1.Easy
What is closed-loop communication?
- AWriting every message in the patient’s chart only
- BCommunication that only happens in a closed room
- CSending a message to the team without waiting for any reply or confirmation
- DThe receiver repeats the message back and the sender confirms it is correct
2.Easy
In The Joint Commission’s (US) terminology, what is a sentinel event?
- AAn unexpected event causing death or serious physical or psychological harm
- BAn expected side effect that was explained to the patient
- CAn error that is caught before it reaches the patient
- DA minor error that reaches the patient but causes no harm of any kind at all
3.Easy
What should be written instead of “cc” in a medication order?
- AmL
- BU
- Ccm
- Dcc only for oral drugs
4.Medium
Which patient has the highest risk of a burn from a heating pad?
- AA patient recovering from a cold
- BA patient with a sprained wrist who is fully alert
- CA healthy young adult with a strained muscle
- DA patient with diabetic peripheral neuropathy
5.Medium
When should a nurse call the rapid response team?
- AWhen a patient shows an acute decline, such as new confusion or a sharp change in vital signs
- BOnly after a patient has had a cardiac or respiratory arrest on the ward
- COnly when the patient’s family makes a complaint
- DOnly when the provider has written an order for a rapid response call in the chart
6.Medium
Many intensive care units bathe patients daily with chlorhexidine. What is the main purpose?
- ATo moisturize dry skin in older patients
- BTo reduce skin bacteria and bloodstream infections linked to central lines
- CTo treat existing wound infections without the need for antibiotics
- DTo lower the patient’s body temperature
7.Hard
In START triage, a casualty cannot walk and is breathing 36 times a minute. Which category applies?
- AGreen (minor)
- BBlack (expectant or dead)
- CYellow (delayed)
- DRed (immediate)
8.Hard
A nurse teaches a patient going home with an MRSA wound infection. Which statement shows a need for further teaching?
- A“I will put used dressings in a sealed bag before throwing them out.”
- B“I can share towels with my family if I wash them every week.”
- C“I will keep the wound covered with a clean, dry dressing.”
- D“I will wash my hands after touching my dressing.”
Answer key
- 1. D · The receiver repeats the message back and the sender confirms it is correct
- 2. A · An unexpected event causing death or serious physical or psychological harm
- 3. A · mL
- 4. D · A patient with diabetic peripheral neuropathy
- 5. A · When a patient shows an acute decline, such as new confusion or a sharp change in vital signs
- 6. B · To reduce skin bacteria and bloodstream infections linked to central lines
- 7. D · Red (immediate)
- 8. B · “I can share towels with my family if I wash them every week.”
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