1.Easy
What is a safety huddle?
- AA formal disciplinary meeting held after a staff member makes an error
- BA short team meeting to share current risks and the plan for the shift
- CA long monthly meeting about staff holidays
- DA meeting between the patient and their lawyer
2.Easy
Which factor is one of the strongest predictors that a patient will fall?
- AHaving a private room
- BWearing glasses for reading
- CA previous fall
- DBeing female
3.Easy
Which of these counts as a physical restraint?
- AUsing a bed exit alarm for a patient at high risk of falling at night
- BRaising all four side rails to stop a patient from getting out of bed
- CPlacing the bed in its lowest position
- DUsing a gait belt while helping a patient walk in the corridor
4.Medium
Why does a nurse wear chemotherapy-tested gloves and a gown when emptying the urinal of a patient who recently had chemotherapy?
- AThe patient is on airborne precautions after treatment
- BChemotherapy makes the urine strongly acidic and corrosive
- CThe body fluids can contain active drug for a time after treatment
- DThe urine always contains infectious bacteria after chemotherapy
5.Medium
Which assessment is most important while a patient is in wrist restraints?
- AThe patient’s food and drink preferences for the day
- BThe patient’s height and weight
- CThe patient’s hearing in both ears with a watch test
- DCirculation, sensation and skin beyond the restraint
6.Medium
Which practice makes shift handoff safer?
- AGiving handoff in a busy corridor so that the outgoing nurse can leave on time
- BUsing a standard format such as SBAR or I-PASS, with time for questions
- CLeaving written notes only, without a chance for questions
- DGiving handoff from memory without any structure
7.Hard
Which action by assistive personnel requires the nurse to step in?
- APutting soiled linen straight into a laundry bag at the bedside
- BWashing hands with soap and water after leaving a C. difficile room
- CGoing from one patient’s bed to the next while wearing the same gloves
- DRemoving gloves and then cleaning the hands with alcohol rub
8.Hard
A patient with fever and a spreading rash is suspected of having smallpox. Which precautions are needed?
- ADroplet precautions with a surgical mask
- BAirborne and contact precautions
- CStandard precautions only
- DContact precautions only
Answer key
- 1. B · A short team meeting to share current risks and the plan for the shift
- 2. C · A previous fall
- 3. B · Raising all four side rails to stop a patient from getting out of bed
- 4. C · The body fluids can contain active drug for a time after treatment
- 5. D · Circulation, sensation and skin beyond the restraint
- 6. B · Using a standard format such as SBAR or I-PASS, with time for questions
- 7. C · Going from one patient’s bed to the next while wearing the same gloves
- 8. B · Airborne and contact precautions
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