NMC OSCE Infection Prevention and Control

Question 1

According to WHO guidelines, what are the 5 moments for hand hygiene?

Accepted Answer

Before touching a patient, before a clean/aseptic procedure, after body fluid exposure, after touching a patient, after touching patient surroundings

Answer

Before and after each shift only

Answer

Before meals and after using the toilet

Answer

Before touching a patient and after touching a patient only

Question 2

A patient has been diagnosed with Clostridioides difficile infection. What specific hand hygiene method must be used and why?

Accepted Answer

Soap and water handwashing, because alcohol gel does not kill C. difficile spores

Answer

Alcohol hand gel is sufficient

Answer

No special hand hygiene is needed beyond standard precautions

Answer

Surgical scrubbing with iodine solution

Question 3

What is the correct order for donning (putting on) personal protective equipment when preparing to enter a patient room requiring full contact precautions?

Accepted Answer

Gown/apron first, then mask/respirator, then eye protection, then gloves last

Answer

Gloves first, then gown, then mask

Answer

Mask first, then gloves, then gown

Answer

Any order is acceptable

Question 4

What type of isolation precautions are required for a patient with suspected pulmonary tuberculosis?

Accepted Answer

Airborne precautions in a negative-pressure single room with FFP3 respirator masks for staff

Answer

Standard precautions only

Answer

Contact precautions with apron and gloves

Answer

Droplet precautions with a surgical mask

Question 5

When performing an aseptic non-touch technique (ANTT) for a wound dressing, what is the key principle?

Accepted Answer

Identify and protect key parts (parts that if contaminated cause infection) and key sites (wounds, insertion sites) by ensuring they are not touched or contaminated

Answer

Wear sterile gloves for all wound dressings regardless of wound type

Answer

Work as quickly as possible to reduce air exposure time

Answer

Use the largest possible sterile field for all procedures

Question 6

A sharps injury occurs when a nurse accidentally pricks their finger with a used insulin needle. What are the immediate first aid actions?

Accepted Answer

Encourage bleeding by gently squeezing (do not suck), wash under running water with soap, apply a waterproof dressing, and report immediately via occupational health/A&E

Answer

Apply a tourniquet above the injury

Answer

Suck the wound to remove blood

Answer

Apply antiseptic cream and continue working