1.Easy
Which example shows indirect contact transmission?
- ABacteria on a bed rail reach a nurse’s hands and then another patient
- BA mosquito bites an infected person and then a healthy one
- CA person inhales tiny particles that hang in the air of a room
- DLarge droplets from a sneeze land directly on a nearby person’s face
2.Easy
How should the bed be left for a patient at high risk of falls?
- AWith the brakes released so it can be moved quickly
- BIn the lowest position with the brakes locked
- CIn the highest position
- DWith all four side rails up at all times
3.Easy
How many times is a medication label usually checked against the order during preparation?
- AThree times
- BOnce only
- CTwice
- DFive times
4.Medium
Many intensive care units bathe patients daily with chlorhexidine. What is the main purpose?
- ATo reduce skin bacteria and bloodstream infections linked to central lines
- BTo treat existing wound infections without the need for antibiotics
- CTo moisturize dry skin in older patients
- DTo lower the patient’s body temperature
5.Medium
Two patients infected with the same organism are admitted, and no single room is available. What is an accepted option?
- APlacing them in the corridor
- BCohorting them in the same room, according to infection control advice
- CPlacing each with a patient who has a weakened immune system
- DStopping contact precautions
6.Medium
An older adult has trouble getting in and out of the bath. Which measures make bathing safer?
- AA loose rug beside the tub to stand on
- BA shower chair, grab bars and a non-slip mat
- CBath oil to help the person slide in and out
- DLocking the bathroom door for privacy
7.Hard
A patient is receiving a high-alert drug by continuous infusion. At handover, which practice is safest?
- AThe outgoing nurse says that “the pump is fine” at the desk
- BBoth nurses check the pump and bag against the prescription
- COnly the rate is checked, not the drug or concentration
- DThe incoming nurse checks it at the end of the shift
8.Hard
A flexible bronchoscope contacts mucous membranes but does not enter sterile tissue. Which level of processing is required at a minimum between patients?
- AHigh-level disinfection
- BCleaning with soap and water only
- CWiping with an alcohol wipe
- DLow-level disinfection
Answer key
- 1. A · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 2. B · In the lowest position with the brakes locked
- 3. A · Three times
- 4. A · To reduce skin bacteria and bloodstream infections linked to central lines
- 5. B · Cohorting them in the same room, according to infection control advice
- 6. B · A shower chair, grab bars and a non-slip mat
- 7. B · Both nurses check the pump and bag against the prescription
- 8. A · High-level disinfection
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