1.Easy
Under event-related sterility, how long is a sterile package considered sterile?
- AForever, even if the outer wrapper gets wet
- BUntil the end of the shift on which it was opened
- CUntil it is opened, torn, wet or otherwise damaged
- DFor exactly seven days after it was packed
2.Easy
What is closed-loop communication?
- AThe receiver repeats the message back and the sender confirms it is correct
- BSending a message to the team without waiting for any reply or confirmation
- CWriting every message in the patient’s chart only
- DCommunication that only happens in a closed room
3.Easy
Which item is “non-critical” and needs only cleaning and low-level disinfection between patients?
- AA central venous catheter
- BA blood pressure cuff
- CA flexible gastroscope
- DA set of surgical forceps
4.Medium
Why is blood glucose control important around the time of surgery?
- AGlucose levels only affect patients who have type 1 diabetes
- BHigh glucose impairs white cell function and raises the risk of surgical site infection
- CLow glucose is needed around surgery so that the wound edges close more quickly
- DHigh glucose makes anesthetic drugs work for much longer and delays waking up
5.Medium
A patient is on suicide precautions. Which room safety measure is appropriate?
- AAllow glass bottles if the patient seems calm
- BRemove items that could be used for self-harm, such as belts and cords
- CKeep the door closed at all times so the patient has privacy
- DLet the patient keep a personal razor for shaving, as long as staff are told
6.Medium
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- AGive it to the patient whose medication is due
- BAsk nearby staff and use it if someone recognizes it
- CLabel it with the most likely drug name
- DDiscard it, because its contents cannot be confirmed
7.Hard
A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?
- AAgree without telling anyone about the fatigue
- BExplain that fatigue would make care unsafe and decline the extra shift
- CAgree and drink extra coffee to stay alert
- DAgree, but skip the independent medication checks to save energy on the shift
8.Hard
A patient on chemotherapy develops shingles over several areas on both sides of the body. Which precautions are needed?
- AContact precautions only, with gloves for dressing changes
- BStandard precautions only, with the lesions covered
- CAirborne and contact precautions until all lesions are crusted
- DDroplet precautions until the pain settles
Answer key
- 1. C · Until it is opened, torn, wet or otherwise damaged
- 2. A · The receiver repeats the message back and the sender confirms it is correct
- 3. B · A blood pressure cuff
- 4. B · High glucose impairs white cell function and raises the risk of surgical site infection
- 5. B · Remove items that could be used for self-harm, such as belts and cords
- 6. D · Discard it, because its contents cannot be confirmed
- 7. B · Explain that fatigue would make care unsafe and decline the extra shift
- 8. C · Airborne and contact precautions until all lesions are crusted
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