1.Easy
Where must sterile items be held to stay sterile?
- AAny level, as long as nothing non-sterile touches it
- BBelow the waist
- CAbove waist level and in front of the nurse
- DBehind the back
2.Easy
Why must fire doors in a hospital never be propped open?
- AThey stop fire and smoke spreading between areas
- BThey keep heat inside the ward in winter
- CThey stop visitors from entering the ward outside visiting hours
- DThey keep noise away from patient rooms
3.Easy
Which example shows indirect contact transmission?
- ABacteria on a bed rail reach a nurse’s hands and then another patient
- BA person inhales tiny particles that hang in the air of a room
- CA mosquito bites an infected person and then a healthy one
- DLarge droplets from a sneeze land directly on a nearby person’s face
4.Medium
Which practice makes shift handoff safer?
- AUsing a standard format such as SBAR or I-PASS, with time for questions
- BGiving handoff in a busy corridor so that the outgoing nurse can leave on time
- CLeaving written notes only, without a chance for questions
- DGiving handoff from memory without any structure
5.Medium
An infusion pump’s drug library warns that the programmed dose is above the safe limit. What should the nurse do?
- AOverride the alert, because pump alerts are often wrong
- BContinue the infusion and recheck the pump at the end of the shift
- CRecheck the order, the calculation and the pump settings first
- DSwitch off the drug library for this infusion
6.Medium
Why must an insulin pen never be used for more than one patient, even with a new needle?
- AEach pen holds only one dose of insulin
- BSharing a pen changes the dose that is delivered
- CThe insulin in the pen would expire faster once it is shared
- DBlood can flow back into the cartridge and spread infection
7.Hard
A nurse cannot find a confused patient who was in their room 15 minutes ago. What should the nurse do first?
- ACall the family to ask whether the patient has gone home on their own
- BDocument the absence at the end of the shift
- CWait an hour in case the patient comes back
- DAlert staff and security at once, following the missing-patient procedure
8.Hard
A patient is admitted with suspected pneumonic plague after a possible bioterrorism release. Which precautions are used?
- AContact precautions only
- BDroplet precautions
- CStandard precautions only
- DAirborne precautions
Answer key
- 1. C · Above waist level and in front of the nurse
- 2. A · They stop fire and smoke spreading between areas
- 3. A · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 4. A · Using a standard format such as SBAR or I-PASS, with time for questions
- 5. C · Recheck the order, the calculation and the pump settings first
- 6. D · Blood can flow back into the cartridge and spread infection
- 7. D · Alert staff and security at once, following the missing-patient procedure
- 8. B · Droplet precautions
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