1.Easy
What is an adverse event in patient safety?
- AA complaint from a patient about the hospital food
- BHarm to a patient caused by health care, not by the illness
- CAn error that is noticed before it reaches the patient
- DA side effect that is listed and explained before treatment
2.Easy
What do staff usually wear when entering the room of a patient on droplet precautions?
- AAn N95 respirator only
- BA full hazmat suit
- CA surgical mask
- DSterile gloves
3.Easy
A patient is colonized with vancomycin-resistant enterococci (VRE). Which precautions are used?
- ADroplet precautions
- BAirborne precautions
- CProtective (reverse) isolation
- DContact precautions
4.Medium
Before giving a tablet, the patient says, “This pill looks different from my usual one.” What should the nurse do?
- ATell the patient that all pills look different in hospital
- BGive half the pill and watch for any unusual effects
- CStop and recheck the order and the drug before giving it
- DReassure the patient and give the pill
5.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- AGive it, as long as the syringe has a label with the drug name on it
- BGive it, because the colleague is experienced
- CDecline, and give only medications that the nurse prepared or checked personally
- DGive it, and document that the colleague prepared it
6.Medium
How is a urine specimen for culture obtained from an indwelling catheter?
- AFrom the sampling port, after cleaning it, using aseptic technique
- BBy removing the catheter and sending its tip for culture
- CFrom the urine already collected in the drainage bag at the bedside
- DBy disconnecting the catheter from the drainage tubing
7.Hard
Which action best prevents a wrong-route error with an epidural infusion?
- ATape all the lines together to keep them tidy
- BUse the same pump type and tubing for all of the patient’s infusions
- CLabel the epidural line and keep it on its own dedicated pump
- DUse a free IV port if the epidural port becomes blocked
8.Hard
A patient with severe dementia gets out of bed alone at night and has fallen twice. Which plan is most appropriate?
- ATying the patient into the chair overnight
- BA sedative every night to keep the patient in bed
- CLow bed, bed alarm, toileting rounds, night light and nonslip socks
- DFour raised side rails, with the door closed at night for quiet
Answer key
- 1. B · Harm to a patient caused by health care, not by the illness
- 2. C · A surgical mask
- 3. D · Contact precautions
- 4. C · Stop and recheck the order and the drug before giving it
- 5. C · Decline, and give only medications that the nurse prepared or checked personally
- 6. A · From the sampling port, after cleaning it, using aseptic technique
- 7. C · Label the epidural line and keep it on its own dedicated pump
- 8. C · Low bed, bed alarm, toileting rounds, night light and nonslip socks
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