1.Easy
Which three elements make up the fire triangle in the operating room?
- AAn oxidizer, an ignition source and a fuel
- BHeat, light and sound
- CWater, electricity and metal instruments
- DOxygen, nitrogen and carbon dioxide
2.Easy
During a hospital fire evacuation, where are patients usually moved first?
- AStraight out of the building, whatever their condition
- BDownward, using the elevators
- CUpward, to the roof of the building where helicopters can reach them
- DHorizontally, through fire doors to a safe area on the same floor
3.Easy
Which type of latex reaction is the most dangerous?
- AType IV (delayed) hypersensitivity
- BDry skin from frequent hand washing
- CType I (immediate) hypersensitivity
- DIrritant contact dermatitis
4.Medium
How is a urine specimen for culture obtained from an indwelling catheter?
- ABy removing the catheter and sending its tip for culture
- BBy disconnecting the catheter from the drainage tubing
- CFrom the urine already collected in the drainage bag at the bedside
- DFrom the sampling port, after cleaning it, using aseptic technique
5.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ACold makes bacteria grow faster in the operating room air and on the drapes
- BLow body temperature reduces blood flow and immune function in the wound
- CWarmth sterilizes the surgical site
- DWarm patients do not need antibiotic prophylaxis
6.Medium
A patient with diabetes will use lancets and insulin needles at home. Which teaching about disposal is correct?
- APut them in a puncture-resistant container with a lid and follow local disposal rules
- BRecap each needle with two hands before putting it in the kitchen trash
- CFlush the used lancets and needles down the toilet
- DPut them loose in the household trash bag, as long as the bag is tied shut
7.Hard
A nurse observes a colleague going from one patient to the next without hand hygiene. What is the best action?
- ASay nothing, to avoid conflict within the team
- BReport it anonymously to the manager a month later
- CRemind the colleague politely at once
- DWait to see whether the colleague does it next time
8.Hard
A nurse notices that a patient’s infusion pump is set to a rate ten times higher than the prescription. The patient seems well. What is the first action?
- AWait to see whether any side effects develop
- BAsk the patient whether they feel different, and continue
- CLeave the rate and document the finding in the notes
- DStop or correct the infusion, then assess the patient
Answer key
- 1. A · An oxidizer, an ignition source and a fuel
- 2. D · Horizontally, through fire doors to a safe area on the same floor
- 3. C · Type I (immediate) hypersensitivity
- 4. D · From the sampling port, after cleaning it, using aseptic technique
- 5. B · Low body temperature reduces blood flow and immune function in the wound
- 6. A · Put them in a puncture-resistant container with a lid and follow local disposal rules
- 7. C · Remind the colleague politely at once
- 8. D · Stop or correct the infusion, then assess the patient
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