1.Easy
What is an adverse event in patient safety?
- AA complaint from a patient about the hospital food
- BAn error that is noticed before it reaches the patient
- CA side effect that is listed and explained before treatment
- DHarm to a patient caused by health care, not by the illness
2.Easy
Which precautions are needed for a patient with Legionnaires’ disease (Legionella pneumonia)?
- ADroplet precautions
- BContact precautions
- CAirborne precautions
- DStandard precautions
3.Easy
Which type of room is used for a patient with severe immunosuppression, such as after a stem cell transplant?
- AA shared bay with good natural ventilation and open windows
- BA negative-pressure airborne isolation room
- CAny room, as long as visitors wear gloves
- DA positive-pressure room with filtered air
4.Medium
Which technique is correct when collecting a wound culture?
- AClean the wound with sterile saline first, then swab clean tissue
- BSwab the old pus on the dressing that was just removed from the wound
- CCollect the sample only after antibiotics have been started
- DUse one swab to sample two different wounds
5.Medium
In a hospital fire, which means of moving patients is usually avoided?
- AMoving horizontally to another area on the same floor behind fire doors
- BStairs
- CWheeling beds through fire doors
- DElevators (lifts)
6.Medium
Why are patients on long-term corticosteroids at higher risk from infections?
- ASteroids make the patient’s blood more acidic, which helps bacteria grow
- BSteroids kill the patient’s normal skin bacteria
- CSteroids only affect the risk of fungal skin rashes
- DSteroids suppress the immune response and can hide signs of infection
7.Hard
Patients contaminated with radioactive dust arrive at the hospital. Which step removes most of the external contamination?
- ARemoving the patient’s clothing
- BWrapping the patient in a blanket
- CScrubbing the skin until it is red
- DGiving the patient potassium iodide
8.Hard
A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?
- AComplete an incident report while the details are fresh
- BTelephone the family to tell them about the fall
- CLift the patient back into bed with a colleague
- DAssess the patient for injury before moving them
Answer key
- 1. D · Harm to a patient caused by health care, not by the illness
- 2. D · Standard precautions
- 3. D · A positive-pressure room with filtered air
- 4. A · Clean the wound with sterile saline first, then swab clean tissue
- 5. D · Elevators (lifts)
- 6. D · Steroids suppress the immune response and can hide signs of infection
- 7. A · Removing the patient’s clothing
- 8. D · Assess the patient for injury before moving them
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