1.Easy
What is the difference between an epidemic and a pandemic?
- AA pandemic is a disease that only affects animals and never spreads to people
- BAn epidemic is a disease that is always present at a low level
- CAn epidemic always affects more people than a pandemic
- DA pandemic is an epidemic that spreads across several countries or continents
2.Easy
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey stop the patient from ever leaving the bed
- BThey help the patient sleep more deeply
- CThey make it easier for staff to clean under and around the bed
- DThey reduce the risk of injury if the patient falls out of bed
3.Easy
What do the letters in SBAR stand for?
- ASituation, Behavior, Analysis, Review
- BSummary, Background, Assessment, Result
- CSituation, Background, Assessment, Recommendation
- DSymptoms, Baseline, Assessment, Response
4.Medium
A nurse has been fit-tested for an N95 respirator. What should the nurse do each time it is put on?
- AMoisten the edges so it seals better
- BPerform a user seal check
- CArrange a new fit test
- DWear a surgical mask underneath it
5.Medium
A patient has shingles (herpes zoster) on one area of the chest, has a normal immune system and the lesions can be fully covered. Which precautions are usually needed?
- AProtective environment with positive pressure
- BStandard precautions, with the lesions covered
- CAirborne precautions in a negative-pressure room
- DDroplet precautions only
6.Medium
In the US (EPA/OSHA) hazmat system, which level of PPE gives the highest level of protection?
- ALevel B
- BLevel A
- CLevel C
- DLevel D
7.Hard
A nurse arrives at the scene of a fire in a corridor and the fire is spreading. Patients are in nearby rooms. What should the nurse do after raising the alarm?
- AClose doors and move patients in danger horizontally behind fire doors
- BOpen all doors and windows to let the smoke escape
- CTake patients to the ground floor in the nearest elevator
- DTry to put out the spreading fire alone with an extinguisher
8.Hard
A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?
- ASimple human error, managed only by consoling the nurse and moving on
- BReckless behavior, managed by immediate dismissal and reporting to the licensing board
- CAcceptable behavior, because it is common on the unit
- DAt-risk behavior, managed by coaching and fixing the system pressures behind it
Answer key
- 1. D · A pandemic is an epidemic that spreads across several countries or continents
- 2. D · They reduce the risk of injury if the patient falls out of bed
- 3. C · Situation, Background, Assessment, Recommendation
- 4. B · Perform a user seal check
- 5. B · Standard precautions, with the lesions covered
- 6. B · Level A
- 7. A · Close doors and move patients in danger horizontally behind fire doors
- 8. D · At-risk behavior, managed by coaching and fixing the system pressures behind it
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