1.Easy
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- ADroplet precautions
- BStandard precautions only
- CContact precautions only
- DAirborne precautions
2.Easy
Which item is “non-critical” and needs only cleaning and low-level disinfection between patients?
- AA central venous catheter
- BA flexible gastroscope
- CA blood pressure cuff
- DA set of surgical forceps
3.Easy
Why is a Gram stain often done on a specimen before the culture result is ready?
- AIt measures the number of white cells in the blood
- BIt shows exactly which antibiotic will work
- CIt quickly sorts bacteria into groups that help choose early treatment
- DIt confirms whether the patient has a virus and which virus it is
4.Medium
Two patients infected with the same organism are admitted, and no single room is available. What is an accepted option?
- AStopping contact precautions
- BCohorting them in the same room, according to infection control advice
- CPlacing them in the corridor
- DPlacing each with a patient who has a weakened immune system
5.Medium
Where is a gait belt placed when helping a patient to walk?
- AAround the hips, directly on bare skin
- BAround both thighs, just above the knees
- CAround the patient’s waist, over clothing
- DAround the chest, under the arms
6.Medium
A nurse receives a needlestick injury from a patient known to have HIV. Why is it important to report it immediately?
- AReporting is only needed if the wound bleeds or is deep
- BPost-exposure prophylaxis works best when started within hours
- CReporting can be done at any time within a month without changing the risk
- DReporting is only needed for injuries from IV needles
7.Hard
An 82-year-old patient is prescribed diphenhydramine at bedtime for sleep. Why should the nurse raise this with the prescriber?
- AIt raises blood pressure in most older adults
- BIt is too weak to help an older person sleep
- CIt is only available as an IV drug and cannot be given by mouth at bedtime
- DIt is strongly anticholinergic and can cause confusion and falls in older adults
8.Hard
A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?
- ALeave the device untouched and not tell anyone
- BAsk the patient or the family to explain how the device works
- CDo it anyway, using only the device manual and the instructions on the screen
- DTell the charge nurse and ask for help or a change of assignment
Answer key
- 1. A · Droplet precautions
- 2. C · A blood pressure cuff
- 3. C · It quickly sorts bacteria into groups that help choose early treatment
- 4. B · Cohorting them in the same room, according to infection control advice
- 5. C · Around the patient’s waist, over clothing
- 6. B · Post-exposure prophylaxis works best when started within hours
- 7. D · It is strongly anticholinergic and can cause confusion and falls in older adults
- 8. D · Tell the charge nurse and ask for help or a change of assignment
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