1.Easy
What is a “near miss”?
- AA correct action that was delayed for a short time
- BA complaint made by a patient or relative
- CAn error that reached the patient and caused serious harm
- DAn error that was caught before it reached the patient
2.Easy
How can patients take part in infection prevention?
- ABy stopping their antibiotics on their own as soon as they feel a little better
- BBy sharing equipment with other patients
- CBy being encouraged to ask staff whether they have cleaned their hands
- DBy cleaning their own IV sites with tap water
3.Easy
An adult’s white blood cell count is 18,000/mm3 (18 × 109/L). How is this best described?
- ARaised (leukocytosis)
- BLow (leukopenia)
- CNormal for an older adult
- DWithin the normal range
4.Medium
A nurse has been fit-tested for an N95 respirator. What should the nurse do each time it is put on?
- APerform a user seal check
- BArrange a new fit test
- CMoisten the edges so it seals better
- DWear a surgical mask underneath it
5.Medium
When should the transparent dressing over a peripheral IV site be changed?
- AWhen it is damp, loose or visibly soiled
- BOnly when the IV catheter is removed, whatever its state
- CEvery hour, so the site can be cleaned again
- DOnly when the patient asks for a new dressing
6.Medium
A patient walking with a gait belt suddenly starts to fall. What should the nurse do?
- AHold the belt, widen the stance and ease the patient gently to the floor
- BPull the patient backwards quickly toward the bed
- CLet go of the belt and run to call for help
- DGrab the patient under both arms and try hard to keep them standing up
7.Hard
A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?
- AExplain that fatigue would make care unsafe and decline the extra shift
- BAgree, but skip the independent medication checks to save energy on the shift
- CAgree and drink extra coffee to stay alert
- DAgree without telling anyone about the fatigue
8.Hard
A woman in late pregnancy is choking and cannot speak or cough. Which technique should the rescuer use?
- ABlind finger sweeps
- BChest thrusts
- CBack blows only
- DAbdominal thrusts
Answer key
- 1. D · An error that was caught before it reached the patient
- 2. C · By being encouraged to ask staff whether they have cleaned their hands
- 3. A · Raised (leukocytosis)
- 4. A · Perform a user seal check
- 5. A · When it is damp, loose or visibly soiled
- 6. A · Hold the belt, widen the stance and ease the patient gently to the floor
- 7. A · Explain that fatigue would make care unsafe and decline the extra shift
- 8. B · Chest thrusts
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