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INFECTION CONTROL EXAMINATION, Exams of Nursing

Aston UniversityNursing
Prof. Michael Bairon

This exam is built around the Shadow Health Infection Control case study (Su Yeong-Jun) , covering both subjective data collection (patient interview) and objective data collection (physical assessment, labs, interventions). It does not copy Elsevier’s verbatim content but creates educationally equivalent questions based on standard infection control and neutropenic fever guidelines. Section Breakdown (8 sections) Section Topic Questions 1 Subjective Data Collection – Patient Interview 1–30 2 Objective Data Collection – Physical Assessment 31–60 3 Isolation Precautions & PPE 61–80 4 Diagnostic Tests & Lab Interpretation 81–105 5 Infection Control Interventions & Treatment 106–130 6 Patient & Family Education 131–145 7 Transcript-Based & Documentation 146–150

Typology: Exams

2025/2026

Available from 06/08/2026

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INFECTION CONTROL EXAMINATION
Su Yeong-Jun Case Study
Based on Shadow Health Subjective + Objective Data
.
Total Questions: 150
Type: Multiple Choice (Answers + Explanations immediately after each question)
.
SECTION 1: SUBJECTIVE DATA COLLECTION – PATIENT INTERVIEW (Q1–30)
--------------------------------------------------------------------------------
1. When asking Su Yeong-Jun about his symptoms, which is the best open-ended
question?
A) "Do you have a fever?"
B) "Are you coughing?"
C) "How have you been feeling since yesterday?"
D) "Did you take any medication?"
Answer: C – Open-ended questions allow the patient to describe symptoms in his
own words.
2. Su reports feeling "tired and warm." What follow-up question is most appropriate?
A) "Why didn't you call earlier?"
B) "Have you checked your temperature?"
C) "That's not serious."
D) "You should have come yesterday."
Answer: B – This gathers objective data about fever.
3. Which question best assesses infection risk in Su's history?
A) "Do you like sports?"
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INFECTION CONTROL EXAMINATION

Su Yeong-Jun Case Study Based on Shadow Health Subjective + Objective Data . Total Questions: 150 Type: Multiple Choice (Answers + Explanations immediately after each question) . SECTION 1: SUBJECTIVE DATA COLLECTION – PATIENT INTERVIEW (Q1–30)

  1. When asking Su Yeong-Jun about his symptoms, which is the best open-ended question? A) "Do you have a fever?" B) "Are you coughing?" C) "How have you been feeling since yesterday?" D) "Did you take any medication?" Answer: C – Open-ended questions allow the patient to describe symptoms in his own words.
  2. Su reports feeling "tired and warm." What follow-up question is most appropriate? A) "Why didn't you call earlier?" B) "Have you checked your temperature?" C) "That's not serious." D) "You should have come yesterday." Answer: B – This gathers objective data about fever.
  3. Which question best assesses infection risk in Su's history? A) "Do you like sports?"

B) "Have you had recent chemotherapy or hospitalization?" C) "What is your favorite food?" D) "Do you drive a car?" Answer: B – Recent chemotherapy causes neutropenia, a major infection risk factor.

  1. Su says he has a cough. What clarifying question should you ask? A) "Is it dry or productive?" B) "Stop coughing please." C) "Coughing is normal." D) "Do you want water?" Answer: A – Differentiates between dry cough (viral) and productive (bacterial).
  2. When Su mentions chills, the best response is: A) "Chills are not important." B) "Have you noticed shaking or sweating?" C) "Ignore them." D) "That's psychosomatic." Answer: B – Chills often accompany fever spikes.
  3. Which question assesses possible neutropenic fever? A) "Do you like ice cream?" B) "Have you felt unusually hot or cold with no clear cause?" C) "What color is your hair?" D) "Do you exercise?" Answer: B – Neutropenic fever may be the only sign of serious infection.
  4. Su reports recent chemotherapy. What infection risk does this pose? A) No risk B) Increased risk due to neutropenia C) Only viral risk
  1. Which question assesses gastrointestinal infection signs? A) "Do you like pizza?" B) "Have you had nausea, vomiting, or diarrhea?" C) "What color is your shirt?" D) "Do you watch movies?" Answer: B – GI symptoms are common in systemic infections.
  2. Su says he has no appetite. What is the best response? A) "You must eat more." B) "Loss of appetite can occur with infection. Have you lost weight?" C) "That's not important." D) "Force yourself to eat." Answer: B – Assesses severity and nutritional impact.
  3. When asking about recent antibiotics, which is correct? A) "Have you taken any antibiotics in the last 30 days?" B) "Antibiotics are always bad." C) "Don't tell me about antibiotics." D) "Antibiotics cure viruses." Answer: A – Prior antibiotics increase risk for resistant organisms and C. diff.
  4. Su reports a family member with flu. What should you ask next? A) "Did you have close contact without masks?" B) "Do you like that relative?" C) "Is your house big?" D) "Do you share food?" Answer: A – Determines exposure risk and need for prophylaxis.
  5. Which question best assesses urinary infection symptoms?

A) "Do you like coffee?" B) "Any burning with urination, frequency, or urgency?" C) "What is your job?" D) "Do you exercise?" Answer: B – Classic UTI symptoms.

  1. Su mentions a sore throat. What follow-up is best? A) "Sore throats are always viral." B) "Any difficulty swallowing or white patches?" C) "Ignore it." D) "Drink cold water only." Answer: B – Assesses for strep or thrush (fungal).
  2. When did Su's symptoms begin? Best question: A) "What day and time did you first notice feeling unwell?" B) "Who cares?" C) "Why didn't you come sooner?" D) "You waited too long." Answer: A – Establishes timeline of acute infection.
  3. Which question screens for meningitis symptoms? A) "Do you have a severe headache with neck stiffness?" B) "Do you like hats?" C) "Is your neck strong?" D) "Can you touch your toes?" Answer: A – Classic meningitis signs.
  4. Su reports no known allergies. What should you document? A) "Patient has no allergies" B) "Unknown"

Answer: B – Night sweats occur in TB, lymphoma, and bacterial infections.

  1. Which question assesses recent travel history for infection risk? A) "Have you traveled internationally in the past 30 days?" B) "Do you like airplanes?" C) "What is your passport number?" D) "Do you have a suitcase?" Answer: A – Identifies exposure to region-specific pathogens.
  2. Su mentions a recent central line catheter. What risk does this pose? A) No risk B) High risk for bloodstream infection C) Only risk for falls D) Only pain Answer: B – Central lines are direct entry points for bacteria.
  3. When asking about hand hygiene at home, which question is best? A) "Do you wash your hands before eating and after bathroom?" B) "Do you like soap?" C) "Hand washing is useless." D) "Do you use hand sanitizer only?" Answer: A – Assesses adherence to basic infection prevention.
  4. Su reports living with elderly grandparents. Why is this relevant? A) Not relevant B) They are at risk if he has an infection C) They should move out D) Only children matter Answer: B – Elderly are immunocompromised and at risk for severe infection.
  1. Which question screens for skin infection signs? A) "Any redness, swelling, warmth, or drainage around cuts or IV sites?" B) "Do you like lotion?" C) "Is your skin soft?" D) "Do you tan?" Answer: A – Classic cellulitis or line infection signs.
  2. Su says he feels better after taking acetaminophen. What does this tell you? A) He is cured B) Fever may be masked; infection may still be present C) Stop all further treatment D) He was faking symptoms Answer: B – Antipyretics lower fever but do not treat infection. . SECTION 2: OBJECTIVE DATA COLLECTION – PHYSICAL ASSESSMENT (Q31–60) .
  3. What is the most critical vital sign to measure first in a possible neutropenic fever? A) Blood pressure B) Temperature C) Respiratory rate D) Oxygen saturation Answer: B – Fever >38.3°C in neutropenia is a medical emergency.
  4. You measure Su's temperature at 38.9°C (102°F). This indicates: A) Normal B) Hypothermia C) Fever – possible infection

Answer: B – Normal ANC is 1500–8000 cells/mcL.

  1. Su's ANC is 400. This is classified as: A) Normal B) Mild neutropenia C) Severe neutropenia D) Leukocytosis Answer: C – ANC <500 is severe neutropenia,极极 infection risk.
  2. During oral exam, you see white plaques on Su's tongue that scrape off with bleeding. This suggests: A) Normal tongue B) Oral thrush (Candida) C) Geographic tongue D) Leukoplakia Answer: B – White plaques that bleed when scraped are typical of fungal infection.
  3. You inspect Su's central line site. Which finding is concerning? A) Clean, dry, intact dressing B) Redness, warmth, and purulent drainage C) No swelling D) Sutures intact Answer: B – Signs of catheter-related bloodstream infection.
  4. What is Su's respiratory rate if he is tachypneic from infection? A) 12 breaths/min B) 16 breaths/min C) 28 breaths/min D) 10 breaths/min Answer: C – Tachypnea = >20 breaths/min in adults.
  1. You assess capillary refill and find it is 4 seconds. This indicates: A) Normal perfusion B) Delayed perfusion – possible sepsis C) Hyperthyroidism D) Anxiety only Answer: B – Normal refill is <2 seconds; >3 seconds suggests poor perfusion.
  2. Blood pressure reads 88/52 mmHg in a previously normotensive patient. This suggests: A) Hypertension B) Septic shock C) Normal variant D) Lab error Answer: B – Hypotension in infection suggests septic shock.
  3. During skin assessment, you find a small infected wound on Su's left forearm. What should you document? A) "Minor scrape, ignore" B) "2cm erythematous wound with purulent drainage, warm to touch" C) "No wounds found" D) "Patient refused skin exam" Answer: B – Objective, descriptive documentation.
  4. Su's heart rate is 118 bpm. This is: A) Bradycardia B) Normal C) Tachycardia – possible sepsis response D) Athletic heart Answer: C – Tachycardia with fever suggests systemic infection.
  1. You palpate Su's liver and find it enlarged. This may indicate: A) Normal variant B) Sepsis with hepatic congestion C) Only cirrhosis D) Dehydration Answer: B – Systemic infection can cause hepatomegaly.
  2. Which finding on lung auscultation suggests impending respiratory failure? A) Clear breath sounds B) Absent breath sounds in a lobe C) Wheezing D) Stridor Answer: B – Absent sounds indicate no air movement (consolidation or effusion).
  3. Su's pulse oximetry drops to 88% on 2L oxygen. What is your priority? A) Increase oxygen to 4L and notify provider B) Remove oxygen C) Send for chest X-ray immediately yourself D) Document and wait Answer: A – Hypoxia worsening requires immediate intervention.
  4. You assess Su's jugular venous pressure (JVP). Elevated JVP with crackles suggests: A) Dehydration B) Fluid overload from sepsis resuscitation C) Normal finding D) Pneumothorax Answer: B – Sepsis requires fluids; too much fluid causes pulmonary edema.
  1. Su's skin is warm and flushed despite fever. This is due to: A) Vasodilation from pyrogens B) Hypothermia C) Vasoconstriction D) Dehydration Answer: A – Fever causes peripheral vasodilation in the warm phase.
  2. During the physical exam, you note a new heart murmur. In a febrile patient, this suggests: A) Innocent murmur B) Infective endocarditis C) Anxiety D) Dehydration Answer: B – New murmur + fever = endocarditis until proven otherwise.
  3. What is the Glasgow Coma Scale (GCS) score of a patient who opens eyes to pain, moans, and withdraws? A) 15 B) 12 C) 9 D) 3 Answer: C – Eye 2 (pain) + Verbal 2 (sounds) + Motor 5 (withdrawal) = 9.
  4. Su's pupils are equal and reactive to light. This indicates: A) Brainstem herniation B) Normal cranial nerve function C) Opioid overdose D) Meningitis Answer: B – PERRL is normal.

SECTION 3: ISOLATION PRECAUTIONS & PPE (Q61–80)

  1. Su is confirmed to have influenza. What precautions are required? A) Contact B) Droplet C) Airborne D) Standard only Answer: B – Influenza spreads via large droplets (coughing/sneezing).
  2. What PPE is required for droplet precautions? A) N95 mask only B) Surgical mask within 3 feet of patient C) No mask needed D) Goggles only Answer: B – Surgical mask for close contact; gown/gloves if contact with secretions.
  3. If Su had active pulmonary tuberculosis, what precautions would be needed? A) Droplet B) Airborne (N95 mask, negative pressure room) C) Contact D) None Answer: B – TB is airborne; requires N95 or PAPR.
  4. Neutropenic precautions (protective isolation) aim to protect Su from: A) Infecting others B) Getting infected by others or environment C) Falling D) Pain Answer: B – Reverse isolation protects immunocompromised patient.
  1. Which item is contraindicated in neutropenic precautions? A) Fresh flowers B) Canned food C) Bottled water D) Cooked vegetables Answer: A – Fresh flowers carry molds and bacteria in soil/water.
  2. You are entering Su's room on neutropenic precautions. Which is correct? A) No PPE needed B) Wash hands, wear mask, gloves, and gown if any direct contact C) Only wear gloves D) Only wear N Answer: B – Standard + mask + consider gown/gloves to protect patient.
  3. Clostridioides difficile requires which precautions? A) Droplet B) Airborne C) Contact + enhanced cleaning (soap/water, bleach) D) No precautions Answer: C – C. diff spores survive alcohol hand sanitizer; soap/water required.
  4. When doffing PPE after leaving Su's room, which item is removed first? A) Mask B) Gloves C) Gown D) Eye shield Answer: B – Gloves are most contaminated; remove first.
  5. After removing gloves, what is the next step?

B) N95 filters 95% of airborne particles; surgical mask blocks droplets only C) Surgical mask is better D) Neither works Answer: B – N95 is for airborne; surgical mask for droplet.

  1. Su needs transport to radiology. What must happen? A) Cancel transport B) Patient wears surgical mask if tolerated; staff wear appropriate PPE C) No precautions needed D) Only wear gloves Answer: B – Mask on patient reduces droplet spread; staff wear PPE as indicated.
  2. You notice a staff member entering Su's room without a mask on neutropenic precautions. What do you do? A) Ignore it B) Politely remind them that masks protect the patient from their respiratory germs C) Report them for assault D) Leave the area Answer: B – Advocate for patient safety professionally.
  3. Which disinfectant is effective against C. diff spores? A) Alcohol wipes B) Bleach (sodium hypochlorite) C) Soap and water only D) Quaternary ammonium compounds Answer: B – Bleach 1:10 dilution kills spores; alcohol does not.
  4. Su's roommate has a respiratory infection. What should happen? A) Keep them together B) Move Su to a private room if neutropenic

C) No change needed D) Move the roommate only Answer: B – Neutropenic patients should not share rooms with infected patients.

  1. When should you perform hand hygiene during patient care? A) Before touching patient B) After touching patient C) After touching environment D) All of the above Answer: D – WHO "5 moments" of hand hygiene.
  2. You are inserting a peripheral IV in Su. What PPE is required for standard precautions? A) Gloves only B) Gloves + mask C) Gown + gloves D) Nothing Answer: A – Gloves protect against blood exposure.
  3. After removing a soiled gown, where should it be disposed? A) On the floor B) In a linen or trash container inside the patient's room C) In the hallway D) Reused for next patient Answer: B – Dispose of contaminated PPE inside the patient room. . SECTION 4: DIAGNOSTIC TESTS & LABORATORY INTERPRETATION (Q81–105) .