1.Easy
A patient is transferred with carbapenem-resistant Enterobacterales (CRE). Which precautions are used in the hospital?
- AA protective environment
- BDroplet precautions
- CContact precautions
- DAirborne precautions
2.Easy
What type of room is needed for a patient on airborne precautions?
- AAny single room with a window, with the door left open for observation
- BA shared bay with the curtains drawn around the bed
- CA single negative-pressure room (airborne infection isolation room)
- DA single room with positive pressure and filtered air
3.Easy
When should a sharps container be replaced?
- AOnce a month, regardless of how full it is
- BWhen it reaches the fill line, about three-quarters full
- COnly when sharps begin to stick out of the opening at the top
- DOnly when it is completely full to the top
4.Medium
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ACold makes bacteria grow faster in the operating room air and on the drapes
- BWarmth sterilizes the surgical site
- CWarm patients do not need antibiotic prophylaxis
- DLow body temperature reduces blood flow and immune function in the wound
5.Medium
A patient on nasal cannula oxygen has dry lips. Which product should the nurse offer?
- AAn oil-based lip balm
- BA scented petroleum ointment
- CPetroleum jelly
- DA water-based lip lubricant
6.Medium
Before a defibrillator shock is delivered, what must the person operating it do?
- AKeep the oxygen mask on the patient’s face, held against the chest
- BAsk a colleague to hold the paddles in place
- CCall “all clear” and check that nobody is touching the patient or bed
- DHold the patient’s hand to keep them still
7.Hard
Patients contaminated with radioactive dust arrive at the hospital. Which step removes most of the external contamination?
- AScrubbing the skin until it is red
- BWrapping the patient in a blanket
- CRemoving the patient’s clothing
- DGiving the patient potassium iodide
8.Hard
Two look-alike vials of different drugs are stored next to each other, and a nurse almost picks the wrong one. Which response best reflects a just culture?
- ATell the nurse to be more careful and do nothing else
- BKeep the incident quiet to protect the unit’s reputation
- CDiscipline the nurse who nearly picked the wrong vial
- DReport it and fix the system, for example by separating the vials
Answer key
- 1. C · Contact precautions
- 2. C · A single negative-pressure room (airborne infection isolation room)
- 3. B · When it reaches the fill line, about three-quarters full
- 4. D · Low body temperature reduces blood flow and immune function in the wound
- 5. D · A water-based lip lubricant
- 6. C · Call “all clear” and check that nobody is touching the patient or bed
- 7. C · Removing the patient’s clothing
- 8. D · Report it and fix the system, for example by separating the vials
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