FOR SOLUTIONS PRO
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patient_safety_test_2014.docx1 ) The National Patient Safety Goals:
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A. Require healthcare facilities to take action to meet accreditation standards for patient safety |
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B. Penalize hospitals without patient safety officers |
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C. Are based on use of an electronic record for hospitals |
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D. Require physician-led safety initiatives |
2 ) TJC requires that patient identification be based on:
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A. Two nurses’ double-checking all medications before administration |
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B. Two separate identifiers for all medical services provided to a patient, not to include a patient’s room number |
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C. Two separate orders for any blood-related products |
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D. Two parts of patient names (first and last names) |
3 ) An RN is expected to conduct education about posthospitalization infection prevention strategies for multiple drug-resistant organisms with:
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A. All affected patients and families as appropriate |
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B. All patients |
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C. This is not a requirement |
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D. Only if the patient or family expresses concerns |
4 ) A hospital needs to define “critical test results” within policy to guide staff. If they are left undefined, TJC surveyors may:
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A. Consider no test or laboratory results at that hospital critical |
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B. Ask nurses what they consider critical |
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C. Consider all reports of diagnostic tests critical |
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D. Not score the hospital on this safety goal |
5 ) Before initiating a blood transfusion, an RN must:
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A. Ask the physician to verify the correct blood transfusion identifiers |
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B. Use a two-person verification process for matching the blood to the patient |
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C. Teach the patient to watch the infusion site |
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D. Document only adverse reactions should they occur |
6 ) The universal protocol:
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A. Provides for the safe transporting of equipment in and out of a surgical suite |
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B. Requires that a surgical site be marked by a preoperative nurse |
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C. Requires that a patient be involved in the site marking when possible |
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D. Is applicable only in a cardiac cath laboratory |
7 ) In procedural and operative settings, medications and medication containers:
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A. Must be color-coded by category of action |
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B. Must be counted at the end of a procedure |
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C. Must be labeled |
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D. Must remain in view of the circulating nurse at all times |
8 ) Staff members who directly care for patients at high risk of acquiring infections should not:
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A. Wear artificial nails |
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B. Monitor the number of times they provide care for methicillin-resistant wounds |
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C. Restrict exposure to outdoor home activities |
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D. Maintain nail tips to one-eighth inch in length |
9 ) Preprocedure verification includes:
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A. Only that the patient is identified by wristband |
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B. Only that nurses determine what procedure is scheduled |
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C. The provision that only the physician may stop the verification process to check something |
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D. That all relevant documents and equipment are available before the procedure starts |
10 ) Procedural site marking is:
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A. Done by preoperative nursing staff |
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B. Done by the patient and family before admission to the hospital |
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C. Done by a licensed independent practitioner who will be present during the procedure |
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D. Done only if the physician has a question about the operative site |
11 ) Central lines:
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A. Require a protocol for insertion to prevent infections |
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B. Are not appropriate outside the ICU |
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C. Are managed by physicians only |
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D. Are not a probable source of bloodstream infections |
12 ) In the case of a patient undergoing anticoagulant therapy:
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A. Nurses should use their best judgment to determine drug doses. |
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B. Care must be monitored by checking INR levels. |
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C. Only pharmacists may administer the anticoagulants. |
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D. The patient should determine dose schedules based on his or her signs and symptoms. |
