1.Easy
Which measure is part of standard precautions?
- AWearing gloves when contact with blood or body fluids is expected
- BWearing an N95 respirator for every patient contact
- CWearing a gown and mask for every patient contact, whatever the task
- DPlacing every patient in a negative-pressure room
2.Easy
Which vaccine is recommended for health care workers every year?
- AInfluenza vaccine
- BHepatitis B vaccine
- CTetanus vaccine
- DMMR vaccine
3.Easy
Which footwear is safest for a hospitalized patient who is walking?
- ALoose slippers with an open heel that are easy to slide on
- BBare feet on the polished floor
- CNon-slip socks or well-fitting shoes with non-slip soles
- DOrdinary cotton socks with no grip on the soles
4.Medium
A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?
- APressing it while the patient sleeps prevents the pain from getting worse later
- BFamily can press it as long as they count the presses
- COnly the patient should press it, because this keeps the system safe
- DThe pump will always stop any overdose
5.Medium
Before accessing a central venous catheter hub, what should the nurse do?
- AScrub the hub with an antiseptic and let it dry
- BBlow on the hub gently to remove dust
- CWipe it quickly with a dry sterile gauze
- DNothing, because the hub is protected under a sterile cap
6.Medium
Which practice makes shift handoff safer?
- AUsing a standard format such as SBAR or I-PASS, with time for questions
- BGiving handoff in a busy corridor so that the outgoing nurse can leave on time
- CGiving handoff from memory without any structure
- DLeaving written notes only, without a chance for questions
7.Hard
During an oral drug round, a patient asks to take a tablet later. The nurse leaves it on the bedside table. What is the main safety problem?
- AThe tablet may lose its color and become hard to identify later
- BThe nurse cannot confirm it was taken, and another person could take it
- CTablets dissolve quickly when left in the open air
- DThere is no safety problem if the patient is alert
8.Hard
Two look-alike vials of different drugs are stored next to each other, and a nurse almost picks the wrong one. Which response best reflects a just culture?
- ADiscipline the nurse who nearly picked the wrong vial
- BKeep the incident quiet to protect the unit’s reputation
- CTell the nurse to be more careful and do nothing else
- DReport it and fix the system, for example by separating the vials
Answer key
- 1. A · Wearing gloves when contact with blood or body fluids is expected
- 2. A · Influenza vaccine
- 3. C · Non-slip socks or well-fitting shoes with non-slip soles
- 4. C · Only the patient should press it, because this keeps the system safe
- 5. A · Scrub the hub with an antiseptic and let it dry
- 6. A · Using a standard format such as SBAR or I-PASS, with time for questions
- 7. B · The nurse cannot confirm it was taken, and another person could take it
- 8. D · Report it and fix the system, for example by separating the vials
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