1.Easy
Which is one of The Joint Commission’s National Patient Safety Goals for hospitals?
- AReduce the cost of hospital meals and supplies
- BIncrease the number of daily blood tests
- CImprove the accuracy of patient identification
- DShorten visiting hours on every ward
2.Easy
Which pair is acceptable for identifying a patient before giving medication?
- ARoom number and bed number
- BDiagnosis and room number
- CAsking “Are you Mr Smith?”
- DFull name and date of birth
3.Easy
Where should medicines be stored in a home with young children?
- AIn unlabeled containers or pill boxes so they are easy to carry around
- BOn the kitchen counter so doses are not forgotten
- CIn their original containers in a locked or high cabinet
- DIn a handbag that is left on the floor or a chair
4.Medium
Two patients with very similar names are on the same unit. What is the best safety measure?
- ATransfer one of the two patients to another hospital
- BUse the room numbers to tell the patients apart
- CCall each patient by their first name only
- DFlag the similar names and check two identifiers every time
5.Medium
When is a prophylactic antibiotic usually given to prevent a surgical site infection?
- AWithin about 60 minutes before the incision
- BOne week before surgery
- CThe day after surgery, once the wound is closed
- DOnly if a fever develops after surgery
6.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- AGive it, because the colleague is experienced
- BGive it, and document that the colleague prepared it
- CDecline, and give only medications that the nurse prepared or checked personally
- DGive it, as long as the syringe has a label with the drug name on it
7.Hard
A nurse teaches a patient about home oxygen safety. Which statement shows a need for further teaching?
- A“I will keep my oxygen away from the stove.”
- B“I can light candles at dinner if my oxygen is turned down low.”
- C“I will put a ‘no smoking’ sign on my front door for visitors.”
- D“I will keep my spare cylinders upright and secured.”
8.Hard
A toddler has bruises of different ages and a burn, and the parent’s explanation does not fit the injuries. What should the nurse do?
- AWait until there is clear proof of abuse before reporting anything at all
- BDocument only and say nothing to anyone
- CConfront the parent and ask them to admit to abuse
- DReport the concern following child-protection (safeguarding) procedures
Answer key
- 1. C · Improve the accuracy of patient identification
- 2. D · Full name and date of birth
- 3. C · In their original containers in a locked or high cabinet
- 4. D · Flag the similar names and check two identifiers every time
- 5. A · Within about 60 minutes before the incision
- 6. C · Decline, and give only medications that the nurse prepared or checked personally
- 7. B · “I can light candles at dinner if my oxygen is turned down low.”
- 8. D · Report the concern following child-protection (safeguarding) procedures
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