1.Easy
What is a “just culture” in patient safety?
- AErrors are never discussed, in order to protect staff morale
- BErrors are reported openly and systems fixed; reckless acts are still addressed
- CEvery error leads to formal punishment of the person involved
- DOnly doctors report errors, and nurses inform them
2.Easy
In the CDC sequence that removes each item separately, which piece of PPE is taken off first?
- AGoggles or face shield
- BGown
- CGloves
- DMask or respirator
3.Easy
Which of these counts as a physical restraint?
- AUsing a bed exit alarm for a patient at high risk of falling at night
- BPlacing the bed in its lowest position
- CUsing a gait belt while helping a patient walk in the corridor
- DRaising all four side rails to stop a patient from getting out of bed
4.Medium
Which dressing waste should be disposed of in clinical (biohazard) waste?
- AAn unused, still-sealed dressing past its date
- BThe outer paper wrapping of a sterile dressing pack
- CA clean paper towel used to dry hands
- DA dressing soaked with fluid from an infected wound
5.Medium
Which kitchen practice helps prevent scald burns in young children?
- AHold the child while drinking a hot drink
- BLeave hot drinks at the edge of the table
- CTurn pot handles toward the back of the stove
- DLet the child stand on a chair beside the stove
6.Medium
Which patient has the highest risk of a burn from a heating pad?
- AA healthy young adult with a strained muscle
- BA patient recovering from a cold
- CA patient with diabetic peripheral neuropathy
- DA patient with a sprained wrist who is fully alert
7.Hard
A nursing student describes how they remove PPE (gown, gloves and a mask worn for splash protection) at the doorway before leaving a contact precautions room. Which statement shows a need for further teaching?
- A“I clean my hands as soon as all the PPE is off.”
- B“I roll the gown inward as I take it off.”
- C“I remove my gloves without touching the outside with my bare hand.”
- D“I take off my mask first, and then I take off my gloves.”
8.Hard
Before the wound is closed, the sponge count does not match the starting count. What should happen?
- AClose the wound to avoid a long anesthetic and recount the sponges after surgery
- BTell the surgeon and team, search for the item, and image the patient per policy if it is not found
- CAssume that the first count was wrong and continue
- DChange the count on the record so that it matches, then close the wound as planned
Answer key
- 1. B · Errors are reported openly and systems fixed; reckless acts are still addressed
- 2. C · Gloves
- 3. D · Raising all four side rails to stop a patient from getting out of bed
- 4. D · A dressing soaked with fluid from an infected wound
- 5. C · Turn pot handles toward the back of the stove
- 6. C · A patient with diabetic peripheral neuropathy
- 7. D · “I take off my mask first, and then I take off my gloves.”
- 8. B · Tell the surgeon and team, search for the item, and image the patient per policy if it is not found
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