感染控制与患者安全练习卷（附答案）

Which syringe is used to measure a dose of insulin?

1. AAn insulin syringe marked in units
2. BA tuberculin syringe marked in mL
3. CAn oral syringe marked in mL
4. DA 5 mL syringe marked in mL

Which finding suggests a systemic infection rather than only a local one?

1. AFever with a raised heart rate
2. BSlight tenderness around an IV site
3. CRedness around a small cut
4. DMild swelling at an injection site

What is a “never event”?

1. AAn event that only happens at night
2. BAn event that has never been reported before
3. CA serious, preventable event that should never happen, such as wrong-site surgery
4. DA rare side effect of a drug that has never been described in the literature before

A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?

1. AContact the local poison advice service now for specific advice
2. BWait to see whether any symptoms develop over the next day
3. CGive syrup of ipecac from the medicine cabinet
4. DMake the child vomit, using a finger at the back of the throat

A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?

1. AThe glasses with a surgical mask
2. BThe prescription glasses alone
3. CNo eye protection, if the nurse stands to one side
4. DGoggles or a face shield worn over the glasses

A patient with a fentanyl skin patch wants to use a heating pad on the area. What should the nurse teach?

1. AHeat is fine to use, because it helps the patch stick better to the skin
2. BHeat only matters if the patch is on the chest
3. CHeat makes the patch last longer, so fewer patches are needed each month
4. DAvoid heat on or near the patch, because it increases how fast the drug is absorbed

A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?

1. ASimple human error, managed only by consoling the nurse and moving on
2. BAt-risk behavior, managed by coaching and fixing the system pressures behind it
3. CReckless behavior, managed by immediate dismissal and reporting to the licensing board
4. DAcceptable behavior, because it is common on the unit

Which patient with a suspected infection meets at least two SIRS criteria?

1. ATemperature 38.6 °C and heart rate 112/min
2. BTemperature 36.8 °C and respiratory rate 18/min
3. CTemperature 37.2 °C and heart rate 80/min
4. DRespiratory rate 16/min and WBC 8,000/mm³