1.Easy
Which example shows indirect contact transmission?
- AA person inhales tiny particles that hang in the air of a room
- BBacteria on a bed rail reach a nurse’s hands and then another patient
- CLarge droplets from a sneeze land directly on a nearby person’s face
- DA mosquito bites an infected person and then a healthy one
2.Easy
What is a “just culture” in patient safety?
- AEvery error leads to formal punishment of the person involved
- BErrors are reported openly and systems fixed; reckless acts are still addressed
- COnly doctors report errors, and nurses inform them
- DErrors are never discussed, in order to protect staff morale
3.Easy
In START triage, which casualties are tagged green (minor)?
- AThose who are breathing more than 30 times a minute
- BThose who can walk to a designated area on their own
- CThose who cannot follow simple commands
- DThose who are not breathing after the airway is opened
4.Medium
Before giving a tablet, the patient says, “This pill looks different from my usual one.” What should the nurse do?
- AGive half the pill and watch for any unusual effects
- BReassure the patient and give the pill
- CStop and recheck the order and the drug before giving it
- DTell the patient that all pills look different in hospital
5.Medium
How is a urine specimen for culture obtained from an indwelling catheter?
- ABy disconnecting the catheter from the drainage tubing
- BFrom the urine already collected in the drainage bag at the bedside
- CFrom the sampling port, after cleaning it, using aseptic technique
- DBy removing the catheter and sending its tip for culture
6.Medium
During a norovirus outbreak on a ward, which hand hygiene method should staff use after patient care?
- AWashing with soap and water
- BAlcohol hand rub only
- CNo hand hygiene if gloves were worn
- DWiping hands on a paper towel only
7.Hard
Two look-alike vials of different drugs are stored next to each other, and a nurse almost picks the wrong one. Which response best reflects a just culture?
- AReport it and fix the system, for example by separating the vials
- BKeep the incident quiet to protect the unit’s reputation
- CDiscipline the nurse who nearly picked the wrong vial
- DTell the nurse to be more careful and do nothing else
8.Hard
A patient has a rash, and both smallpox and chickenpox are considered. Which finding suggests smallpox?
- ALesions at different stages, most dense on the trunk
- BSmall crops of new lesions appearing over several days in a row
- CA rash that is very itchy and starts on the trunk
- DLesions all at the same stage, most dense on the face and limbs
Answer key
- 1. B · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 2. B · Errors are reported openly and systems fixed; reckless acts are still addressed
- 3. B · Those who can walk to a designated area on their own
- 4. C · Stop and recheck the order and the drug before giving it
- 5. C · From the sampling port, after cleaning it, using aseptic technique
- 6. A · Washing with soap and water
- 7. A · Report it and fix the system, for example by separating the vials
- 8. D · Lesions all at the same stage, most dense on the face and limbs
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