1.Easy
Which medication is a high-alert medication?
- AAcetaminophen (paracetamol) tablets
- BMultivitamin tablets
- CInsulin
- DLactulose syrup
2.Easy
What is seclusion?
- AKeeping a patient alone in a room or area that they are prevented from leaving
- BClosing the curtains during personal care
- CPlacing a patient on contact precautions in a single room with the door closed
- DMoving a patient to a private room at their request
3.Easy
What is a “just culture” in patient safety?
- AErrors are reported openly and systems fixed; reckless acts are still addressed
- BErrors are never discussed, in order to protect staff morale
- COnly doctors report errors, and nurses inform them
- DEvery error leads to formal punishment of the person involved
4.Medium
How should a newborn be moved through hospital corridors?
- AOn the mother’s lap in a wheelchair, without staff
- BIn the arms of any visitor who offers to help
- CCarried in the nurse’s arms for comfort
- DIn a bassinet, not carried in the arms
5.Medium
A family member will visit a patient on contact precautions. What should the nurse do?
- AShow them how to use the gown and gloves and how to clean their hands
- BAsk them to wear an N95 respirator only, with no gown or gloves
- CTell them precautions only apply to staff
- DTell them visits are not allowed at all
6.Medium
Why does a nurse wear chemotherapy-tested gloves and a gown when emptying the urinal of a patient who recently had chemotherapy?
- AChemotherapy makes the urine strongly acidic and corrosive
- BThe patient is on airborne precautions after treatment
- CThe body fluids can contain active drug for a time after treatment
- DThe urine always contains infectious bacteria after chemotherapy
7.Hard
A patient on oxygen needs an MRI scan. Which plan is safe?
- AUse only MRI-safe equipment, and never take a standard steel oxygen cylinder into the scanner room
- BTake the usual steel cylinder into the room if it is tightly strapped to the trolley frame
- CLeave the steel cylinder on the patient’s bed during the scan
- DRemove the oxygen for the scan without telling anyone
8.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
- BDecontaminate them outside, with staff wearing appropriate PPE
- CTake them straight into the resuscitation room so treatment is not delayed
- DGive them hospital gowns and seat them in triage
Answer key
- 1. C · Insulin
- 2. A · Keeping a patient alone in a room or area that they are prevented from leaving
- 3. A · Errors are reported openly and systems fixed; reckless acts are still addressed
- 4. D · In a bassinet, not carried in the arms
- 5. A · Show them how to use the gown and gloves and how to clean their hands
- 6. C · The body fluids can contain active drug for a time after treatment
- 7. A · Use only MRI-safe equipment, and never take a standard steel oxygen cylinder into the scanner room
- 8. B · Decontaminate them outside, with staff wearing appropriate PPE
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