1.Easy
Which basic fall-prevention measure applies to every patient?
- AKeep the room dark at all times so the patient rests
- BUse wrist restraints at night for every patient
- CRaise all four side rails whenever the patient is in bed
- DKeep the call light (call bell) and personal items within easy reach
2.Easy
Which symbol must appear on containers of regulated medical waste?
- AThe flammable flame symbol
- BThe radiation trefoil
- CThe biohazard symbol
- DThe corrosive symbol
3.Easy
What do staff usually wear when entering the room of a patient on droplet precautions?
- AA full hazmat suit
- BA surgical mask
- CSterile gloves
- DAn N95 respirator only
4.Medium
Where should the dispersive (grounding) pad for electrosurgery be placed?
- AOn clean, dry skin over a well-perfused muscle, close to the surgical site
- BOver a bony prominence such as the hip bone
- COn skin that is wet with antiseptic prep
- DOver an area with scar tissue or a tattoo, so that the pad does not slip
5.Medium
How does a nurse add a sterile gauze pack to a sterile field that is already set up?
- AOpen the wrapper away from the field and drop the item on it without reaching over
- BPlace the whole wrapped pack on the field and open it there with sterile gloves
- CTip the item onto the field and push it into place with the wrapper
- DReach across the field with clean gloves to place the item
6.Medium
Why does a nurse wear chemotherapy-tested gloves and a gown when emptying the urinal of a patient who recently had chemotherapy?
- AThe body fluids can contain active drug for a time after treatment
- BThe patient is on airborne precautions after treatment
- CThe urine always contains infectious bacteria after chemotherapy
- DChemotherapy makes the urine strongly acidic and corrosive
7.Hard
A patient with severe dementia gets out of bed alone at night and has fallen twice. Which plan is most appropriate?
- AA sedative every night to keep the patient in bed
- BFour raised side rails, with the door closed at night for quiet
- CTying the patient into the chair overnight
- DLow bed, bed alarm, toileting rounds, night light and nonslip socks
8.Hard
According to the “Swiss cheese” model of error, why do errors reach patients?
- AWeaknesses in several layers of defense line up at the same time
- BOne careless person makes a mistake that no system could stop
- CTechnology fails more often than people do
- DPatients often do not follow their care instructions
Answer key
- 1. D · Keep the call light (call bell) and personal items within easy reach
- 2. C · The biohazard symbol
- 3. B · A surgical mask
- 4. A · On clean, dry skin over a well-perfused muscle, close to the surgical site
- 5. A · Open the wrapper away from the field and drop the item on it without reaching over
- 6. A · The body fluids can contain active drug for a time after treatment
- 7. D · Low bed, bed alarm, toileting rounds, night light and nonslip socks
- 8. A · Weaknesses in several layers of defense line up at the same time
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