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 1. The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

• Mongolian spots
• Scrotal rugae
• Head lag
• Polyhydramnios

2. Barbara, 72 years old patient is being treated with antibiotics for her UTI. After three days of taking them, she developed diarrhoea with blood stains. What is the most possible reason for this?

• Antibiotics causes chronic inflammation of the intestine
• An anaphylactic reaction
• Antibiotic alters her Gl flora which made Clostridium-difficile to multiply
• she is not taking the antibiotics with food

3. A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

• Alteration in coping related to pain
• Potential for injury related to precipitate delivery
• Alteration in elimination related to anesthesia
• Potential for fluid volume deficit related to NPO status

4. Define standard precaution:

• The precautions that are taken with all blood and ‘high-risk’ body fluids.
• The actions that should be taken in every care situation to protect patients and others from infection, regardless of what is known of the patient’s status with respect to infection.
• It is meant to reduce the risk of transmission of blood bourne and other pathogens from both recognized and unrecognized sources.
• The practice of avoiding contact with bodily fluids, by means of wearing of nonporous articles such as gloves, goggles, and face shields.

5. Patient with Clostridium deficile has stools with blood and mucus, due to which condition?

• Ulcerative colitis
• Chrons disease
• Inflammatory bowel disease

6. Examples of offensive/hygiene waste which may be sent for energy recovery at energy from waste facilities can include:

• Stoma or catheter bags - The Management of Waste from health, social and personal care -RCN
• Unused non-cytotoxic/cytostatic medicines in original packaging
• Used sharps from treatment using cytotoxic or cytostatic medicines
• Empty medicine bottles

7. Which nursing delivery model is based on a production and efficiency model and stresses a task-orientated approach?

• Case management
• Primary nursing
• Differentiated practice
• Functional method

8. When treating patients with Clostridium difficile, how should you clean your hands?

• Use alcohol hand rubs
• Use soap & water
• Use hand wipes
• All of the above

9. Where will you put infectious linen?

• red plastic bag designed to disintegrate when exposed to heat
• red linen bag designed to hold its integrity even when exposed to heat
• yellow plastic bag for disposal

10. Infected linen should be placed in:

• Red plastic bag that disintegrates at high temperature
• Red linen bag that can withstand high temperatures
• White linen bag that can withstand high temperatures
• Yellow plastic bag that cannot withstand high temperatures.

11. An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

• The client’s knowledge of the signs of preterm labor
• The client’s feelings about the pregnancy
• Whether the client was using a method of birth control
• The client’s thought about future children

12. If you were told by a nurse at handover to take “standard precautions” what would you expect to be doing?

• Taking precautions when handling blood & ‘high risk’ body fluids so that you don’t pass on any infection to the patient.
• Wearing gloves, aprons & mask when caring for someone in protective isolation to protect yourself from infection
• Asking relatives to wash their hands when visiting patients in the clinical setting
• Using appropriate hand hygiene, wearing gloves & aprons when necessary, disposing of used sharp instruments safely & providing care in a suitably clean environment to protect yourself & the patients

13. You are caring for a patient in isolation with suspected Clostridium difficile. What are the essential key actions to prevent the spread of infection?

• Regular hand hygiene and the promotion of the infection prevention link nurse role.
• Encourage the doctors to wear gloves and aprons, to be bare below the elbow and to wash hands with alcohol hand rub. Ask for cleaning to be increased with soap-based products.
• Seek the infection prevention team to review the patient’s medication chart and provide regular teaching sessions on the 5 moments of hand hygiene. Provide the patient and family with adequate information.
• Review antimicrobials daily, wash hands with soap and water before and after each contact with the patient, ask for enhanced cleaning with chlorine-based products and use gloves and aprons when disposing of body fluids.

14. If a patient requires protective isolation, which of the following should you advise them to drink?

• Filtered water only
• Fresh fruit juice and filtered water
• Bottled water and tap water
• Tap water only
• long-life fruit juice and filtered water

15. 5 moments of hand hygiene include all of the following except:

• Before Patient Contact
• Before a clean / aseptic procedure
• Before Body Fluid Exposure Risk
• After Patient contact
• After Contact with Patient’s surrounding

16. Causes of diarrhoea in Clostridium Difficile are:

• Ulcerative colitis - Ulcerative Colitis is a condition that causes inflammation and ulceration of the inner lining of the rectum and colon
• Hashimotos disease - Hashimoto’s disease, also called chronic lymphocytic thyroiditis or autoimmune thyroiditis, is an autoimmune disease
• Pseudomembranous colitis -pseudomembranous colitis (PMC) is an acute, exudative colitis usually caused by Clostridium difficile. PMC can rarely be caused by other bacteria,
• Crohn’s disease - Crohn’s Disease is one of the two main forms of Inflammatory Bowel Disease, so may also be called ‘IBD’. The other main form of IBD is a condition known as Ulcerative Colitis

17. Which client has the highest risk for a bacteraemia?

• Client with a peripherally inserted central catheter (PICC) line
• Client with a central venous catheter (CVC)
• Client with an implanted infusion port
• Client with a peripherally inserted intravenous line

18. A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

• The infant is at low risk for congenital anomalies.
• The infant is at high risk for intrauterine growth retardation.
• The infant is at high risk for respiratory distress syndrome.
• The infant is at high risk for birth trauma.

19. When disposing of waste, what colour bag should be used to dispose of offensive/ hygiene waste?

• Orange
• Yellow
• Yellow and black stripe
• Black

20. There has been an outbreak of the Norovirus in your clinical area. Majority of your staff have rang in sick. Which of the following is incorrect?

• Do not allow visitors to come in until after 48h of the last episode
• Tally the episodes of diarrhoea and vomiting
• Staff who has the virus can only report to work 48h after last episode
• Ask one of the staff who is off-sick to do an afternoon shift on same day

21. The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

• Determine lung maturity
• Measure the fetal activity
• Show the effect of contractions on fetal heart rate
• Measure the well-being of the fetus

22. A client was diagnosed to have infection. What is not a sign or symptom of infection?

• A temperature of more than 38°C
• warm skin
• Chills and sweats
• Aching muscles

23. Which of the steps is NOT involved in Tuckman’s group formation theory?

• Accepting
• Norming
• Storming
• Forming

24. Except which procedure must all individuals providing nursing care must be competent at?

• Hand hygiene
• Use of protective equipment
• Disposal of waste
• Aseptic technique

25. Which of the following is NOT a typical characteristic of bacteria?

• Cell wall
• Eukaryocyte
• Spherical
• Spores

26. Which of the following nursing theorists developed a conceptual model based on the belief that all persons should strive to achieve self-care?

• Martha Rogers
• Dorothea Orem
• Florence Nightingale
• Cister Callista Roy

27. The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

• “I’m wearing a support bra.”
• “I’m expressing milk from my breast.”
• “I’m drinking four glasses of fluid during a 24-hour period.”
• “While I’m in the shower, I’ll allow the water to run over my breasts.”

28. Before giving direct care to the patient, you should

• Wear mask, aprons
• Wash hands with alchohol rub
• Handwashing using 6 steps
• Take all standard precautions

29. The contingency theory of management moves the manager away from which of the following approaches?

• No perfect solution
• One size fits all
• Interaction of the system with the environment
• a method of combination of methods that will be most effective in a given situation.

30. If you were asked to take ‘standard precautions’ what would you expect to be doing?

• Wearing gloves, aprons and mask when caring for someone in protective isolation
• Taking precautions when handling blood and ‘high risk’ body fluids so as not to pass on any infection to the patient
• Using appropriate hand hygiene, wearing gloves and aprons where necessary, disposing of used sharp instruments safely and providing care in a suitably clean environment to protect yourself and the patients
• Asking relatives to wash their hands when visiting patients in the clinical setting

31. The use of an alcohol-based hand rub for decontamination of hands before and after direct patient contact and clinical care is recommended when:

• Hands are visibly soiled
• Caring for patients with vomiting or diarrhoeal illness, regardless of whether or not gloves have been worn
• Immediately after contact with body fluids, mucous membranes and non-intact skin

32. Mrs. Smith is receiving blood transfusion after a total hip replacement operation. After 15 minutes, you went back to check her vital signs and she complained of high temperature and loin pain. This may indicate:

• Renal Colic
• Urine Infection
• Common adverse reaction
• Serious adverse reaction

33. Which of the following would indicate an infection?

• Hot, sweaty, a temperature of 36.5°C, and bradycardic.
• Temperature of 38.5°C, shivering, tachycardia and hypertensive.
• Raised WBC, elevated blood glucose and temperature of 36.0°C.
• Hypotensive, cold and clammy, and bradycardic.

34. Which of the following best describes the Contingency Theory of Leadership?

• Leaders behaviour influence team members
• Leaders grasp the whole picture and their respective roles
• The plan is influenced by the outside force
• The leader sees the kind of situation, the setting, and their roles

35. What percentage of patients in hospital in England, at the time of the 2011 National Prevalence survey, had an infection?

• 4.6%
• 6.4%
• 14%
• 16%

36. Barrier Nursing for C.diff patient what should you not do?

• Use of hand gel/ alcohol rub
• Use gloves
• Patient has his own set of washers
• Strict disinfection of pt’s room after isolation

37. For which of the following modes of transmission is good hand hygiene a key preventative measure?

• Airborne
• Direct contact
• Indirect contact
• All of the above

38. As an infection prevention and control protocol, linens soiled with infectious bodily fluids should be disposed of in what means?

• Placed in yellow plastic bag to be disposed of
• Placed in dissolvable red linen bag and washed at high temperature
• Placed in yellow linen bag, and washed at high temperature
• Placed in red plastic bag to be incinerated at high temperature

39. While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

• Ask the client to void.
• Assess the blood pressure for hypotension.
• Administer oxytocin.
• Check for vaginal bleeding.

40. One of your patients in bay 1 having episodes of vomiting in the last 2 days now. The Norovirus alert has been enforced. The other patients look concerned that he may spread infection. What is your next action in the situation?

• Seek the infection control nurse’s advice regarding isolation
• Give the patient antiemetic to control the vomiting
• Offer the patient a lot of drinks to rehydrated
• Tell the other patients that vomiting will not cause infection to others

41. What infection is thought to be caused by prions?

• Leprosy
• Pneumocystis jirovecii
• Norovirus
• Creutzfeldt Jakob disease
• None of the above

42. C Clostridium difficile (C- diff) infections can be prevented by:

• using hand gels
• washing your hands with soap and water
• using repellent gowns
• limit visiting times

43. What would make you suspect that a patient in your care had a urinary tract infection?

• The doctor has requested a midstream urine specimen.
• The patient has a urinary catheter in situ, and the patients wife states that he seems more forgetful than usual.
• The patient has spiked a temperature, has a raised white cell count (WCC), has new-onset confusion and the urine in his catheter bag is cloudy.
• The patient has complained of frequency of faecal elimination and hasn’t been drinking enough.

44. During the assessment of a labouring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

• Right breech presentation
• Right occipital anterior presentation
• Left sacral anterior presentation
• Left occipital transverse presentation

45. An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

• The baby is hypothermic.
• The baby is experiencing bradycardia.
• The baby’s hands and feet are blue.
• The baby is lethargic.

46. Which is not a stage in the Tuckman Theory of contingency?

• Forming
• Storming
• Norming
• Analysing

47. Which of the following is NOT a stage in the life cycle of viruses?

• Attachment
• Uncoating
• Replication
• Dispersal

48. What infection control steps should not be taken in a patient with diarrhoea caused by Clostridium Difficile?

• Isolation of the patient
• All staff must wear aprons and gloves while attending the patient
• All staff will be required to wash their hands before and after contact with the patient, their bed linen and soiled items
• Oral administration of metronidazole, vancomycin, fidaxomicin may be required
• None of the above

49. In infection control, what is a pathogen?

• A micro-organism that is capable of causing infection, especially in vulnerable individuals, but not normally in healthy ones.
• Micro-organisms that are present on or in a person but not causing them any harm.
• Indigenous microbiota regularly found at an anatomical site.
• Antibodies recruited by the immune system to identify and neutralize foreign objects like bacteria and viruses.

50. You are told a patient is in "source isolation". What would you do & why?

• Isolating a patient so that they don't catch any infections
• Nursing an individual who is regarded as being particularly vulnerable to infection in such a way as to minimize the transmission of potential pathogens to that person.
• Nursing a patient who is carrying an infectious agent that may be risk to others in such a way as to minimize the risk of the infection spreading elsewhere in their body.
• Nurse the patient in isolation, ensure that you wear apprpriate personal protective equipment (PPE) & adhere to strict hygiene ,for the purpose of preventing the spread of organism from that patient to others.

 

Pflegekräfte in Großbritannien, Krankenpflege in Großbritannien.