What is the primary goal of patient safety in healthcare?
a) To increase hospital revenue
b) To minimize harm to patients
c) To reduce staff workload
d) To enhance patient comfort
Answer: b) To minimize harm to patients
Which of the following is the most important step in preventing the spread of infection in a healthcare setting?
a) Wearing gloves
b) Hand hygiene
c) Using sterile equipment
d) Disinfecting surfaces
Answer: b) Hand hygiene
What should a nurse do first when discovering a patient has fallen?
a) Assist the patient back to bed
b) Call for help
c) Assess the patient for injuries
d) Document the incident
Answer: c) Assess the patient for injuries
Which of the following is a key component of effective communication in patient care?
a) Using medical jargon
b) Speaking quickly to save time
c) Active listening
d) Avoiding eye contact
Answer: c) Active listening
The best way to prevent pressure ulcers in bedridden patients is to:
a) Use heavy blankets
b) Encourage frequent mobility or repositioning
c) Limit fluid intake
d) Apply tight bandages
Answer: b) Encourage frequent mobility or repositioning
What is the primary purpose of using a fall risk assessment tool in a healthcare setting?
a) To document patient history
b) To identify patients at risk of falling
c) To allocate nursing staff
d) To manage hospital budget
Answer: b) To identify patients at risk of falling
Which of the following is an example of a nursing intervention to promote patient safety?
a) Ignoring call lights
b) Keeping the patient’s bed in a low position
c) Restricting patient communication
d) Leaving bed rails down
Answer: b) Keeping the patient’s bed in a low position
What should be the nurse’s first action when administering medication to a patient?
a) Prepare the medication without checking the label
b) Verify the patient’s identity
c) Administer the medication immediately
d) Record the administration in the chart
Answer: b) Verify the patient’s identity
What does the term “sentinel event” refer to in healthcare?
a) A routine procedure
b) A minor injury
c) An unexpected event leading to death or serious injury
d) A scheduled patient discharge
Answer: c) An unexpected event leading to death or serious injury
What is the recommended method for lifting a heavy object to prevent injury?
a) Bending at the waist
b) Lifting with the back
c) Using the legs and keeping the back straight
d) Twisting the body while lifting
Answer: c) Using the legs and keeping the back straight
Which of the following is a common method to prevent medication errors?
a) Administering all medications at once
b) Skipping the patient’s identification check
c) Using the “five rights” of medication administration
d) Ignoring dosage discrepancies
Answer: c) Using the “five rights” of medication administration
Which practice helps reduce the risk of healthcare-associated infections (HAIs)?
a) Reusing disposable gloves
b) Frequently washing hands
c) Wearing jewelry while providing care
d) Allowing visitors unrestricted access
Answer: b) Frequently washing hands
What is the primary purpose of a safety huddle in a healthcare setting?
a) To socialize with colleagues
b) To discuss non-work-related topics
c) To review and address patient safety concerns
d) To assign lunch breaks
Answer: c) To review and address patient safety concerns
When providing care to a patient with a known latex allergy, the nurse should:
a) Use latex gloves and other latex products
b) Avoid latex products and use alternatives
c) Ignore the allergy since it is not serious
d) Continue using latex products but monitor the patient
Answer: b) Avoid latex products and use alternatives
Which of the following is a key factor in maintaining a safe environment for a confused patient?
a) Leaving the patient alone in their room
b) Keeping the environment cluttered
c) Ensuring the bed rails are up and the call light is within reach
d) Providing minimal supervision
Answer: c) Ensuring the bed rails are up and the call light is within reach
When dealing with a violent or aggressive patient, what is the first priority for the nurse?
a) Calling security
b) Ensuring personal and patient safety
c) Administering sedation
d) Restraining the patient
Answer: b) Ensuring personal and patient safety
The purpose of a nursing care plan is to:
a) Provide a schedule for nurses
b) Document nursing orders
c) Guide patient care and ensure consistency
d) Increase paperwork for nurses
Answer: c) Guide patient care and ensure consistency
Which of the following practices is essential to ensuring accurate patient identification?
a) Asking the patient their name once
b) Using a room number to identify the patient
c) Verifying the patient’s name and date of birth with the wristband
d) Assuming the patient’s identity based on appearance
Answer: c) Verifying the patient’s name and date of birth with the wristband
What is the first step in responding to a fire in a healthcare facility?
a) Running out of the building
b) Evacuating all patients immediately
c) Activating the fire alarm
d) Attempting to extinguish the fire yourself
Answer: c) Activating the fire alarm
Which of the following is a critical factor in preventing patient falls?
a) Keeping the floor wet
b) Using bed alarms for high-risk patients
c) Placing obstacles in the patient’s path
d) Ignoring the patient’s mobility needs
Answer: b) Using bed alarms for high-risk patients
The proper way to handle a patient in isolation due to a contagious disease includes:
a) Wearing appropriate personal protective equipment (PPE)
b) Avoiding the room altogether
c) Using the same PPE for all patients
d) Ignoring the isolation precautions
Answer: a) Wearing appropriate personal protective equipment (PPE)
The most important aspect of managing a patient’s pain is:
a) Administering pain medication without assessment
b) Ignoring the patient’s report of pain
c) Regularly assessing and addressing the patient’s pain levels
d) Waiting for the patient to request pain relief
Answer: c) Regularly assessing and addressing the patient’s pain levels
Which action should a nurse take when encountering a medication error?
a) Ignore it if the patient is not harmed
b) Report the error immediately according to facility policy
c) Blame another nurse
d) Hide the evidence
Answer: b) Report the error immediately according to facility policy
What should be done before transferring a patient from the bed to a wheelchair?
a) Ignoring the patient’s ability to assist
b) Ensuring the wheelchair is locked and close to the bed
c) Lifting the patient alone without assistance
d) Asking the patient to stand unsupported
Answer: b) Ensuring the wheelchair is locked and close to the bed
The best way to reduce the risk of falls in elderly patients is to:
a) Encourage them to stay in bed all day
b) Assess their fall risk regularly and implement preventive measures
c) Use restraints at all times
d) Allow them to walk without supervision
Answer: b) Assess their fall risk regularly and implement preventive measures
What should a nurse do if a patient refuses a prescribed treatment?
a) Force the patient to accept the treatment
b) Document the refusal and notify the physician
c) Ignore the refusal and administer the treatment anyway
d) Discharge the patient
Answer: b) Document the refusal and notify the physician
When should a nurse use a mechanical lift to transfer a patient?
a) When the patient is light enough to be lifted manually
b) When the patient requires assistance beyond what can be safely provided manually
c) When the lift is not available
d) Only when working alone
Answer: b) When the patient requires assistance beyond what can be safely provided manually
Which of the following best describes the purpose of incident reports?
a) To blame staff for mistakes
b) To document any event that could harm patients or staff
c) To increase paperwork
d) To keep events secret from administration
Answer: b) To document any event that could harm patients or staff
The term “standard precautions” in patient care refers to:
a) Techniques used only for patients with infections
b) Hand hygiene, use of gloves, masks, and other barriers when exposure to blood or body fluids is possible
c) Special precautions for HIV-positive patients
d) Practices used only in operating rooms
Answer: b) Hand hygiene, use of gloves, masks, and other barriers when exposure to blood or body fluids is possible
What is a crucial step when caring for a patient with a mobility impairment?
a) Encouraging them to move without assistance
b) Ignoring the patient’s limitations
c) Assessing their level of mobility and providing appropriate assistance
d) Restricting their movement altogether
Answer: c) Assessing their level of mobility and providing appropriate assistance
Which of the following is a sign of an allergic reaction to a medication?
a) Increased appetite
b) Rash, hives, or difficulty breathing
c) Improved symptoms
d) Sleepiness
Answer: b) Rash, hives, or difficulty breathing
To ensure proper body mechanics while lifting a patient, the nurse should:
a) Keep the feet close together
b) Bend at the waist
c) Use the legs to lift and keep the back straight
d) Hold the patient away from the body
Answer: c) Use the legs to lift and keep the back straight
Which of the following is an appropriate nursing action if a patient is found unresponsive?
a) Leave the room and find help
b) Start CPR immediately if needed
c) Ignore the situation
d) Wait for the physician to arrive before taking action
Answer: b) Start CPR immediately if needed
What is a key element in ensuring safe medication administration?
a) Guessing the dosage
b) Double-checking the medication label and patient’s identity
c) Skipping the patient’s allergies check
d) Administering the medication without verification
Answer: b) Double-checking the medication label and patient’s identity
What should be done if a patient begins choking while eating?
a) Encourage them to continue eating
b) Perform the Heimlich maneuver if necessary
c) Wait to see if they stop choking on their own
d) Offer them water
Answer: b) Perform the Heimlich maneuver if necessary
When providing care for a patient with impaired vision, the nurse should:
a) Avoid talking to the patient
b) Keep the room lights off
c) Explain all procedures clearly and maintain a safe environment
d) Use medical jargon
Answer: c) Explain all procedures clearly and maintain a safe environment
The most effective way to prevent healthcare-associated infections (HAIs) is:
a) Using hand sanitizer occasionally
b) Performing hand hygiene before and after patient contact
c) Wearing gloves without washing hands
d) Reusing personal protective equipment (PPE)
Answer: b) Performing hand hygiene before and after patient contact
In the case of a patient with a known risk of aspiration, the nurse should:
a) Allow the patient to eat lying down
b) Encourage small, frequent meals in an upright position
c) Offer large meals quickly
d) Ignore swallowing difficulties
Answer: b) Encourage small, frequent meals in an upright position
What is the first action a nurse should take if a patient reports chest pain?
a) Ignore the complaint
b) Document it without further action
c) Assess the patient’s vital signs and provide oxygen if needed
d) Dismiss it as anxiety
Answer: c) Assess the patient’s vital signs and provide oxygen if needed
When a patient is on bed rest, which of the following interventions is important to prevent complications?
a) Allowing the patient to remain still at all times
b) Turning the patient every two hours to prevent pressure ulcers
c) Encouraging the patient to avoid fluids
d) Restricting movement to the upper body only
Answer: b) Turning the patient every two hours to prevent pressure ulcers
A key aspect of patient-centered care involves:
a) Making decisions solely based on physician orders
b) Ignoring the patient’s preferences
c) Involving the patient in decisions about their care
d) Limiting patient interaction
Answer: c) Involving the patient in decisions about their care
If a nurse is exposed to blood or bodily fluids, the first action should be:
a) Ignore it if there is no visible blood
b) Wash the area thoroughly with soap and water
c) Continue with patient care without interruption
d) Document the exposure only after completing the shift
Answer: b) Wash the area thoroughly with soap and water
What is the primary concern when a nurse is providing care to a patient on anticoagulant therapy?
a) Risk of infection
b) Risk of bleeding
c) Risk of dehydration
d) Risk of high blood pressure
Answer: b) Risk of bleeding
To ensure patient safety during a blood transfusion, the nurse should:
a) Skip the patient identification process
b) Monitor the patient closely for any adverse reactions
c) Administer the blood without cross-checking
d) Speed up the transfusion process
Answer: b) Monitor the patient closely for any adverse reactions
Which action should a nurse take to prevent deep vein thrombosis (DVT) in an immobile patient?
a) Encourage bed rest without movement
b) Apply compression stockings and encourage leg exercises
c) Provide a high-sodium diet
d) Avoid any leg movements
Answer: b) Apply compression stockings and encourage leg exercises
What should a nurse do if a patient’s intravenous (IV) site becomes red and swollen?
a) Ignore it as normal
b) Continue the infusion without changes
c) Stop the IV and notify the physician
d) Increase the IV flow rate
Answer: c) Stop the IV and notify the physician
What is the most appropriate action if a patient suddenly becomes disoriented and confused?
a) Restrain the patient immediately
b) Reorient the patient and assess for possible causes
c) Leave the patient alone to calm down
d) Ignore the behavior
Answer: b) Reorient the patient and assess for possible causes
When a nurse suspects a patient is developing a pressure ulcer, the first action should be:
a) Ignore it until it worsens
b) Apply pressure to the area
c) Assess the area and implement pressure-relief measures
d) Cover the area with a tight bandage
Answer: c) Assess the area and implement pressure-relief measures
To ensure the safe use of restraints on a patient, the nurse should:
a) Apply restraints without physician orders
b) Use the least restrictive restraint and monitor the patient frequently
c) Keep the patient restrained indefinitely
d) Ignore the patient’s comfort and needs
Answer: b) Use the least restrictive restraint and monitor the patient frequently
What should a nurse do if a patient refuses to take a prescribed medication?
a) Force the medication on the patient
b) Respect the patient’s right to refuse, document the refusal, and inform the physician
c) Ignore the refusal
d) Administer the medication without informing the patient
Answer: b) Respect the patient’s right to refuse, document the refusal, and inform the physician