised risk of bleeding
- BA low count that only matters during surgery
- CA normal platelet count for an adult
- DA raised platelet count with a risk of clots
4.Medium
A nurse receives a verbal order by telephone. What is the safest practice?
- AAsk a colleague to listen in and remember it as well
- BCarry it out without recording it
- CRemember it and write it down at the end of the shift
- DWrite it down and read it back to the prescriber
5.Medium
A family member tells the nurse, “My father is not himself. Something is wrong.” The hospital has a family-activated rapid response system. What is correct?
- AOnly doctors may call the rapid response team
- BThe family should call emergency services from outside the hospital
- CThe family can call the rapid response team if they are worried and staff have not responded
- DThe family must wait for the next scheduled ward round to raise the concern with a doctor
6.Medium
Why are patients on long-term corticosteroids at higher risk from infections?
- ASteroids make the patient’s blood more acidic, which helps bacteria grow
- BSteroids only affect the risk of fungal skin rashes
- CSteroids kill the patient’s normal skin bacteria
- DSteroids suppress the immune response and can hide signs of infection
7.Hard
A nurse teaches a patient with active pulmonary tuberculosis who is going home on treatment. Which statement shows a need for further teaching?
- A“I will come back for sputum tests as planned.”
- B“I can stop taking the pills once I feel better.”
- C“I will cover my mouth with a tissue when I cough.”
- D“I will need to take my medicines for several months.”
8.Hard
A responsive 6-month-old infant is choking and cannot cry or cough. What should the rescuer do?
- ATurn the infant upside down and shake gently
- BGive abdominal thrusts as for an adult
- CGive back blows and chest thrusts in turn
- DDo a blind finger sweep of the mouth
Answer key
- 1. C · About 20–30 seconds, until the hands are dry
- 2. A · With a clean, dry paper towel
- 3. A · Thrombocytopenia with a raised risk of bleeding
- 4. D · Write it down and read it back to the prescriber
- 5. C · The family can call the rapid response team if they are worried and staff have not responded
- 6. D · Steroids suppress the immune response and can hide signs of infection
- 7. B · “I can stop taking the pills once I feel better.”
- 8. C · Give back blows and chest thrusts in turn
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