CHSOS actual exam-with 100% verified solutions-
2024- 2025
When one electric device interrupts the function of another electronic device in the radio frequency
spectrum
Electromagnetic Interference
Feedback from participant evaluations of a simulation activity are positive except for the ratings on
perceived reality compared to real patients. The operations specialist should first
Assess the presentation of the simulation activity with the simulation team - this allows team to
gather more info from multiple sources. THe team will likely have insights to curriculum, participant
experience, and sim activity concepts that would help determine the beset course of action to
PR
improve the activity. Modifying the activity at this point is inappropriate as it could create more
problems without the core problem being identified. Interviewing the participants is inappropriate
because they have already provided feedback
An OS is training a new hire who is sitting in the control room during a scenario in which a sinus
rhythm converts to asystole. Near the end of the scenario, the PT stops vocalizations. The new hire
O
asks the OS why this happened. What is the best response?
FD
"The PT has gone into cardiac arrest, so vocalizations cease." - When a PT is in asystole, heart and
respiratory function is absent and therefore PT is unconscious
An OS notices that one of the cameras in the sim lab is transmitting an under-exposed image. Which
O
is the most likely cause?
Light source is behind the subject will result in an under-exposed image. If the light source is behind
C
the camera, this may result in an over-exposed image.
Which of the following would be the best way to prevent equipment failures for new simulators?
Implement an inspection and cleaning schedule - supports early recognition of problems before they
become major issues. Troubleshooting and warranties are solutions after a problem is identified.
Limiting simulator use is unfeasible.
The OS is assisting in a research study to determine how many participants maintain sterile
technique during a Foley catheter insertion. What type of research is performed?
Quantitative research - based on numbers. Qualitative research aims to explain a phenomenon or is
used to gain insight. For example, what are the participants attitudes toward breaking sterile
technique.
,The OS has been asked if there is a simulation activity on file to assess competency of the "five
rights." The OS knows this refers to
Medication administration
Scenario objectives are selected based on the
Educational goals - Objectives are the tools that guide the learning experience. In order to develop
appropriate scenario objectives, educational goals must be defined. This allows the participant to
achieve the desired outcomes of the simulation experience.
PR
What operation philosophy requires the operator to make all changes to the simulator during a
scenario?
O
On the Fly
FD
...
Which is an RCA coupler?
O
The OS is working with a simulation educator to complete evaluative scenarios with students who
will soon be graduating from a program of study. At the end of each students' scenario, the educator
C
provides the student with a review of their actions during a scenario. The OS recognizes that this is
an example of
Performance feedback - unidirectional, meaning the educator provides one-on-one assessment of
the learner identifying gaps in their performance based on set standards without opening a dialogue
with the learner
Bi-directional interactive discussion. It is facilitated in a manner that encourages learners to reflect
on activities, discuss areas for improvement, and assimilate knowledge and skills.
Debriefing
, An OS has been informed that the older full body simulator is being replaced. A current
preprogrammed scenario can be converted for use with the new simulator's control software. A new
feature not previously available in the older simulator will improve scenario fidelity. The OS should
recommend what?
The scenario on file to be converted, and amended to include the new feature - this takes advantage
of the previously validated scenario while allowing for the new features to be incorporated
The OS is an embedded standardized participant in the role of a nursing assistang during a
simulation scenario. The OS notices the participants have a fully charged live defibrillator. One of the
participants has their back to the device, is doing chest compressions on the simulator, and
continues to do so after "CLEAR" is called. What should the OS do?
Alert the participant to clear the bed and remind the group that the shock is not simulated - safety is
PR
paramount
What would be the best strategy for maintaining technical and operating manuals for simulation
equipment?
O
Centralize all materials to one location where they are secure, but available to OS - ensure conssus,
version control, and to minimize the risk of tampering with the content of reference materials. This
also ensures availability of materials.
FD
The sim educator requests a task trainer for an activity involving lumbar puncture on a patient with a
high bilirubin. the OS should prime the task trainer with what color simulated CSF?
O
Yellow - CSF is normally clear, but yellow with high bilirubin
C
When selecting a lubricant to use during an intubation simulation scenario, the lubricant must
Meet the manufacturer's specifications for the simulator - incorrect lube may void the warranty or
damage the simulator
A simulation activity is exceeding the amount of time originally scheduled and there is not enough
time to facilitate a full debriefing session. The sim facilitator informs the OS the debriefing will be
omitted to allow more time for the activity. The OS should
Talk to the simulation facilitator about the importance of debriefing - debriefing time must be
greater than or equal to time spent in the scenario. Research demonstrated that learning occurs the
most in debrief. It is the OS' responsiblity to reinforce the standards. Modifying the schedule is
unfeasible becasue it is pre-determined and would impact the learning of other participants.
2024- 2025
When one electric device interrupts the function of another electronic device in the radio frequency
spectrum
Electromagnetic Interference
Feedback from participant evaluations of a simulation activity are positive except for the ratings on
perceived reality compared to real patients. The operations specialist should first
Assess the presentation of the simulation activity with the simulation team - this allows team to
gather more info from multiple sources. THe team will likely have insights to curriculum, participant
experience, and sim activity concepts that would help determine the beset course of action to
PR
improve the activity. Modifying the activity at this point is inappropriate as it could create more
problems without the core problem being identified. Interviewing the participants is inappropriate
because they have already provided feedback
An OS is training a new hire who is sitting in the control room during a scenario in which a sinus
rhythm converts to asystole. Near the end of the scenario, the PT stops vocalizations. The new hire
O
asks the OS why this happened. What is the best response?
FD
"The PT has gone into cardiac arrest, so vocalizations cease." - When a PT is in asystole, heart and
respiratory function is absent and therefore PT is unconscious
An OS notices that one of the cameras in the sim lab is transmitting an under-exposed image. Which
O
is the most likely cause?
Light source is behind the subject will result in an under-exposed image. If the light source is behind
C
the camera, this may result in an over-exposed image.
Which of the following would be the best way to prevent equipment failures for new simulators?
Implement an inspection and cleaning schedule - supports early recognition of problems before they
become major issues. Troubleshooting and warranties are solutions after a problem is identified.
Limiting simulator use is unfeasible.
The OS is assisting in a research study to determine how many participants maintain sterile
technique during a Foley catheter insertion. What type of research is performed?
Quantitative research - based on numbers. Qualitative research aims to explain a phenomenon or is
used to gain insight. For example, what are the participants attitudes toward breaking sterile
technique.
,The OS has been asked if there is a simulation activity on file to assess competency of the "five
rights." The OS knows this refers to
Medication administration
Scenario objectives are selected based on the
Educational goals - Objectives are the tools that guide the learning experience. In order to develop
appropriate scenario objectives, educational goals must be defined. This allows the participant to
achieve the desired outcomes of the simulation experience.
PR
What operation philosophy requires the operator to make all changes to the simulator during a
scenario?
O
On the Fly
FD
...
Which is an RCA coupler?
O
The OS is working with a simulation educator to complete evaluative scenarios with students who
will soon be graduating from a program of study. At the end of each students' scenario, the educator
C
provides the student with a review of their actions during a scenario. The OS recognizes that this is
an example of
Performance feedback - unidirectional, meaning the educator provides one-on-one assessment of
the learner identifying gaps in their performance based on set standards without opening a dialogue
with the learner
Bi-directional interactive discussion. It is facilitated in a manner that encourages learners to reflect
on activities, discuss areas for improvement, and assimilate knowledge and skills.
Debriefing
, An OS has been informed that the older full body simulator is being replaced. A current
preprogrammed scenario can be converted for use with the new simulator's control software. A new
feature not previously available in the older simulator will improve scenario fidelity. The OS should
recommend what?
The scenario on file to be converted, and amended to include the new feature - this takes advantage
of the previously validated scenario while allowing for the new features to be incorporated
The OS is an embedded standardized participant in the role of a nursing assistang during a
simulation scenario. The OS notices the participants have a fully charged live defibrillator. One of the
participants has their back to the device, is doing chest compressions on the simulator, and
continues to do so after "CLEAR" is called. What should the OS do?
Alert the participant to clear the bed and remind the group that the shock is not simulated - safety is
PR
paramount
What would be the best strategy for maintaining technical and operating manuals for simulation
equipment?
O
Centralize all materials to one location where they are secure, but available to OS - ensure conssus,
version control, and to minimize the risk of tampering with the content of reference materials. This
also ensures availability of materials.
FD
The sim educator requests a task trainer for an activity involving lumbar puncture on a patient with a
high bilirubin. the OS should prime the task trainer with what color simulated CSF?
O
Yellow - CSF is normally clear, but yellow with high bilirubin
C
When selecting a lubricant to use during an intubation simulation scenario, the lubricant must
Meet the manufacturer's specifications for the simulator - incorrect lube may void the warranty or
damage the simulator
A simulation activity is exceeding the amount of time originally scheduled and there is not enough
time to facilitate a full debriefing session. The sim facilitator informs the OS the debriefing will be
omitted to allow more time for the activity. The OS should
Talk to the simulation facilitator about the importance of debriefing - debriefing time must be
greater than or equal to time spent in the scenario. Research demonstrated that learning occurs the
most in debrief. It is the OS' responsiblity to reinforce the standards. Modifying the schedule is
unfeasible becasue it is pre-determined and would impact the learning of other participants.
