1.Easy
What does ESBL stand for in an ESBL-producing organism?
- AEnhanced staphylococcal bacterial load
- BEnteric serum beta-lymphocyte
- CExtended-spectrum beta-lactamase
- DExtended-surface biofilm layer
2.Easy
Which measure is part of standard precautions?
- AWearing gloves when contact with blood or body fluids is expected
- BWearing a gown and mask for every patient contact, whatever the task
- CWearing an N95 respirator for every patient contact
- DPlacing every patient in a negative-pressure room
3.Easy
In the chain of infection, which link does vaccination break?
- AThe infectious agent
- BThe reservoir
- CThe susceptible host
- DThe portal of exit
4.Medium
After teaching a patient about a new medication, how does the nurse best check understanding?
- AAsk the patient to explain in their own words how and when to take it
- BGive a printed leaflet about the drug and assume the patient will read it at home
- CAsk the family whether they understood the teaching
- DAsk “Do you understand?” and accept a yes
5.Medium
A parent says, “I tell my son his medicine is candy so he takes it.” What should the nurse teach?
- ADo not call medicine candy, because the child may take it when no one is watching
- BThis is a good idea and makes giving medicine easier
- CIt only matters for medicines that taste bitter or are hard to swallow
- DIt is fine as long as the medicine is kept in the fridge
6.Medium
A patient in bed has a generalized tonic-clonic seizure. What should the nurse do?
- AHold the arms and legs firmly to stop the movements
- BPut a padded tongue blade between the teeth to protect the tongue from biting
- CTurn the patient on their side and protect them from injury without restraining
- DGive sips of water to keep the airway moist
7.Hard
Only one airborne infection isolation room (negative pressure) is free. Which newly admitted patient should be placed in it?
- AA patient with suspected active pulmonary tuberculosis
- BA patient with C. difficile diarrhea
- CA patient with confirmed seasonal influenza and a cough
- DA patient with an MRSA wound infection
8.Hard
A patient with dementia is often found at the exit doors trying to leave the unit. Which measure is most appropriate?
- ALock the patient alone in a single room so that they cannot reach the exit doors
- BUse an electronic wander alert, supervise closely and offer meaningful activity
- CKeep the patient in a chair with a vest restraint
- DGive a sedative each time the patient goes to the door
Answer key
- 1. C · Extended-spectrum beta-lactamase
- 2. A · Wearing gloves when contact with blood or body fluids is expected
- 3. C · The susceptible host
- 4. A · Ask the patient to explain in their own words how and when to take it
- 5. A · Do not call medicine candy, because the child may take it when no one is watching
- 6. C · Turn the patient on their side and protect them from injury without restraining
- 7. A · A patient with suspected active pulmonary tuberculosis
- 8. B · Use an electronic wander alert, supervise closely and offer meaningful activity
Full step-by-step solutions: practise this topic on examproblems.com.