1.Easy
Which example shows indirect contact transmission?
- ALarge droplets from a sneeze land directly on a nearby person’s face
- BBacteria on a bed rail reach a nurse’s hands and then another patient
- CA mosquito bites an infected person and then a healthy one
- DA person inhales tiny particles that hang in the air of a room
2.Easy
Which finding suggests a systemic infection rather than only a local one?
- AMild swelling at an injection site
- BRedness around a small cut
- CFever with a raised heart rate
- DSlight tenderness around an IV site
3.Easy
What type of room is needed for a patient on airborne precautions?
- AA single room with positive pressure and filtered air
- BA shared bay with the curtains drawn around the bed
- CAny single room with a window, with the door left open for observation
- DA single negative-pressure room (airborne infection isolation room)
4.Medium
Which practice makes shift handoff safer?
- AGiving handoff from memory without any structure
- BLeaving written notes only, without a chance for questions
- CUsing a standard format such as SBAR or I-PASS, with time for questions
- DGiving handoff in a busy corridor so that the outgoing nurse can leave on time
5.Medium
A family member tells the nurse, “My father is not himself. Something is wrong.” The hospital has a family-activated rapid response system. What is correct?
- AThe family can call the rapid response team if they are worried and staff have not responded
- BThe family must wait for the next scheduled ward round to raise the concern with a doctor
- COnly doctors may call the rapid response team
- DThe family should call emergency services from outside the hospital
6.Medium
A patient with poorly controlled seizures asks about activities at home. Which advice is most important?
- AAvoid drinking water before bed
- BNever swim or bathe alone
- CSleep sitting up in a chair
- DAvoid all forms of exercise
7.Hard
A bag of chemotherapy drug leaks onto the floor. What is the first step?
- AAsk the cleaner to mop it up with the usual mop
- BPut on the spill kit’s protective equipment and contain the spill
- CWipe it up quickly with paper towels and bare hands
- DLeave it to dry, then clean it up at the end of the shift
8.Hard
Shortly after a patient falls, the team holds a brief “post-fall huddle”. What is its main purpose?
- ATo find out quickly why the fall happened and change the care plan to prevent another
- BTo decide which staff member was to blame for the fall
- CTo agree on what the team will tell the patient’s lawyer and the family
- DTo complete the patient’s discharge paperwork
Answer key
- 1. B · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 2. C · Fever with a raised heart rate
- 3. D · A single negative-pressure room (airborne infection isolation room)
- 4. C · Using a standard format such as SBAR or I-PASS, with time for questions
- 5. A · The family can call the rapid response team if they are worried and staff have not responded
- 6. B · Never swim or bathe alone
- 7. B · Put on the spill kit’s protective equipment and contain the spill
- 8. A · To find out quickly why the fall happened and change the care plan to prevent another
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