1.Easy
Which footwear is safest for a hospitalized patient who is walking?
- AOrdinary cotton socks with no grip on the soles
- BBare feet on the polished floor
- CLoose slippers with an open heel that are easy to slide on
- DNon-slip socks or well-fitting shoes with non-slip soles
2.Easy
When is eye protection part of standard precautions?
- AOnly when caring for a patient who has an eye infection such as conjunctivitis
- BWhen splashes or sprays of blood or body fluids are likely
- COnly when the patient is on airborne precautions
- DOnly in the operating room
3.Easy
What is a “just culture” in patient safety?
- AEvery error leads to formal punishment of the person involved
- BErrors are reported openly and systems fixed; reckless acts are still addressed
- CErrors are never discussed, in order to protect staff morale
- DOnly doctors report errors, and nurses inform them
4.Medium
When is a prophylactic antibiotic usually given to prevent a surgical site infection?
- AOne week before surgery
- BThe day after surgery, once the wound is closed
- CWithin about 60 minutes before the incision
- DOnly if a fever develops after surgery
5.Medium
Before a blood transfusion is started, which check is required?
- AThe patient’s identity is checked against the blood product and its paperwork at the bedside
- BOne nurse checks the blood product against the order at the nurses’ station
- CThe patient signs the blood bag label to confirm their name before it is hung
- DThe nurse checks only that the bag number matches the order
6.Medium
A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?
- AGive the patient a mask and seat them apart from others
- BAsk the patient to wait outside in the car park
- CDo nothing until the patient is seen by the provider
- DGive everyone else in the waiting room a mask instead
7.Hard
A patient on an anticoagulant falls and hits their head but says they feel fine. What should the nurse do?
- AGive the next anticoagulant dose early to prevent clots from forming after the fall
- BWait until the next day to see if a headache develops
- CHelp the patient back to bed and do nothing more if they feel fine
- DNotify the provider and start neurological observations, because a brain bleed may develop
8.Hard
Over a few hours, the emergency department sees many previously healthy people with the same unusual severe symptoms. What should the nurse do?
- ATreat each patient and wait to see if more arrive next week
- BTell only the patients’ families about the pattern
- CReport it to infection prevention and public health authorities promptly
- DSend the patients home quickly to avoid crowding the emergency department
Answer key
- 1. D · Non-slip socks or well-fitting shoes with non-slip soles
- 2. B · When splashes or sprays of blood or body fluids are likely
- 3. B · Errors are reported openly and systems fixed; reckless acts are still addressed
- 4. C · Within about 60 minutes before the incision
- 5. A · The patient’s identity is checked against the blood product and its paperwork at the bedside
- 6. A · Give the patient a mask and seat them apart from others
- 7. D · Notify the provider and start neurological observations, because a brain bleed may develop
- 8. C · Report it to infection prevention and public health authorities promptly
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