Q1. Which duty is not the responsibility of a risk manager?
1		Analysis of incident reports from each workplace
2		Distribution of safety measures to their hospital staff
3		Recommendations of the medical examination for preventing accidents
4	〇	Time management of employees in the hospital
5		Encouragement of incident reporting to their staff
Q2. Which of the following information is unique to the patient?
1	〇	Patient ID
2		Birth date
3		Gender
4		Blood type
5		Medical department being consulted
Q3. Which of the following cases does not require an incident or error report submitted?
1		A mistake happened but was corrected before practice
2		Immediate corrective action taken after wrong practice, fortunately without injury
3		Were able to prevent an incident, but a serious accident would have occured if conducted
4	〇	Over-period hospitalization
5		A minor injury occurred but the patient said it was OK
Q4. Which of the following is not appropriate as a reaction to fire ?
1		When a fire is discovered in the facility, be sure to inform the security guard office as soon as possible
2	〇	Use elevators for patients who need a stretcher.
3		Try to extinguish the fire quickly using a fire extinguisher or bucket before the fire burns the building.
4		Prepare by carrying a flashlight incase of blackout
5		Count the number of patients/staff imediately after evacuation
Q5. Which is the correct item for prevention of medical accidents?
1		Double Checking is a method only for inexperienced staff
2		The worker who has enough experience will not need call out and checkback.
3		It is possible to omit double checking when busy
4		We can break the rules only if an accident doesn’t occur
5	〇	It is important to improve the safety awareness in order to reduce human error
Q6. Which of the following is wrong regarding the identification of a patient(?)
1		Compare Patient's card to medical record at outpatient clinic
2		Mother gives full name of her baby.
3		Identify hospitalized patient by checking the wrist band.
4	〇	Patient says their name after Lab test was finished
5		The patient was unable to communicate so the helper gave the response.
Q7. Which is the incorrect explanation for medical accidents?
1		Personal injury which occurred during the entire medical procedure.
2		Healthcare workers are also included as victims of medical accidents.
3	〇	Accidents that occurred due to natural disastersare not medical accidents
4		Medical malpractice is an error caused by negligence
5		Adverse events is the injury of patients caused by medical practice
Q8. Which of the following is appropriate usage of AED?
1		Paste poles on top of patient’s clothing
2		Past poles on the back of the patient.
3		Heart massage should be continued while reading ECG
4		It is unnecessary to remove compresses before pasting the pads.
5	〇	Do not touch patient when AED switching on.
Q9. Which of the following is incorrect regarding explanation of informed concent?
1		The doctor's explanation uses a certain format for the patient and family
2		Signature of patient and family is required for consent document
3		Informed consent documents must be kept in medical records.
4		Informed consent is important for even minor actions.
5	〇	Informed consent is required especially in case of emergencies such as cardiopulmonary failure.
Q10. Which of the following is inappropriate for not performing a risk assessment for falls?
1		Assessment is necessary for all the patients hospitalized.
2		Assessment is carried out both by doctors and nurses.
3		The presence of a single risk factor is enough to consider reaction.
4	〇	Reassessment is carried out by nurses.
5		Family's opinion should be put in appropriate part in the official record.
Q11. Which of the following explanations is incorrect for an incident report?
1		There is no punishment of the health personell reporting the incident
2	〇	Analysis of the incident report is of no use for the prevention of the accidents.
3		The incident report is useful to recheck your actions
4		There is a prescribed time requirement for keeping documents
5		The incident report can be shared among hospital workers to inform them of the risk
Q12. Which of the following is appropriate for requesting medical records without patient's consent?
1		When the employer of the patient asks about the patient's disease.
2		When the school teacher asks about the patient's disease.
3		When the insurance company asks about the duration of hospitalization.
4		When a lawyer asks about the medical fee for a law suit.
5	〇	When a policeman asks about a patient's degree of injury.
Q13. Which of the following is incorrect regarding the collection of a blood sample?
1	〇	Vacuum tube holder is reused after sterilization.
2		Gloves should be used when collecting the blood sample.
3		Disinfection should be done before and after blood sample collection.
4		Do not recap the needle after collecting blood.
5		Always use the winged needle with the safety cap.
Q14. Which of the following is incorrect when collecting blood sugar samples from multiple patients?
1	〇	The instrument used is not designated.
2		A special device is prepared to avoid the reuse of needles.
3		They need disposable gloves for collecting the sample
4		Used needles should be collected for medical waste.
5		Used needles are not recapped
Q15. Which is incorrect regarding the management of personal information.
1		Saved the patient's personal information to the desktop PC in the personal information management facility.
2		Saved the patient's personal data to the USB memory which is protected by a PIN number.
3	〇	Saved the patient's personal information to a private laptop.
4		Stored the USB memory in a locked cabinet in the management facility.
5		Locked a PIN number for the desktop PC that was registered,.
Q16. Which is incorrect regarding informed consent?
1	〇	Informed consent will only be needed at the time of surgery
2		Doctor will inform the patient and their family using the condition description and paper manual.
3		Doctor will need the signature from family or patient for the informed consent form.
4		Agreement with instructions should be kept in medical records
5		There are cases such as cardiopulmonary arrest, impaired consciousness and non-communicative states where Informed Consent is exempt.
Q17. Which of the following is incorrect with regards to blood collection?
1		Blood collection should not be performed on the arm on the same side as a mastectomy.
2	〇	Blood collection may be performed on the same side as the dialysis shunt as long as it is away from the shunt.
3		Do not collect blood from an arm when there is an ongoing infusion
4		The patient should always be identified by at least two terms of identification, such as name and birth date
5		Puncture wounds take a long time to clot with patients taking warfarin.
Q18. Which is the correct number of days for the expiration of red blood cell concentrates(RCC)?
1		7 days
2		21 days
3		42 days
4	〇	Depends on the storage and medium used
5		You inspect the blood and it is expired when it is hemolyzed
Q19. If in an extreme emergency you perform an apharesis plasma platelet transfusion on a patient with an unknown blood type which ABO blood type should be used first?
1		Type A
2		Type B
3		Type O
4	〇	Type AB
5		Any type
Q20. Which of the following is incorrect for fresh frozen plasma (FFP)
1		You can store fresh frozen plasma for at least 1 year in < -40 degrees C
2		Fresh frozen plasma can be made from either a collection of whole blood or plasma apherisis
3		Fresh frozen plasma is platelet poor
4		You can obtain plasma by centrifugation of whole blood
5	〇	You always have to make a compatibility test before transfusing plasma
Q21. Which of the following is incorrect in the description of the incident report.(?)
1		Describing of facts is important in incident reporting.
2		Incidents are reported by the staff member involved in the occurrence.
3	〇	When we have a serious accident, we need an incident report.
4		Incident reporting is one of the means to prevent the accident from occurring.
5		The incident report is submitted anonymously(where possible).
Q22. Which of the following is incorrect with regards to informed consent?
1		It is required prior to the implementation of any medical procedure.
2		In principle, it will be described by the physician to the patient and family using the condition description and paper manuals.
3	〇	In the case of adult patients with insufficient understanding it is not necessary to explain
4		Doctors should explain sufficiently to the patients.
5		Doctors need an agreement and a record with a patient
Q23. Which is wrongin the description of the level of medical accident?
1		Level 5: Death( Except those due to natural causes).
2		Level 4: sequelae or permanent injury remained.
3		Level 3b : required major treatment such as: advanced changes in vital signs, installation of a ventilator, surgery, increased length of hospital stay, hospital outpatient such as fractures.
4		Level 3a :requires simple treatments such as: disinfection, poultice, suture of the skin, administration of analgesics.
5	〇	Level 2: There is no effect to the patient
Q24. Which description is incorrect for the prevention of diseases?
1		Vaccine is effective in hepatitis B
2		There is a risk of infection of hepatitis C by needlestick accident
3		Tuberculosis is transmitted by sputum.
4		Dengue fever is transmitted by mosquito.
5	〇	Ebola hemorrhagic fever is transmitted in the air.
Q25. When writing in health-care records, Which is incorrect？
1		It was provided sufficient information to identify the patient.
2		It describes all information related to diagnosis or treatment and outcome of patients
3		It should update records so that it is always up-to-date.
4		When any event occurs, you should record early.
5	〇	It records part of the information and advice told the patient.
Q26. Which is the correct strategy for incident report.
1		It feeds back in the appropriate timing.
2		It permits a report with being anonymous.
3	〇	It submit to choose the required report.
4		When the situation collects successfully, it praises in the official place.
5		It also should be reported on incidents that were not harmful.

The e-Learning Program - Risk Management

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