1.Easy
Before giving the first dose of an antibiotic, what must the nurse check?
- AThe time of the patient's last meal
- BThe patient's height
- CThe patient's allergy status
- DThe patient's blood group
2.Easy
Why should a patient who has had a stroke have a swallow screen before oral food, fluid or medicine?
- ATo measure their blood pressure
- BTo reduce the risk of aspiration
- CTo check their blood glucose level
- DTo prevent pressure ulcers
3.Easy
What is the recommended ratio of chest compressions to rescue breaths in adult CPR?
- A15 compressions to 2 breaths
- B30 compressions to 2 breaths
- C5 compressions to 1 breath
- D10 compressions to 1 breath
4.Medium
Which measure helps reduce the risk of surgical site infection?
- AShaving the area with a razor the night before surgery
- BRemoving hair, if needed, with clippers rather than a razor
- CChanging the wound dressing every hour
- DLeaving the patient cool during surgery to slow bacterial growth
5.Medium
Which examination findings suggest a large pleural effusion on one side?
- AA hyper-resonant chest with the trachea pulled towards that side
- BDull percussion and reduced breath sounds over the lung base
- CNormal breath sounds and normal percussion
- DWheeze heard over both lungs
6.Medium
A nurse finds a patient lying on the floor beside the bed. What should be done first?
- APhone the patient's family
- BCheck the patient for injuries before moving them
- CLift the patient straight back into bed so they are comfortable
- DComplete the incident report form
7.Hard
A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?
- AWhether the patient has eaten breakfast
- BThat the catheter and tubing are not kinked or blocked
- CThe patient's weight from last year
- DThe patient's cholesterol level from the admission bloods
8.Hard
A nurse notices that a wrong dose of a drug was prepared but was caught before it was given. What should be done?
- ATell only the patient's family
- BReport it as a near miss through the incident reporting system
- CSay nothing, because no harm reached the patient
- DDiscipline the nurse who prepared it on the spot in front of colleagues
Answer key
- 1. C · The patient's allergy status
- 2. B · To reduce the risk of aspiration
- 3. B · 30 compressions to 2 breaths
- 4. B · Removing hair, if needed, with clippers rather than a razor
- 5. B · Dull percussion and reduced breath sounds over the lung base
- 6. B · Check the patient for injuries before moving them
- 7. B · That the catheter and tubing are not kinked or blocked
- 8. B · Report it as a near miss through the incident reporting system
Full step-by-step solutions: practise this topic on examproblems.com.