1.Easy
In the chain of infection, a contaminated bedside table where bacteria live and multiply is an example of which link?
- AThe reservoir
- BThe susceptible host
- CThe portal of entry
- DThe portal of exit
2.Easy
During a hospital fire evacuation, where are patients usually moved first?
- AHorizontally, through fire doors to a safe area on the same floor
- BStraight out of the building, whatever their condition
- CDownward, using the elevators
- DUpward, to the roof of the building where helicopters can reach them
3.Easy
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- AContact precautions only
- BAirborne precautions
- CStandard precautions only
- DDroplet precautions
4.Medium
Which type of white blood cell is most often raised in viral infections?
- ABasophils
- BLymphocytes
- CEosinophils
- DNeutrophils
5.Medium
A patient with delirium is at risk of falls and of pulling out lines. Which option is less restrictive than restraints?
- AA trained sitter or video monitoring with staff nearby
- BFour side rails raised and the door closed so the patient stays in bed
- CA vest restraint applied for the whole night
- DA sedative given every few hours as needed
6.Medium
A patient with a severe latex allergy is booked for surgery. Which measure is commonly used?
- AUse latex gloves only for short procedures
- BUse latex-free supplies and schedule the patient as the first case of the day
- CWrap latex items in plastic before use
- DGive the patient antihistamines before surgery and then use the normal supplies
7.Hard
A confused patient in wrist restraints has cool, pale fingers on one hand and a weak radial pulse on that side. What should the nurse do first?
- ARaise the hand on a pillow, leaving the restraint as it is
- BDocument the findings carefully and recheck in two hours
- CLoosen that restraint and assess the hand’s circulation
- DTighten the other restraint to stop the patient pulling
8.Hard
A patient’s white cell differential shows a raised eosinophil count. Which cause is most consistent with this finding?
- AAn allergic reaction or a parasitic infection
- BA viral infection such as a cold
- CBone marrow suppression from chemotherapy
- DAn acute bacterial infection
Answer key
- 1. A · The reservoir
- 2. A · Horizontally, through fire doors to a safe area on the same floor
- 3. D · Droplet precautions
- 4. B · Lymphocytes
- 5. A · A trained sitter or video monitoring with staff nearby
- 6. B · Use latex-free supplies and schedule the patient as the first case of the day
- 7. C · Loosen that restraint and assess the hand’s circulation
- 8. A · An allergic reaction or a parasitic infection
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