1.Easy
In the chain of infection, which link does vaccination break?
- AThe portal of exit
- BThe infectious agent
- CThe reservoir
- DThe susceptible host
2.Easy
In the chain of infection, which link is broken by hand hygiene?
- AThe infectious agent’s reservoir only
- BThe portal of exit only
- CThe mode of transmission
- DThe susceptible host only
3.Easy
An adult’s platelet count is 40,000/mm3 (40 × 109/L). What does this mean?
- AA low count that only matters during surgery
- BA normal platelet count for an adult
- CA raised platelet count with a risk of clots
- DThrombocytopenia with a raised risk of bleeding
4.Medium
A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?
- AGive everyone else in the waiting room a mask instead
- BDo nothing until the patient is seen by the provider
- CGive the patient a mask and seat them apart from others
- DAsk the patient to wait outside in the car park
5.Medium
In a hospital fire, which means of moving patients is usually avoided?
- AWheeling beds through fire doors
- BStairs
- CMoving horizontally to another area on the same floor behind fire doors
- DElevators (lifts)
6.Medium
Sterile saline is spilled on a sterile drape that lies on a non-sterile table. What does this mean?
- AThe field becomes sterile again when it dries
- BOnly the wet part is contaminated, so items can be moved to the dry part
- CThe field is contaminated, because moisture can carry organisms through the drape
- DThe field stays sterile, because saline is sterile
7.Hard
A nurse has given a medication to the wrong patient. The patient seems well. What is the first priority?
- AComplete the incident report before anything else
- BSay nothing to the patient, in order to avoid worrying them
- CWait until the end of the shift to tell anyone
- DAssess the patient and monitor for effects of the drug
8.Hard
A nurse teaches new parents how to cope with an infant’s crying. Which statement shows a need for further teaching?
- A“If I get frustrated, I will put him safely in the crib and take a short break.”
- B“I can call a friend or family member to help when I am tired.”
- C“If he won’t stop crying, a quick shake will get his attention.”
- D“I will check whether he is hungry, wet or too warm.”
Answer key
- 1. D · The susceptible host
- 2. C · The mode of transmission
- 3. D · Thrombocytopenia with a raised risk of bleeding
- 4. C · Give the patient a mask and seat them apart from others
- 5. D · Elevators (lifts)
- 6. C · The field is contaminated, because moisture can carry organisms through the drape
- 7. D · Assess the patient and monitor for effects of the drug
- 8. C · “If he won’t stop crying, a quick shake will get his attention.”
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