1.Easy
Which is one of The Joint Commission’s National Patient Safety Goals for hospitals?
- AImprove the accuracy of patient identification
- BReduce the cost of hospital meals and supplies
- CIncrease the number of daily blood tests
- DShorten visiting hours on every ward
2.Easy
Why must fire doors in a hospital never be propped open?
- AThey stop fire and smoke spreading between areas
- BThey keep noise away from patient rooms
- CThey stop visitors from entering the ward outside visiting hours
- DThey keep heat inside the ward in winter
3.Easy
What does ESBL stand for in an ESBL-producing organism?
- AEnhanced staphylococcal bacterial load
- BExtended-surface biofilm layer
- CEnteric serum beta-lymphocyte
- DExtended-spectrum beta-lactamase
4.Medium
A nurse pours sterile saline into a bowl on a sterile field. Which technique is correct?
- AReach across the field to fill the bowl at the far side
- BPour from below the level of the field to reduce splashing
- CRest the lip of the bottle on the edge of the bowl so that the saline does not splash
- DHold the bottle with the label in the palm and pour without touching the bowl
5.Medium
Which room lighting is safest at night for a patient at high risk of falls?
- ABright overhead lights left on all night in the room
- BA low night light that lights the path to the bathroom
- CComplete darkness so the patient sleeps more deeply
- DOnly the light from the television screen
6.Medium
A patient is receiving opioids for pain. Which sign usually comes before opioid-induced respiratory depression?
- ADiarrhea
- BDilated pupils
- CIncreasing sedation
- DRising blood pressure
7.Hard
A nurse is unsure whether a sterile glove touched the edge of the sterile field. What is the correct action?
- AAsk the patient whether they saw it
- BContinue, because the nurse is not sure
- CWipe the glove with alcohol
- DTreat the glove as contaminated and change it
8.Hard
A patient with depression has suddenly become calm and is giving away personal possessions. What does this suggest?
- AThat the patient is now ready for discharge today
- BThat the patient wants to make new friends on the unit
- CA possibly increased suicide risk that needs immediate assessment
- DThat the depression has resolved and observation can be reduced
Answer key
- 1. A · Improve the accuracy of patient identification
- 2. A · They stop fire and smoke spreading between areas
- 3. D · Extended-spectrum beta-lactamase
- 4. D · Hold the bottle with the label in the palm and pour without touching the bowl
- 5. B · A low night light that lights the path to the bathroom
- 6. C · Increasing sedation
- 7. D · Treat the glove as contaminated and change it
- 8. C · A possibly increased suicide risk that needs immediate assessment
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