1.Easy
Which procedure requires surgical asepsis (sterile technique)?
- AInserting an indwelling urinary catheter
- BGiving a bed bath
- CMeasuring blood pressure on the upper arm
- DGiving an oral medication through the mouth
2.Easy
What is closed-loop communication?
- ACommunication that only happens in a closed room
- BThe receiver repeats the message back and the sender confirms it is correct
- CWriting every message in the patient’s chart only
- DSending a message to the team without waiting for any reply or confirmation
3.Easy
What is an adverse event in patient safety?
- AHarm to a patient caused by health care, not by the illness
- BA complaint from a patient about the hospital food
- CAn error that is noticed before it reaches the patient
- DA side effect that is listed and explained before treatment
4.Medium
Which practice with medication vials and syringes is safe?
- AUsing the same syringe for two patients if it is flushed
- BUsing a new sterile needle and syringe every time a vial is entered
- CReusing a syringe if a new needle is attached
- DLeaving a needle in the vial’s stopper for later use
5.Medium
How tight should a wrist restraint be?
- ALoose enough to fit two fingers between the restraint and the skin
- BLoose enough for the patient’s hand to slip out
- CTight enough to slow the pulse at the wrist
- DAs tight as possible so the patient cannot move the arm
6.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, because the colleague is experienced
- BGive it, and document that the colleague prepared it
- CGive it, as long as the syringe has a label with the drug name on it
- DDecline, and give only medications that the nurse prepared or checked personally
7.Hard
A nursing student describes how they remove PPE (gown, gloves and a mask worn for splash protection) at the doorway before leaving a contact precautions room. Which statement shows a need for further teaching?
- A“I remove my gloves without touching the outside with my bare hand.”
- B“I take off my mask first, and then I take off my gloves.”
- C“I roll the gown inward as I take it off.”
- D“I clean my hands as soon as all the PPE is off.”
8.Hard
Who should mark the operative site before surgery?
- AThe patient, alone, using a marker pen at home on the night before surgery
- BAny member of the operating room team after anesthesia starts
- CThe admitting clerk, using the information written on the consent form
- DThe person who will perform the procedure, with the patient involved where possible
Answer key
- 1. A · Inserting an indwelling urinary catheter
- 2. B · The receiver repeats the message back and the sender confirms it is correct
- 3. A · Harm to a patient caused by health care, not by the illness
- 4. B · Using a new sterile needle and syringe every time a vial is entered
- 5. A · Loose enough to fit two fingers between the restraint and the skin
- 6. D · Decline, and give only medications that the nurse prepared or checked personally
- 7. B · “I take off my mask first, and then I take off my gloves.”
- 8. D · The person who will perform the procedure, with the patient involved where possible
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