1.Easy
What is a healthcare-associated infection?
- AAn infection that is passed on only through food
- BAn infection that the patient already had or was incubating when admitted to hospital
- CAn infection that only affects healthcare workers
- DAn infection that develops as a result of care and was not present on admission
2.Easy
What does "PRN" mean on a prescription?
- ABefore meals
- BEvery morning
- CImmediately
- DAs needed
3.Easy
An ileostomy is formed from which part of the bowel?
- AThe sigmoid colon, part of the large intestine
- BThe rectum, at the end of the bowel
- CThe stomach, at the top of the gut
- DThe ileum, part of the small intestine
4.Medium
A patient refuses their regular evening tablets. What should the nurse do first?
- AThrow the tablets away without telling anyone
- BHide the tablets in their food
- CExplore the reason for refusing
- DInsist until the patient takes them
5.Medium
Why is hand hygiene still needed after removing gloves?
- AHand hygiene is only needed if the gloves were sterile
- BGlove powder causes skin allergies and must always be washed off the hands
- CIt is not needed, as the gloves protected the hands
- DGloves can have tiny holes and hands can be contaminated during removal
6.Medium
A conscious patient with diabetes has low blood glucose and can swallow safely. What is the first step?
- AGive a fast-acting carbohydrate by mouth and recheck the glucose
- BGive the next dose of insulin
- CGive nothing until the doctor arrives
- DGive a large meal straight away and recheck the glucose the next morning
7.Hard
Why is heat usually avoided on a fresh soft-tissue injury during the first day?
- AIt narrows blood vessels and reduces blood flow to the injury
- BIt widens blood vessels and can increase swelling and bleeding
- CIt numbs the area so the patient cannot feel pain
- DIt makes the muscles weaker for several weeks
8.Hard
A patient with delirium tries to leave the ward at night, saying they are going home, and would be at serious risk outside. What is correct (England and Wales)?
- ALock them in a side room until the morning for their own safety
- BGive a sedative without asking anyone
- CLet them leave, as all adults are free to go wherever they like
- DAssess capacity and, if it is lacking, act in their best interests
Answer key
- 1. D · An infection that develops as a result of care and was not present on admission
- 2. D · As needed
- 3. D · The ileum, part of the small intestine
- 4. C · Explore the reason for refusing
- 5. D · Gloves can have tiny holes and hands can be contaminated during removal
- 6. A · Give a fast-acting carbohydrate by mouth and recheck the glucose
- 7. B · It widens blood vessels and can increase swelling and bleeding
- 8. D · Assess capacity and, if it is lacking, act in their best interests
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