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WorksheetsPractice Questions (23/07/2025)
Total questions: 50
Worksheet time: 50mins
Name
Class
Date
1.
Which of the following nursing theorists developed a conceptual model based on the belief that all persons should strive to achieve self-care?
a)
Martha Rogers
b)
Dorothea Orem
c)
Florence Nightingale
d)
Cister Callista Roy
2.
The contingency theory of management moves the manager away from which of the following approaches?
a)
No perfect solution
b)
One size fits all
c)
Interaction of the system with the environment
d)
a method of combination of methods that will be most effective in a given situation.
3.
Which nursing delivery model is based on a production and efficiency model and stresses a task-orientated approach?
a)
Case management
b)
Primary nursing
c)
Differentiated practice
d)
Functional method
4.
C Clostridium difficile (C- diff) infections can be prevented by:
a)
using hand gels
b)
washing your hands with soap and water
c)
using repellent gowns
d)
limit visiting times
5.
Causes of diarrhoea in Clostridium Difficile are:
a)
Ulcerative colitis - Ulcerative Colitis is a condition that causes inflammation and ulceration of the inner lining of the rectum and colon
b)
Hashimotos disease - Hashimoto’s disease, also called chronic lymphocytic thyroiditis or autoimmune thyroiditis, is an autoimmune disease
c)
Pseudomembranous colitis -pseudomembranous colitis (PMC) is an acute, exudative colitis usually caused by Clostridium difficile. PMC can rarely be caused by other bacteria,
d)
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
6.
Barrier Nursing for C.diff patient what should you not do?
a)
Use of hand gel/ alcohol rub
b)
Use gloves
c)
Patient has his own set of washers
d)
Strict disinfection of pt’s room after isolation
7.
Leonor, 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?
a)
Antibiotics causes chronic inflammation of the intestine
b)
An anaphylactic reaction
c)
Antibiotic alters her GI flora which made Clostridium-difficile to multiply
d)
she is not taking the antibiotics with food
8.
You are caring for a patient in isolation with suspected Clostridium difficile. What are the essential key actions to prevent the spread of infection?
a)
Regular hand hygiene and the promotion of the infection prevention link nurse role.
b)
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.
c)
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
d)
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.
9.
When treating patients with clostridium difficile, how should you clean your hands?
a)
Use alcohol hand rubs
b)
Use soap & water
c)
Use hand wipes
d)
All of the above
10.
What infection control steps should not be taken in a patient with diarrhoea caused by Clostridium Difficile?
a)
Isolation of the patient
b)
All staff must wear aprons and gloves while attending the patient
c)
All staff will be required to wash their hands before and after contact with the patient, their bed linen and soiled items
d)
Oral administration of metronidazole, vancomycin, fidaxomicin may be required
e)
None of the above
11.
Patient with clostridium deficile has stools with blood and mucus. due to which condition?
a)
Ulcerative colitis
b)
Chrons disease
c)
Inflammatory bowel disease
12.
For which of the following modes of transmission is good hand hygiene a key preventative measure?
a)
Airborne
b)
Direct & indirect contact
c)
Droplet
d)
*All of the above
13.
5 moments of hand hygiene include all of the following except:
a)
Before Patient Contact
b)
Before a clean / aseptic procedure
c)
Before Body Fluid Exposure Risk
d)
After Patient contact
e)
After Contact with Patient’s surrounding
14.
If you were asked to take ‘standard precautions’ what would you expect to be doing?
a)
Wearing gloves, aprons and mask when caring for someone in protective isolation
b)
Taking precautions when handling blood and ‘high risk’ body fluids so as not to pass on any infection to the patient
c)
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
d)
Asking relatives to wash their hands when visiting patients in the clinical setting
15.
Define standard precaution:
a)
The precautions that are taken with all blood and ‘high-risk’ body fluids.
b)
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
c)
It is meant to reduce the risk of transmission of bloodbourne and other pathogens from both recognized and unrecognized sources
d)
The practice of avoiding contact with bodily fluids, by means of wearing of nonporous articles such as gloves, goggles, and face shields.
16.
Except which procedure must all individuals providing nursing care must be competent at?
a)
Hand hygiene
b)
Use of protective equipment
c)
Disposal of waste
d)
Aseptic technique
17.
Which client has the highest risk for a bacteraemia?
a)
Client with a peripherally inserted central catheter (PICC) lin
b)
Client with a central venous catheter (CVC
c)
Client with an implanted infusion por
d)
Client with a peripherally inserted intravenous line
18.
In infection control, what is a pathogen?
a)
A micro-organism that is capable of causing infection, especially in vulnerable individuals, but not normally in healthy ones
b)
Micro-organisms that are present on or in a person but not causing them any harm.
c)
Indigenous microbiota regularly found at an anatomical site.
d)
Antibodies recruited by the immune system to identify and neutralize foreign objects like bacteria and viruses.
19.
When disposing of waste, what colour bag should be used to dispose of offensive/ hygiene waste?
a)
Orange
b)
Yellow
c)
Yellow and black stripe
d)
Black
20.
Before giving direct care to the patient, u should
a)
Wear mask, aprons
b)
Wash hands with alchohol rub
c)
Handwashing using 6 steps
d)
Take all standard precautions
21.
What infection is thought to be caused by prions?
a)
Leprosy
b)
Pneumocystis jirovecii
c)
Norovirus
d)
Creutzfeldt Jakob disease
e)
None of the above
22.
For which of the following modes of transmission is good hand hygiene a key preventative measure?
a)
Airborne
b)
Direct contact
c)
Indirect contact
d)
All of the above
23.
If a patient requires protective isolation, which of the following should you advise them to drink?
a)
Filtered water only
b)
Fresh fruit juice and filtered water
c)
Bottled water and tap water
d)
Tap water only
e)
long-life fruit juice and filtered water
24.
Examples of offensive/hygiene waste which may be sent for energy recovery at energy from waste facilities can include:
a)
Stoma or catheter bags - The Management of Waste from health, social and personal care -RCN
b)
Unused non-cytotoxic/cytostatic medicines in original packaging
c)
Used sharps from treatment using cytotoxic or cytostatic medicines
d)
Empty medicine bottles
25.
The use of an alcohol-based hand rub for decontamination of hands before and after direct patient contact and clinical care is recommended when:
a)
Hands are visibly soiled
b)
Caring for patients with vomiting or diarrhoeal illness, regardless of whether or not gloves have been worn
c)
Immediately after contact with body fluids, mucous membranes and non-intact skin
26.
You are told a patient is in "source isolation". What would you do & why?
a)
Isolating a patient so that they don't catch any infections
b)
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
c)
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
d)
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.
27.
If you were told by a nurse at handover to take “standard precautions” what would you expect to be doing?
a)
Taking precautions when handling blood & ‘high risk’ body fluids so that you don’t pass on any infection to the patient
b)
Wearing gloves, aprons & mask when caring for someone in protective isolation to protect yourself from infection
c)
Asking relatives to wash their hands when visiting patients in the clinical setting
d)
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
28.
Under the Yellow Card Scheme you must report the following: ( Select x 2 correct answers)
a)
Faulty brakes on a wheelchair
b)
Suspected side effects to blood factor, except immunoglobulin products
c)
Counterfeit or fake medicines or medical devices
29.
Where will you put infectious linen?
a)
red plastic bag designed to disintegrate when exposed to heat
b)
red linen bag designed to hold its integrity even when exposed to heat
c)
yellow plastic bag for disposal
30.
What would make you suspect that a patient in your care had a urinary tract infection?
a)
The doctor has requested a midstream urine specimen
b)
The patient has a urinary catheter in situ, and the patients wife states that he seems more forgetful than usual.
c)
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
d)
The patient has complained of frequency of faecal elimination and hasn’t been drinking enough.
31.
Which of the following would indicate an infection?
a)
Hot, sweaty, a temperature of 36.5°C, and bradycardic
b)
Temperature of 38.5°C, shivering, tachycardia and hypertensive
c)
Raised WBC, elevated blood glucose and temperature of 36.0°C
d)
Hypotensive, cold and clammy, and bradycardic.
32.
A client was diagnosed to have infection. What is not a sign or symptom of infection?
a)
A temperature of more than 38°C
b)
warm skin
c)
Chills and sweats
d)
Aching muscles
33.
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:
a)
Renal Colic
b)
Urine Infection
c)
Common adverse reaction
d)
Serious adverse reaction
34.
As an infection prevention and control protocol, linens soiled with infectious bodily fluids should be disposed of in what means?
a)
Placed in yellow plastic bag to be disposed of
b)
Placed in dissolvable red linen bag and washed at high temperature
c)
Placed in yellow linen bag, and washed at high temperature
d)
Placed in red plastic bag to be incinerated at high temperature
35.
What percentage of patients in hospital in England, at the time of the 2011 National Prevalence survey, had an infection?
a)
0.046
b)
0.064
c)
0.14
d)
0.16
36.
How to take an infected sheet for washing according to UK standard
a)
Take infected linen in yellow bag for disposal
b)
Take in red plastic bag, that disintegrates in high temperature
c)
Use red linen bag that allows washing in high temperaturs
d)
Use a white bag
37.
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?
a)
Do not allow visitors to come in until after 48h of the last episode
b)
Tally the episodes of diarrhoea and vomiting
c)
Staff who has the virus can only report to work 48h after last episode
d)
Ask one of the staff who is off-sick to do an afternoon shift on same day
38.
Infected linen should be placed in:
a)
Red plastic bag that disintegrates at high temperature
b)
Red linen bag that can withstand high temperatures
c)
White linen bag that can withstand high temperatures
d)
Yellow plastic bag that cannot withstand high temperatures
39.
When do you wear clean gloves?
a)
Assisting with bathing
b)
Feeding a client
c)
When there is broken skin on hand
d)
Any activity which includes physical touch of a client
40.
The nurse needs to validate which of the following statements pertaining to an assigned client?
a)
The client has a hard, raised, red lesion on his right hand
b)
A weight of 185 lbs. is recorded in the chart
c)
The client reported an infected toe
d)
The client's blood pressure is 124/70. It was 118/68 yesterday.
41.
When explaining about travellers’ diarrhoea which of the following is correct?
a)
Travellers’ diarrhoea is mostly caused by Rotavirus
b)
Antimotility drugs like loperamide is ineffective management
c)
Oral rehydration in adults and children is not useful
d)
Adsorbents such as kaolin is ineffective and not advised
42.
Which bag do you place infected linen?
a)
water-soluble alginate polythene bag before being placed in the appropriate linen bag, no more than ¾ full
b)
orange waste bag, before being placed in the appropriate linen bag, no more than ¾ full
c)
white linen bag, after sorting, no more than ¾ full
43.
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?
a)
Seek the infection control nurse’s advice regarding isolation
b)
Give the patient antiemetic to control the vomiting
c)
Offer the patient a lot of drinks to rehydrated
d)
Tell the other patients that vomiting will not cause infection to others
44.
Under the Yellow Card Scheme you must report the following: ( Select x 2 correct answers)
a)
Faulty brakes on a wheelchair
b)
Suspected side effects to blood factor, except immunoglobulin products
c)
Counterfeit or fake medicines or medical devices
d)
Ascites and increased vascular pattern on the skin
45.
For which type of waste should orange bags be used?
a)
Waste that requires disposal by incineration
b)
Offensive/hygiene waste
c)
*Waste which may be ‘treated
d)
Offensive waste
46.
Jenny, a nursing assistant working with you in an Elderly Care Ward is showing signs of norovirus infection. Which of the following will you ask her to do next?
a)
Go home and avoid direct contact with other people and preparing food for others until at least 48 hours after her symptoms have disappeared
b)
Disinfect any surfaces or objects that could be contaminated with the virus
c)
Flush away any infected faeces or vomit in the toilet and clean the surrounding toilet area
d)
Avoid eating raw oysters
47.
Mrs X had developed Steven-Johnson syndrome whilst on Carbamazepine. She is now being transferred for the ITU to a bay in the Medical ward. Which patient can Mrs X share a baby with?
a)
a patient with MRSA
b)
a patient with diarrhoea
c)
a patient with a fever of unknown origin
d)
a patient with Stephen Johnson Syndrome
48.
Which of the following are not signs of a speed shock?
a)
Flushed face
b)
Headache and dizziness
c)
Tachycardia and fall in blood pressure
d)
Peripheral oedema
49.
Which is not a sign or symptom of speed shock?
a)
Headache
b)
A tight feeling in the chest
c)
Irregular pulse
d)
Cyanosis
50.
What are the signs and symptoms of shock during early stage (stage 1- 3)?
a)
hypoxemia
b)
tachycardia and hyperventilation
c)
hypotension
d)
acidosis
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