1.Easy
To which patients do standard infection control precautions apply?
- AOnly patients with a known infection
- BOnly patients having surgery
- COnly patients in isolation rooms
- DAll patients, whether or not an infection is known
2.Easy
Why do people shiver when they are cold?
- AShivering lowers the heart rate to save energy
- BShivering widens the blood vessels in the skin
- CShivering lets heat escape through the skin
- DMuscle activity produces heat
3.Easy
Which part of a sterile field is considered not sterile?
- AItems placed in the middle of the field
- BThe centre of the field
- CThe outer 2.5 cm (1 inch) border
- DThe area just in front of the nurse
4.Medium
When opening a sterile pack on a table, which flap is opened first?
- AThe flap nearest to you
- BAny flap, as long as you wear sterile gloves
- CThe flap on your dominant side
- DThe flap furthest away from you
5.Medium
What is the main aim of "protected mealtimes" on hospital wards?
- ATo stop visitors from bringing any food into hospital
- BTo give staff a fixed break while the patients are eating their meals
- CTo let patients eat without interruptions, with help where needed
- DTo make sure all patients eat the same meal at once
6.Medium
In the PQRST pain assessment, what does "Q" ask about?
- AThe quantity of analgesia the patient has already taken today
- BHow quickly the pain started
- CThe quality of the pain, such as sharp, dull or burning
- DWhether the pain is quieter at night
7.Hard
A patient with capacity tells the nurse they do not want the operation their family keeps pushing for. What is the nurse's best action?
- ASay nothing to avoid a conflict with the family
- BTell the patient to follow the family's advice
- CSupport the patient to tell the team their wishes
- DLet the family decide, as they know the patient best
8.Hard
During tracheal suction a patient's SpO₂ falls from 95% to 85% and the heart rate drops. What should the nurse do?
- AStop suctioning and give oxygen until the patient recovers
- BContinue until all the secretions have been removed from the airway
- CInsert the catheter further into the airway
- DIncrease the suction pressure to finish faster
Answer key
- 1. D · All patients, whether or not an infection is known
- 2. D · Muscle activity produces heat
- 3. C · The outer 2.5 cm (1 inch) border
- 4. D · The flap furthest away from you
- 5. C · To let patients eat without interruptions, with help where needed
- 6. C · The quality of the pain, such as sharp, dull or burning
- 7. C · Support the patient to tell the team their wishes
- 8. A · Stop suctioning and give oxygen until the patient recovers
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