1.Easy
What is an iatrogenic infection?
- AAn infection that comes from the patient’s own skin flora
- BAn infection caused by a treatment, test or procedure
- CAn infection caught from a family pet at home
- DAn infection that is present from birth
2.Easy
A patient is transferred with carbapenem-resistant Enterobacterales (CRE). Which precautions are used in the hospital?
- AA protective environment
- BAirborne precautions
- CDroplet precautions
- DContact precautions
3.Easy
During a hospital fire evacuation, where are patients usually moved first?
- AHorizontally, through fire doors to a safe area on the same floor
- BUpward, to the roof of the building where helicopters can reach them
- CDownward, using the elevators
- DStraight out of the building, whatever their condition
4.Medium
A patient has received oral radioactive iodine therapy. Which precaution is usually taken?
- APlace the patient on droplet precautions with a surgical mask
- BLet the patient share a bathroom with other patients
- CEncourage pregnant visitors to sit close to the patient to give emotional support
- DLimit time close to the patient and handle body fluids per radiation policy
5.Medium
A patient is on suicide precautions. Which room safety measure is appropriate?
- ARemove items that could be used for self-harm, such as belts and cords
- BLet the patient keep a personal razor for shaving, as long as staff are told
- CKeep the door closed at all times so the patient has privacy
- DAllow glass bottles if the patient seems calm
6.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ALow body temperature reduces blood flow and immune function in the wound
- BWarmth sterilizes the surgical site
- CCold makes bacteria grow faster in the operating room air and on the drapes
- DWarm patients do not need antibiotic prophylaxis
7.Hard
A nurse teaches a patient who has had a splenectomy. Which statement shows a need for further teaching?
- A“I will keep my vaccinations up to date.”
- B“I will get medical help quickly if I get a high temperature.”
- C“Now that my spleen is out, a fever is nothing to worry about.”
- D“I will tell all of my health care providers that I have no spleen.”
8.Hard
A bag of chemotherapy drug leaks onto the floor. What is the first step?
- AWipe it up quickly with paper towels and bare hands
- BAsk the cleaner to mop it up with the usual mop
- CPut on the spill kit’s protective equipment and contain the spill
- DLeave it to dry, then clean it up at the end of the shift
Answer key
- 1. B · An infection caused by a treatment, test or procedure
- 2. D · Contact precautions
- 3. A · Horizontally, through fire doors to a safe area on the same floor
- 4. D · Limit time close to the patient and handle body fluids per radiation policy
- 5. A · Remove items that could be used for self-harm, such as belts and cords
- 6. A · Low body temperature reduces blood flow and immune function in the wound
- 7. C · “Now that my spleen is out, a fever is nothing to worry about.”
- 8. C · Put on the spill kit’s protective equipment and contain the spill
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