Saudi Prometric Nursing Patient Safety and Ethics 4

Question 1

A patient with dementia is unable to make informed decisions. Who has the legal authority to provide surrogate consent in Saudi Arabia?

Accepted Answer

The patient's legal guardian or next of kin

Answer

The attending physician

Answer

The hospital ethics committee

Answer

The nursing supervisor

Question 2

Which of the following BEST describes the 'chain of survival' concept in patient safety?

Accepted Answer

A series of linked actions that increase survival from cardiac arrest

Answer

A hierarchy of nursing responsibilities during a code

Answer

The process of transferring critically ill patients safely

Answer

A documentation system for adverse events

Question 3

A nurse notices a physician writing orders that appear unsafe for a patient. What is the MOST appropriate initial action?

Accepted Answer

Question the physician directly and clarify the rationale for the orders

Answer

Implement the orders without question to avoid conflict

Answer

Refuse all orders from that physician immediately

Answer

Call the patient's family to report the concern

Question 4

Which situation requires a nurse to apply the principle of 'least restrictive intervention' in patient safety?

Accepted Answer

A confused patient at risk of falling who tries to get out of bed

Answer

A patient who requests stronger pain medication

Answer

A patient with an infectious disease who needs isolation

Answer

A patient who refuses oral medications

Question 5

What does the acronym 'RACE' stand for in fire safety procedures used in healthcare settings?

Accepted Answer

Remove, Activate, Contain, Extinguish/Evacuate

Answer

Report, Assess, Call, Evacuate

Answer

Rescue, Alert, Contain, Extinguish

Answer

Remove, Alert, Confine, Escape

Question 6

A nurse is caring for a patient who discloses suicidal ideation. Which action takes HIGHEST priority?

Accepted Answer

Ensure the patient's immediate safety and notify the care team

Answer

Document the disclosure and continue routine care

Answer

Reassure the patient that feelings will pass

Answer

Ask the family to stay with the patient and monitor remotely

Question 7

Which strategy is MOST effective for preventing patient misidentification errors in the hospital?

Accepted Answer

Verifying two unique patient identifiers before any procedure

Answer

Using the patient's room number as the primary identifier

Answer

Relying on the patient's verbal confirmation alone

Answer

Checking the bed label at the nurses' station

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