1.Easy
What is closed-loop communication?
- ASending a message to the team without waiting for any reply or confirmation
- BCommunication that only happens in a closed room
- CWriting every message in the patient’s chart only
- DThe receiver repeats the message back and the sender confirms it is correct
2.Easy
Why are rings and wristwatches discouraged during direct patient care?
- AThey can interfere with the readings of patient monitors
- BThey can scratch the hospital furniture
- CThey can hold organisms and make hand hygiene less effective
- DThey can interfere with hospital Wi-Fi signals
3.Easy
Surgical instruments that enter sterile tissue are “critical” items. Which processing do they need before reuse?
- AHigh-level disinfection
- BCleaning with detergent and water only
- CLow-level disinfection
- DSterilization
4.Medium
Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?
- AGiving antibiotics to every patient before insertion
- BChoosing the femoral vein as the first site in adults
- CRoutine replacement of the catheter on a fixed schedule, such as every three days
- DChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
5.Medium
A patient has received oral radioactive iodine therapy. Which precaution is usually taken?
- APlace the patient on droplet precautions with a surgical mask
- BEncourage pregnant visitors to sit close to the patient to give emotional support
- CLimit time close to the patient and handle body fluids per radiation policy
- DLet the patient share a bathroom with other patients
6.Medium
Two patients with very similar names are on the same unit. What is the best safety measure?
- ATransfer one of the two patients to another hospital
- BCall each patient by their first name only
- CFlag the similar names and check two identifiers every time
- DUse the room numbers to tell the patients apart
7.Hard
Victims of a chemical spill arrive at the emergency department with liquid on their skin and clothing. What is the priority before they enter the building?
- ATake a full history in the waiting room
- BGive them hospital gowns and seat them in triage
- CTake them straight into the resuscitation room so treatment is not delayed
- DDecontaminate them outside, with staff wearing appropriate PPE
8.Hard
During a procedure, a nurse sees that the team is about to start without a time-out. What should the nurse do?
- AReport it to the manager at the end of the week
- BWait and raise the issue after the procedure is finished
- CSpeak up clearly and stop the start until the time-out is done
- DSay nothing, because the surgeon is responsible for the procedure
Answer key
- 1. D · The receiver repeats the message back and the sender confirms it is correct
- 2. C · They can hold organisms and make hand hygiene less effective
- 3. D · Sterilization
- 4. D · Chlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
- 5. C · Limit time close to the patient and handle body fluids per radiation policy
- 6. C · Flag the similar names and check two identifiers every time
- 7. D · Decontaminate them outside, with staff wearing appropriate PPE
- 8. C · Speak up clearly and stop the start until the time-out is done
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