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