1.Easy
What type of room is needed for a patient on airborne precautions?
- AA single room with positive pressure and filtered air
- BA single negative-pressure room (airborne infection isolation room)
- CAny single room with a window, with the door left open for observation
- DA shared bay with the curtains drawn around the bed
2.Easy
Which rule applies when a patient is using oxygen?
- AOil-based creams should be applied near the mask to protect the skin
- BOxygen tubing can be run under rugs
- CNo smoking, open flames or candles near the oxygen
- DOxygen tanks can be stored lying loose on the floor
3.Easy
In START triage, which casualties are tagged green (minor)?
- AThose who can walk to a designated area on their own
- BThose who are breathing more than 30 times a minute
- CThose who cannot follow simple commands
- DThose who are not breathing after the airway is opened
4.Medium
Which practice reduces back strain when a nurse moves a patient or heavy object?
- AStand with the feet close together for balance
- BBend at the waist and keep both knees straight
- CHold the load at arm’s length to keep it steady
- DKeep the load close to the body and avoid twisting
5.Medium
Before inserting a peripheral IV, the nurse cleans the skin with chlorhexidine-alcohol. What should the nurse do next?
- ABlow on the site so it dries faster
- BWipe it off with a dry gauze straight away
- CLet it dry fully and do not touch the site again
- DFeel for the vein again with an ungloved finger
6.Medium
Which technique is correct when collecting a wound culture?
- AClean the wound with sterile saline first, then swab clean tissue
- BSwab the old pus on the dressing that was just removed from the wound
- CUse one swab to sample two different wounds
- DCollect the sample only after antibiotics have been started
7.Hard
A patient has signed a surgical consent form but tells the nurse, “I don’t really understand what they are going to do.” What should the nurse do?
- AReassure the patient that the surgeon knows best and continue with the preparation
- BInform the surgeon so the procedure can be explained again before any sedation
- CGive the preoperative sedative so the patient relaxes
- DExplain the risks and benefits in place of the surgeon
8.Hard
A nurse has given a medication to the wrong patient. The patient seems well. What is the first priority?
- AAssess the patient and monitor for effects of the drug
- BSay nothing to the patient, in order to avoid worrying them
- CWait until the end of the shift to tell anyone
- DComplete the incident report before anything else
Answer key
- 1. B · A single negative-pressure room (airborne infection isolation room)
- 2. C · No smoking, open flames or candles near the oxygen
- 3. A · Those who can walk to a designated area on their own
- 4. D · Keep the load close to the body and avoid twisting
- 5. C · Let it dry fully and do not touch the site again
- 6. A · Clean the wound with sterile saline first, then swab clean tissue
- 7. B · Inform the surgeon so the procedure can be explained again before any sedation
- 8. A · Assess the patient and monitor for effects of the drug
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