1.Easy
How can patients take part in infection prevention?
- ABy stopping their antibiotics on their own as soon as they feel a little better
- BBy cleaning their own IV sites with tap water
- CBy sharing equipment with other patients
- DBy being encouraged to ask staff whether they have cleaned their hands
2.Easy
What is an iatrogenic infection?
- AAn infection caused by a treatment, test or procedure
- BAn infection caught from a family pet at home
- CAn infection that comes from the patient’s own skin flora
- DAn infection that is present from birth
3.Easy
A patient has confirmed seasonal influenza. Which transmission-based precautions are used?
- ADroplet precautions
- BContact precautions only
- CAirborne precautions
- DNo precautions beyond hand hygiene
4.Medium
A patient receiving continuous nasogastric feeding has pulled the tube partly out. What should the nurse do first?
- AStop the feeding until the tube position is checked
- BTape the tube in its new position and continue
- CIncrease the feed rate to make up for the lost time
- DPush the tube back in and restart the feed
5.Medium
A patient with active pulmonary tuberculosis must go to the radiology department. How should the patient be transported?
- AWearing gloves and a gown, with no mask needed
- BWearing an N95 respirator that has not been fit-tested
- CWithout a mask, because the corridor is well ventilated and short
- DWearing a surgical mask, with radiology warned in advance
6.Medium
Which practice with medication vials and syringes is safe?
- AUsing the same syringe for two patients if it is flushed
- BLeaving a needle in the vial’s stopper for later use
- CUsing a new sterile needle and syringe every time a vial is entered
- DReusing a syringe if a new needle is attached
7.Hard
A patient with fever and a spreading rash is suspected of having smallpox. Which precautions are needed?
- AStandard precautions only
- BContact precautions only
- CAirborne and contact precautions
- DDroplet precautions with a surgical mask
8.Hard
Before the wound is closed, the sponge count does not match the starting count. What should happen?
- AClose the wound to avoid a long anesthetic and recount the sponges after surgery
- BAssume that the first count was wrong and continue
- CTell the surgeon and team, search for the item, and image the patient per policy if it is not found
- DChange the count on the record so that it matches, then close the wound as planned
Answer key
- 1. D · By being encouraged to ask staff whether they have cleaned their hands
- 2. A · An infection caused by a treatment, test or procedure
- 3. A · Droplet precautions
- 4. A · Stop the feeding until the tube position is checked
- 5. D · Wearing a surgical mask, with radiology warned in advance
- 6. C · Using a new sterile needle and syringe every time a vial is entered
- 7. C · Airborne and contact precautions
- 8. C · Tell the surgeon and team, search for the item, and image the patient per policy if it is not found
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