IPAC
Clue: Which situation requires a resident to be placed on Droplet & Contact Precautions?
A. New rash on arms
B. New cough, fever, and sore throat
C. Chronic runny nose
D. Healed wound with dressing intact
B. New cough, fever, and sore throat
Clue: A resident keeps trying to stand without their walker. What is the safest first step?
A. Move walker closer
B. Apply chair alarm
C. Check for unmet needs
D. Re-educate resident
Correct response: What is C: Checking for unmet needs?
Clue: A resident is unsteady today. What should you do?
A. Use same transfer method
B. Follow care plan
C. Ask resident what they prefer
D. Guess based on past behaviour
Correct response: What is B: Follow the care plan?
Clue: Under OHSA, which situation allows a worker to refuse unsafe work?
A. Short staffing
B. Frayed lift sling
C. Emotional stress
D. Heavy workload
Correct response: What is B: A frayed lift sling?
Clue: A resident says their pills “look different today.” What must you do?
A. Encourage them to take it
B. Report immediately
C. Ignore it
D. Offer food
Correct response: What is B: Report immediately?
Clue: Which action is correct when removing PPE after providing care?
A. Remove gown first, then gloves
B. Remove gloves first, then perform hand hygiene C. Remove mask before leaving the room
D. Remove eye protection before gloves
Correct response: What is B: Remove gloves first, then perform hand hygiene?
Clue: Which environmental factor most increases fall risk?
A. Bright lighting
B. Cluttered floor space
C. Bed in lowest position
D. Non-slip footwear
Correct response: What is B: Cluttered floor space?
Clue: Which is a sign a lift should not be used?
A. Resident is tired
B. Sling strap is frayed
C. Resident is talking loudly
D. Resident is cold
Correct response: What is B: A frayed sling strap?
Clue: Which is a workplace violence risk?
A. Resident yelling
B. Resident with unpredictable aggression
C. Resident refusing care
D. Resident sleeping during care
Correct response: What is B: Resident with unpredictable aggression?
Clue: A resident is coughing while swallowing pills. What is the safest action?
A. Give more water
B. Report swallowing difficulty
C. Crush pills
D. Ignore unless choking
Correct response: What is B: Report swallowing difficulty?
Clue: Three residents on the same unit develop new respiratory symptoms within 48 hours. What is the appropriate first step?
A. Begin unit-wide droplet precautions
B. Notify Public Health and initiate line listing
C. Test all residents immediately
D. Close the dining room
Correct response: What is B: Notify Public Health and initiate line listing?
Clue: After a fall, which assessment must occur first?
A. Vital signs
B. Pain assessment
C. Head-to-toe assessment for injury
D. Incident report
Correct response: What is C: Head-to-toe assessment for injury?
Clue: A resident reports dizziness before a sit‑to‑stand lift. What is the correct action?
A. Proceed quickly
B. Reassess and delay transfer
C. Ask resident to try anyway
D. Use manual transfer instead
Correct response: What is B: Reassess and delay transfer?
Clue: Which hazard requires immediate reporting to the Joint Health & Safety Committee?
A. Wet floor
B. Broken bed brake
C. Missing gloves
D. Loud noise
Correct response: What is B: A broken bed brake?
Correct response: What is B: A broken bed brake?
Clue: Which situation requires immediate medication review?
A. New vitamin
B. New antipsychotic + benzodiazepine
C. New probiotic
D. New topical cream
Correct response: What is B: Antipsychotic + benzodiazepine?
Clue: During a suspected C. difficile cluster, which action is incorrect?
A. Use sporicidal disinfectants
B. Use dedicated equipment
C. Use alcohol-based hand rub as primary method
D. Review antibiotic use
Correct response: What is C: Using alcohol-based hand rub as the primary method?
Clue: Which medication combination most increases fall risk?
A. Vitamin D + calcium
B. Antihypertensive + benzodiazepine
C. Antibiotic + probiotic
D. Insulin + statin
Correct response: What is B: Antihypertensive + benzodiazepine?
Clue: Which action is the most serious breach?
A. Two-person lift with inexperienced partner
B. Sit-to-stand after dizziness
C. Manual pivot when mechanical lift required
D. Leaving sling under resident
Correct response: What is C: Manual pivot when mechanical lift is required?
Clue: Which action violates OHSA supervisory duties?
A. Assigning staff to unfamiliar residents
B. Failing to remove unsafe equipment from service
C. Asking staff to complete training
D. Reviewing care plans
Correct response: What is B: Failing to remove unsafe equipment?
Clue: A resident refuses medications for the third day. What is the correct action?
A. Document only
B. Notify prescriber and assess cause
C. Hide medication in food
D. Skip dose
Correct response: What is B: Notify prescriber and assess cause?
Clue: Which IPAC breach during care poses the highest transmission risk?
A. Bringing clean supplies into the room
B. Touching hallway handrail before hand hygiene
C. Leaving laundry bag open
D. Wearing eye protection incorrectly
Correct response: What is B: Touching the hallway handrail before performing hand hygiene?
Clue: A resident with dementia falls repeatedly despite interventions. What is the next best step?
A. Add a bed alarm
B. Review interdisciplinary care plan
C. Increase supervision
D. Restrict mobility
Correct response: What is B: Reviewing the interdisciplinary care plan?
Clue: Which factor most increases lift‑related injury risk?
A. Resident anxiety
B. Incorrect sling size
C. Resident talking during lift
D. Lift battery fully charged
Correct response: What is B: Incorrect sling size?
Clue: A staff member reports a near miss involving a lift. What is the correct response?
A. Document only
B. Investigate root cause
C. Retrain staff immediately
D. Ignore unless injury occurred
Correct response: What is B: Investigating the root cause?
Clue: Which scenario represents a high‑risk medication error?
A. Missed vitamin
B. Wrong insulin type
C. Late antibiotic
D. Early PRN analgesic
Correct response: What is B: Wrong insulin type?