1.Easy
What do the letters in SBAR stand for?
- ASummary, Background, Assessment, Result
- BSituation, Behavior, Analysis, Review
- CSituation, Background, Assessment, Recommendation
- DSymptoms, Baseline, Assessment, Response
2.Easy
Which three elements make up the fire triangle in the operating room?
- AWater, electricity and metal instruments
- BOxygen, nitrogen and carbon dioxide
- CAn oxidizer, an ignition source and a fuel
- DHeat, light and sound
3.Easy
Which signs are typical of a local infection in a wound?
- ARedness, warmth, swelling and pain
- BDry, flaky skin with mild itching
- CPallor, coolness and numbness
- DBluish skin and a weak distal pulse
4.Medium
What should a nurse do after an accidental splash of a patient’s blood into the eyes?
- AApply antibiotic eye drops and tell no one
- BRinse the eyes at once with plenty of water or saline, then report
- CRub the eyes gently with a clean, dry tissue to remove the blood first
- DFinish the procedure, then report it the next day
5.Medium
A nurse is preparing medications for two patients. What is the safest approach?
- APut both patients’ medications in one cup and sort them at the bedside
- BPrepare and give medications for one patient at a time
- CPrepare both patients’ medications together to save time
- DAsk one patient to pass the medications to the other
6.Medium
A family member tells the nurse, “My father is not himself. Something is wrong.” The hospital has a family-activated rapid response system. What is correct?
- AThe family must wait for the next scheduled ward round to raise the concern with a doctor
- BOnly doctors may call the rapid response team
- CThe family should call emergency services from outside the hospital
- DThe family can call the rapid response team if they are worried and staff have not responded
7.Hard
During a procedure, a nurse sees that the team is about to start without a time-out. What should the nurse do?
- AReport it to the manager at the end of the week
- BWait and raise the issue after the procedure is finished
- CSay nothing, because the surgeon is responsible for the procedure
- DSpeak up clearly and stop the start until the time-out is done
8.Hard
Who should mark the operative site before surgery?
- AThe admitting clerk, using the information written on the consent form
- BThe patient, alone, using a marker pen at home on the night before surgery
- CThe person who will perform the procedure, with the patient involved where possible
- DAny member of the operating room team after anesthesia starts
Answer key
- 1. C · Situation, Background, Assessment, Recommendation
- 2. C · An oxidizer, an ignition source and a fuel
- 3. A · Redness, warmth, swelling and pain
- 4. B · Rinse the eyes at once with plenty of water or saline, then report
- 5. B · Prepare and give medications for one patient at a time
- 6. D · The family can call the rapid response team if they are worried and staff have not responded
- 7. D · Speak up clearly and stop the start until the time-out is done
- 8. C · The person who will perform the procedure, with the patient involved where possible
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