1.Easy
What is the main safety purpose of needleless IV connectors?
- ATo make IV fluids flow faster
- BTo remove the need for hand hygiene
- CTo stop the patient from moving the IV line
- DTo reduce needlestick injuries to staff
2.Easy
A nurse notices a frayed electrical cord on an infusion pump. What should the nurse do?
- AAsk the patient not to touch the cord
- BKeep using it carefully until the end of the shift, then report it
- CWrap the cord in electrical tape and continue using it
- DTake the pump out of use, label it as faulty and report it
3.Easy
In the chain of infection, which link is broken when a patient covers the mouth and nose with a tissue when coughing?
- AThe reservoir
- BThe portal of exit
- CThe infectious agent
- DThe susceptible host
4.Medium
A patient’s identification wristband is missing. A medication is due. What should the nurse do?
- AGive it, because the nurse recognizes the patient from yesterday
- BUse the room and bed number to confirm identity
- CSkip the medication until the next day
- DConfirm identity with two identifiers and apply a new wristband first
5.Medium
How should the urethral meatus be cared for in a patient with an indwelling urinary catheter?
- AWith routine hygiene, using soap and water during daily washing
- BBy sliding the catheter in and out a little to clean it
- CWith antiseptic cream applied to the meatus every shift
- DWith daily bladder irrigation using an antibiotic solution through the catheter
6.Medium
Before helping a patient from bed into a wheelchair, what should the nurse do with the wheelchair?
- ALeave the brakes off so the chair can move along with the patient during the pivot
- BPlace it on the patient’s weaker side so that side is supported
- CPlace it at the foot of the bed, facing away
- DLock the brakes and place it close to the bed on the patient’s stronger side
7.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?
- AKeep the incident quiet to protect the unit’s reputation
- BReport it and fix the system, for example by separating the vials
- CTell the nurse to be more careful and do nothing else
- DDiscipline the nurse who nearly picked the wrong vial
8.Hard
A hospital will introduce new infusion pumps and wants to find out how the process could fail before any harm occurs. Which method fits best?
- AA morbidity and mortality meeting
- BFailure mode and effects analysis (FMEA)
- CRoot cause analysis (RCA) of the new pumps
- DAn incident report for each new pump
Answer key
- 1. D · To reduce needlestick injuries to staff
- 2. D · Take the pump out of use, label it as faulty and report it
- 3. B · The portal of exit
- 4. D · Confirm identity with two identifiers and apply a new wristband first
- 5. A · With routine hygiene, using soap and water during daily washing
- 6. D · Lock the brakes and place it close to the bed on the patient’s stronger side
- 7. B · Report it and fix the system, for example by separating the vials
- 8. B · Failure mode and effects analysis (FMEA)
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