Safety Annotated Answer Key
For Affiliated Nursing Students
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1. If you see smoke or fire, use R. A. C. E. RACE stands for:
A. Run, Alarm, Clear, and Evacuate.
B. Relax, Aid, Comfort, and Encourage.
C. Report, Alert, Contain, and Escape.
D. Rescue, Alarm, Contain, and Extinguish.
(Rescue those in immediate danger; Alarm - activate the fire pull station and call 5111;
Contain the fire by closing all doors; Extinguish if possible - evacuate if needed.)
2. To report a fire within the hospital, you would dial:
A. 5111
B. 911
C. 0
D. 5511
(Dial 5111 for emergencies within the hospital; 911 for emergencies at off-site locations)
3. To demonstrate proper use of a fire extinguisher, you would:
A. Pull, aim, squeeze, and sweep.
B. Pull, activate, shoot, and sweep.
C. Pull, activate, save, and scream.
D. Push, aim, soak, and sweep.
(Pull the pin, aim the hose at the base of the fire, squeeze the handle, and sweep from
side to side)
4. How long do fire extinguishers usually last once you PASS?
A. 2-3 minutes
B. 25-35 seconds
C. 5 minutes
D. 10 seconds
(Depending on the size of the extinguisher, most only last 25-35 seconds once you
activate the extinguisher.)
5. When instructed to evacuate, dial 5111 and instruct the operator to announce
A. “Code Red, ___ (location).”
B. "Code E, ____ (location)."
C. "Code Extinguish, ____ (location)."
D. "Code Exit, ____ (location)."
(Code E is for Evacuation)
6. What would you do before entering a room where you suspect a fire?
A. Knock to ensure patient privacy
B. Put on personal protective equipment
C. Feel the door for warmth – if warm or hot, do not enter.
D. Let the fire department handle this situation
(Before entering a room where you suspect a fire, feel the door for warmth with the back
of the hand – if it is warm or hot, DO NOT ENTER.)
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7. Patients can be evacuated to safe areas by the following techniques:
A. Blanket drag, chair carry lift, wheelchair
B. Evacuation of the sickest patients first
C. Triage of patients by the charge nurse
D. Survival of the fittest
(Blanket drag, chair carry lift, and wheelchair, are techniques used to evacuate; those in
immediate danger and the most well patients would be evacuated first).
8. Which of the following are safety violation(s)?
A. Equipment stored in the hallway
B. Fire door propped open
C. Visitor in hallway
D. A & B
(No equipment is to be stored in the hallway; fire doors are not to be propped open)
9. When observing safety violations, what action do you take?
A. Immediately notify the Safety Director and the departments involved
B. Notify your supervisor the next time you see him
C. Nothing.
D. Call OSHA to report the safety violation
(Notify the Safety Director, your manager, and the departments involved immediately)
10. In the event of evacuation for a fire, patients should be moved:
A. Through the next set of fire doors and into a safe area on the same floor
B. Out of their rooms
C. Using the stairs, not the elevators
D. All of the above
(If evacuation is needed, evacuate to the next safe containment zone. Do not use
elevators.)
11. If a piece of medical equipment fails to operate properly, what should you do with
the equipment?
A. Tag and send it to Bio-med for repair
B. Put it back where you found it
C. Discard the equipment
D. Use it on the patient
(Take equipment out of service, label it, describe problem, and send to Bio-med for
repair.)
12. Where can you find your department‟s guideline for loss of utilities?
A. The employee handbook
B. The Administrative Policy Manual
C. The red Safety Manual
D. The bulletin board
(All policies and procedures related to the Environment of Care are located in the red
Safety Manual.)
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13. How does loss of water (Code U, Water) affect your area?
A. No running water to wash your hands
B. Toilets can‟t be flushed, no ice from the ice machines, dialysis machines
won‟t run,
C. Facility gets hot due to no water for the chiller plant that cools the building
D. All of the above
(All are correct: loss of water would result in no running water to wash hands, toilets
could not be flushed, no ice, dialysis machines would not run, and facility would become
hot.)
14. Employee responsibilities for Standard Precautions include all of the following,
except:
A. Proper disposal of sharps
B. Practicing good hand hygiene
C. Proper disposal of all trash in red plastic bags
D. Proper reporting of needle-stick injury
(All are employee responsibilities except disposing of all trash in red plastic bags – only
regulated medical waste - waste capable of producing an infectious disease - is placed
in red bags.)
15. Hand hygiene is generally considered the most important single practice for
preventing the spread of infection in healthcare settings.
A. True
B. False
(Hand hygiene is generally considered the most important single practice for preventing
nosocomial infections in healthcare settings.
16. If you see an isolation sign on the patient‟s door and you don‟t know how to
proceed, you should:
A. Go in anyway - you will just be a minute
B. Ask at the nurses station for guidance
C. Ignore the patient
(If unsure of proper procedure to follow with an isolation patient, ask for guidance)
17. If in your normal work you do not handle contaminated items and one suddenly
appears in your area (blood on a chart, needle on a dietary tray) you should…
A. Call Infection Control
B. Throw the item away in the regular trash
C. Handle it normally
(Infection Control should always be notified of contaminated items in unusual places.)
18. Annual PPD or TB screening questionnaire is required of all employees.
A. True
B. False
C. Only if you have had an exposure to TB within the past year
(Annual PPD or TB screening is an OSHA standard which helps minimize the risk of TB
transmission. This is a mandatory annual requirement of all employees, volunteers, and
medical staff.)
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19. If you use (or may be exposed to) hazardous chemicals when working, you must
receive information and training before working with a hazardous chemical.
A. True
B. False
(Training and information must be provided prior to initial assignment – this is your
Right to Know.)
20. What is the name of the document that should accompany every chemical?
A. Material Safety Data Sheet ( MSDS)
B. Chemical Inventory Sheet (CIS)
C. Fact Sheet
(Material Safety Data Sheet is a form that details the contents of chemicals and their
safe handling.)
21. Material Safety Data Sheets are kept in:
A. The red Safety Manual where all staff have access
B. Master list located in Safety/Security Office
C. Locked in the Directors office so that they will not be lost
D. A & B
(MSDS forms are located in the red Safety Manual in each department for the
appropriate chemicals in that department. A master list, containing all MSDS, is kept in
the Safety/Security Office.)
22. If you notice a large amount of liquid leaking from an area where a chemical is
stored. You would:
A. Close the door to the area
B. Call a code H
C. Look at the MSDS sheet
D. All of the above
(All are correct – Call a Code “H”, contain the spill, and immediately consult the MSDS
and Environmental Services.)
23. It is recommended that you lift and carry objects as close as reasonably possible to
your body.
A. True
B. False
(True - Lifting an object at arm‟s length creates seven to ten times as much pressure on
the low back as lifting the same object closer to the body.)
24. What key lifting elements may minimize the likelihood of an injury?
A. Bend at the hips and knees and keep the back straight
B. Maintain a wide base of support
C. Utilize help when needed
D. All of the above
(All elements may minimize the risk of an injury.)
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25. CJW is committed to the ALARA system for radiation exposure. What does ALARA
stand for?
A. Keeping radiation exposure As Low as Radiation Allows
B. Keeping radiation exposure As Low as Reasonably Achievable
C. Keeping radiation exposure As Little As Rationally Appropriate
D. Keeping radiation exposure At Least A Room Away
(ALARA stands for keeping radiation exposure As Low As Reasonably Achievable.)
26. Which of the following three elements are associated with radiation exposure?
A. Time, Distance, Type of Radiation
B. Distance, Source, Time
C. Time, Distance, Shielding
D. Amount of Radiation, Time, Exposure
(Time, Distance, and Shielding are the elements associated with radiation exposure –
you would want to spend the least amount of time, the furthest distance, and have some
sort of shielding, such as a lead apron.)
27. It would be safe to enter the Magnetic Resonance Imaging (MRI) scanning room
when:
A. A Code Blue has been called
B. It was the scheduled time for your patient
C. The MRI personnel have approved
D. Your patient with a pacemaker would like to see the room
(Never go into the MRI scanning room, or place anything in the room, without prior
approval from the MRI staff.)
28. What items can be stored under the sink?
A. Non-patient care items
B. Cleaning supplies
C. Nothing
D. Anything is OK as long as the area is clean and dry
(Only cleaning supplies may be stored under the sink.)
29. In the event of an internal or external disaster, the Hospital Emergency Incident
Command System (HEICS) incident commander directs all the activities within the
hospital during the disaster.
A. True
B. False
(The incident commander will make assignments to key person(s), identify those
personnel through the use of vests, and provide job action sheets that describe their
duties through all phases of the disaster.)
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30. The following is done to protect the confidentiality of our patients, except:
A. Be aware of your surroundings when discussing a patient
B. Access patient information only in the course of your job responsibility
C. Patients may be discussed in areas where there is CJW staff only
D. Confidentiality includes the medical record and any computerized medical
information
(All are correct, except C. Patients have the right to expect that their protected health
information remains private and limited to those with the need to know.)
31. When a patient falls and you and your co-workers are unable to assist the person off
the floor safely. What should you do?
A. Call a Code F (First Responder), comfort the patient and wait for help to
arrive
B. Contact Engineering for assistance, comfort the patient and wait for help to
arrive
C. Wait until the next shift arrives for additional help
D. None of the above
(A Code F is called when a person has fallen and needs assistance – comfort and
stay with the patient until help arrives.)
32. In order to perform a safe bed-to-stretcher transfer, what should you do?
A. Put the slide-board under the patient
B. Count “1-2-3” before moving the patient
C. Lock the wheels of the bed and stretcher
D. All of the above
(All are necessary for a safe transfer.)
33. The following is done when caring for a patient with known Latex Allergies, except:
A. An allergy armband noting Latex Allergy should be worn
B. Post Latex Allergy signs on door and over the head of the bed
C. Obtain Latex free supplies from CSS
D. Single sheet the bed
(Double sheet the bed & stretchers for patients with Latex Allergies. See the Latex
Allergy policy in the Administrative Policy Manual.)
34. What are some methods to reduce the risk of needle sticks?
A. Use of needle-less devices
B. Not recapping
C. Both A & B
D. There is nothing that can be done to prevent needle stick injuries.
(A & B are correct. The use of needle-less IV devices is an example of an engineering
control. Used needles and other sharps are not to be bent, sheared, recapped or
intentionally broken.)
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35. Following a needle stick injury, it is important to:
A. Report the incident to your supervisor
B. Go to Employee Health
C. Have an EXPOPAT drawn on the patient
D. Fill out an occurrence report
E. All of the above
(All are correct. For more information, see Exposure Control Plan in the Infection
Control Manual).
36. Which statement(s) is true about MRSA/VRE?
A. Contact isolation required
B. Transmission most likely carried to other patients on our hands and clothes
C. Patients with „colonized‟ MRSA continue on contact isolation.
D. All of the above
(MRSA/VRE requires contact isolation even if in sputum. We are most likely to transmit
these organisms to other patients on our hands and clothes, so wear gowns and gloves.
„Colonized‟ MRSA means that the patient still has the organism but it is not causing that
patient to be ill. Staff can still carry the organism to other rooms and infect others,
therefore, contact isolation is still required.)
37. Which of the following is NOT true for Airborne Isolation?
A. Utilized for TB
B. Staff utilize N95 respirator
C. Positive Pressure Room required
D. If patient travels, they wear surgical mask
(Negative Pressure Rooms are required for Airborne Isolation.)
38. Drinks and food are not allowed on medication carts and housekeeping carts.
A. True
B. False
(Do not eat, drink, apply cosmetics, or handle contact lenses in an area where there is a
chance of exposure to blood and body fluid.)
39. Artificial nails are permitted in patient care areas as long as they are short, clean,
and in good repair.
A. True
B. False
(Studies have linked artificial nails to infection; they increase growth of gram-negative
bacteria and fungus. In addition, long fingernails (natural and artificial) make removal of
bacterial from hands more difficult. They may also compromise the integrity of gloves.)
40. The CDC (Centers for Disease Control) recommends the use of alcohol hand gel
rather than traditional hand washing unless hands are visibly soiled.
A. True
B. False
(See the Infection Control Manual for more information.)
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41. Sharps containers are emptied when they are ¾ full.
A. True
B. False
(False – Sharps containers are never emptied. They are closed, removed, and
discarded appropriately – i.e. Schaffer Cart or red bag.)
42. Which of the following statement(s) is true regarding linen?
A. Used linen is placed in a red bag and taken to the soiled linen cart.
B. Clean linen must be covered at all times.
C. A soiled linen bag is kept in the patient‟s room for easy access.
D. All of the above
(Used linen is placed in a blue bag; soiled linen bags are not be left in patient‟s room
nor dragged down the hallway. Clean linen must be covered at all times.)
43. Blood glucose strip is considered Regulated Medical Waste.
A. True
B. False
(A small amount of blood is OK)
44. An Unused Red bag is considered Regulated Medical Waste.
A. True
B. False
(Both used and unused red bags are considered RMW.)
45. A soiled diaper is considered Regulated Medical Waste.
A. True
B. False
(A soiled diaper is not considered RMW)
46. Soiled dressing with a small amount of dried blood on it is considered Regulated
Medical Waste.
A. True
B. False
(A small amount of blood on a dressing is OK)
47. The following may be used as a patient identifier:
A. Patient‟s name
B. Room number
C. Account number
D. A & C
(The room number is never used as a patient identifier. See policy in the Administrative
Policy Manual.)
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48. Which of the following is the code for fire?
A. Code Fire
B. Code Red
C. Dr. Red
D. Dr. Fire
(Code Red is the appropriate code to call when reporting a fire.)
49. Smoking is permitted
A. At all entrances to the building
B. Outside
C. In approved smoking areas only
D. Any area free of combustible materials.
(No smoking is permitted within 15 feet of the building and is allowed in designated
smoking areas outside of the facility only.)
50. Who is responsible for Safety at CJW?
A. Mike Beshada
B. The Safety Committee
C. The Employee
D. All of the above
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