1.Easy
Which single measure is the most important for preventing the spread of infection in healthcare?
- AWearing a mask at all times
- BPrescribing antibiotics to all patients
- CKeeping windows closed
- DHand hygiene
2.Easy
Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?
- AIt means “inpatient use” in many hospitals
- BIt is only allowed in pediatric orders
- CIt refers only to insulin units
- DIt can be misread as “IV” or as the number 10
3.Easy
In the chain of infection, which link does vaccination break?
- AThe infectious agent
- BThe portal of exit
- CThe reservoir
- DThe susceptible host
4.Medium
Why are independent double checks used for some medicines, such as insulin and heparin infusions?
- ABecause these drugs are very expensive to waste
- BTo share responsibility between two nurses if an error happens
- CTo make the preparation process faster
- DA second person checking separately catches missed errors
5.Medium
Which nurse should not be assigned to a patient with a sealed radioactive implant?
- AA nurse who is pregnant
- BA nurse trained in radiation safety
- CA nurse wearing a dosimeter badge
- DA nurse who has worked on the unit for two years
6.Medium
A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?
- AThe glasses with a surgical mask
- BThe prescription glasses alone
- CGoggles or a face shield worn over the glasses
- DNo eye protection, if the nurse stands to one side
7.Hard
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
- ANo, because the patient was not harmed
- BOnly if the same error happens three times
- CNo, because reporting near misses only blames the pharmacy staff for nothing
- DYes, near misses are reported so system weaknesses can be fixed
8.Hard
A nurse teaches an older adult about preventing falls at home. Which statement shows a need for further teaching?
- A“I keep small rugs in the hall so my feet stay warm.”
- B“I use night lights between my bedroom and the bathroom.”
- C“I had grab bars put in next to the toilet.”
- D“I wear shoes with non-slip soles around the house.”
Answer key
- 1. D · Hand hygiene
- 2. D · It can be misread as “IV” or as the number 10
- 3. D · The susceptible host
- 4. D · A second person checking separately catches missed errors
- 5. A · A nurse who is pregnant
- 6. C · Goggles or a face shield worn over the glasses
- 7. D · Yes, near misses are reported so system weaknesses can be fixed
- 8. A · “I keep small rugs in the hall so my feet stay warm.”
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