1.Easy
Why are rings and wristwatches discouraged during direct patient care?
- AThey can hold organisms and make hand hygiene less effective
- BThey can interfere with the readings of patient monitors
- CThey can scratch the hospital furniture
- DThey can interfere with hospital Wi-Fi signals
2.Easy
Before a nurse wears an N95 respirator, what is required?
- AWashing it with soap before first use
- BWearing a surgical mask underneath it
- CNothing, because one size fits every face
- DA fit test, plus a seal check at each use
3.Easy
How often should home smoke alarms be tested?
- AOnly when the battery runs out
- BOnce every five years
- COnce a month
- DOnly after a fire
4.Medium
A patient with poorly controlled seizures asks about activities at home. Which advice is most important?
- ASleep sitting up in a chair
- BAvoid drinking water before bed
- CNever swim or bathe alone
- DAvoid all forms of exercise
5.Medium
A nurse has been fit-tested for an N95 respirator. What should the nurse do each time it is put on?
- AArrange a new fit test
- BPerform a user seal check
- CMoisten the edges so it seals better
- DWear a surgical mask underneath it
6.Medium
During routine handwashing with soap and water (medical asepsis), how are the hands held?
- AHigher than the elbows, so water runs down the arms
- BTouching the inside of the sink for support
- CLower than the elbows, so water runs off the fingertips
- DLevel with the shoulders, away from the sink
7.Hard
Why can a patient with severe neutropenia have a serious infection but little redness, swelling or pus?
- AThere are too few neutrophils to produce the usual inflammatory signs
- BNeutropenia makes infections stay limited to the skin
- CAntibiotics given with chemotherapy hide all signs of infection
- DChemotherapy kills the bacteria before they can multiply
8.Hard
According to the “Swiss cheese” model of error, why do errors reach patients?
- APatients often do not follow their care instructions
- BOne careless person makes a mistake that no system could stop
- CTechnology fails more often than people do
- DWeaknesses in several layers of defense line up at the same time
Answer key
- 1. A · They can hold organisms and make hand hygiene less effective
- 2. D · A fit test, plus a seal check at each use
- 3. C · Once a month
- 4. C · Never swim or bathe alone
- 5. B · Perform a user seal check
- 6. C · Lower than the elbows, so water runs off the fingertips
- 7. A · There are too few neutrophils to produce the usual inflammatory signs
- 8. D · Weaknesses in several layers of defense line up at the same time
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