1.Easy
What is terminal cleaning?
- ACleaning a room only once a week, whatever happens on the ward
- BCleaning computer terminals at the nurses’ station
- CA full clean and disinfection of a room after the patient leaves
- DCleaning the hands at the end of a shift before going home
2.Easy
In quality improvement, what does the PDSA cycle stand for?
- APrepare, Deliver, Score, Assess
- BPredict, Decide, Start, Analyze
- CPlan, Do, Study, Act
- DPlan, Document, Supervise, Audit
3.Easy
In The Joint Commission’s (US) terminology, what is a sentinel event?
- AA minor error that reaches the patient but causes no harm of any kind at all
- BAn unexpected event causing death or serious physical or psychological harm
- CAn expected side effect that was explained to the patient
- DAn error that is caught before it reaches the patient
4.Medium
What should a nurse do after an accidental splash of a patient’s blood into the eyes?
- ARinse the eyes at once with plenty of water or saline, then report
- BFinish the procedure, then report it the next day
- CRub the eyes gently with a clean, dry tissue to remove the blood first
- DApply antibiotic eye drops and tell no one
5.Medium
A small fire starts in a waste bin in a patient’s room while the patient is in bed. What does the nurse do first?
- AOpen the windows to clear the smoke
- BRemove the patient from immediate danger
- CPhone the manager to report the fire
- DGo and look for the nearest fire extinguisher
6.Medium
A new antibiotic is prescribed for a patient. What should the nurse check before giving the first dose?
- AThe patient’s allergies, by checking the record and asking the patient
- BThe patient’s preferred pharmacy
- COnly the patient’s blood pressure and pulse before giving the drug
- DOnly the time of the patient’s last meal and drink
7.Hard
A nurse working with a patient on contact precautions realizes the gown has a tear at the sleeve. What should the nurse do?
- AContinue working, since the tear is small and only on the sleeve
- BPut a second gown on top of the torn one
- CMove away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
- DCover the tear with a strip of tape and carry on
8.Hard
A patient sitting in a chair starts to have a generalized seizure. What should the nurse do?
- APut a padded tongue blade between the teeth to protect the tongue and airway
- BHold the patient firmly in the chair until the seizure stops
- CLeave to get the provider, then return
- DEase the patient to the floor, protect the head and turn them on their side
Answer key
- 1. C · A full clean and disinfection of a room after the patient leaves
- 2. C · Plan, Do, Study, Act
- 3. B · An unexpected event causing death or serious physical or psychological harm
- 4. A · Rinse the eyes at once with plenty of water or saline, then report
- 5. B · Remove the patient from immediate danger
- 6. A · The patient’s allergies, by checking the record and asking the patient
- 7. C · Move away from the patient, remove the PPE safely at the doorway, clean hands and re-gown
- 8. D · Ease the patient to the floor, protect the head and turn them on their side
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