I TR A P · E R O C
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PH Core Mandatory Part I
EST. 1999
IMPROVING LIVES THROUGH BETTER LEARNING
Core Mandatory — Part I
H E A LT H C A R E S A F E TY · E M E R G E N CY P R E PA R E D N E SS · I N F E CT I O N CO N T R O L · H I PA A
INSTITUTION Relias (Prophecy Healthcare) ASSESSMENT Core Mandatory Part I
PROGRAM Healthcare Competency Training ACADEMIC YEAR
EXAM TITLE Core Mandatory I — Safety & COURSE TITLE Healthcare Safety and Compliance
Emergency Response
TOTAL QUESTIONS 35 Questions FORMAT Multiple Choice — Select the
Single Best Answer
ASSESSMENT INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers fire safety, hazardous materials, infection control, body mechanics, emergency
preparedness, HIPAA, and workplace safety.
▸ Correct answers and clinical rationales appear below each question for review purposes.
▸ All content reflects current OSHA, CDC, HIPAA, and The Joint Commission standards.
, CORE COMPETENCY ASSESSMENT Questions 1 – 35
1. If you discover a person on fire, what is the correct action to take?
A. Keep the person's clothing on once the fire is out
B. Wrap the person in a blanket and pat the fire area
C. Help the person run from the building
D. Fan the flames to help put them out
CORRECT ANSWER B — Wrap the person in a blanket and pat the fire area.
RATIONALE The correct response follows the "Stop, Drop, and Roll" principle. Wrapping the
person in a blanket (or heavy coat) smothers the flames by cutting off the oxygen
supply. Patting or rolling helps extinguish remaining flames. Never have the
person run — running provides more oxygen to the flames and accelerates the
fire. Never fan the flames — this also increases oxygen supply. Once the fire is out,
clothing should be carefully removed (if not adhered to the skin) to assess burn
severity. Cool water (not ice) can be applied to minor burns. The priority is
extinguishing the fire safely without causing additional injury.
2. Hazards associated with compressed gases include which of the following?
A. Oxygen displacement
B. Explosions
C. Toxic gas exposures
D. All of the above
CORRECT ANSWER D — All of the above.
RATIONALE Compressed gases present MULTIPLE serious hazards: (1) Oxygen displacement —
inert gases can leak and displace oxygen in enclosed spaces, causing asphyxiation
without warning. (2) Explosions — compressed gas cylinders are under extreme
pressure; if a valve is damaged or the tank is exposed to heat, it can become a
projectile or explode catastrophically. (3) Toxic gas exposures — many medical
gases (nitrous oxide, ethylene oxide) are toxic if inhaled. OSHA requires proper
storage, securing of cylinders (chains/straps), and use of regulators. All cylinders
must be stored upright, secured, and away from heat sources.
, 3. Which of the following statements regarding the use of gloves is correct?
A. You do not need to wash your hands before putting on gloves
B. Turn gloves inside out when removing them
C. It is acceptable to reuse gloves if you wash them first
D. It is acceptable to wear multiple layers of gloves and peel off each layer between tasks
CORRECT ANSWER B — Turn gloves inside out when removing them.
RATIONALE Correct glove removal technique (doffing) requires turning the glove inside out so
that the contaminated exterior is contained within the turned glove. Procedure:
(1) Grasp the outside of one glove at the wrist with the opposite gloved hand. (2)
Peel the glove away, turning it inside out. (3) Hold the removed glove in the
gloved hand. (4) Slide fingers of the ungloved hand under the remaining glove at
the wrist. (5) Peel the second glove off over the first. (6) Discard and perform hand
hygiene. Hand hygiene MUST be performed BEFORE putting on gloves. Gloves are
SINGLE-USE — never washed and reused. Multiple glove layers are not a standard
practice.
4. If a person is injured at the hospital during a natural disaster, a correct action to take is:
A. Turn a person with a head injury onto his or her back
B. Use a wheelchair or a stretcher to take the person to the Emergency Department for
treatment
C. Report the accident only if the person had to go to the Emergency Department
D. Try to move the person yourself
CORRECT ANSWER B — Use a wheelchair or a stretcher to take the person to the Emergency
Department for treatment.
RATIONALE During a natural disaster, injured persons should be transported safely using
appropriate equipment (wheelchair for those who can sit; stretcher for those who
cannot). Key principles: (1) NEVER turn a person with suspected head or spinal
injury onto their back — maintain spinal immobilization. (2) ALL accidents and
injuries must be reported regardless of severity (OSHA requirement). (3) Do NOT
attempt to move seriously injured persons alone — get help and use proper body
mechanics. The hospital's Emergency Operations Plan (EOP) should guide the
response, including designated treatment areas and triage protocols.