1.Easy
What is terminal cleaning?
- ACleaning a room only once a week, whatever happens on the ward
- BA full clean and disinfection of a room after the patient leaves
- CCleaning the hands at the end of a shift before going home
- DCleaning computer terminals at the nurses’ station
2.Easy
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey reduce the risk of injury if the patient falls out of bed
- BThey help the patient sleep more deeply
- CThey make it easier for staff to clean under and around the bed
- DThey stop the patient from ever leaving the bed
3.Easy
Surgical instruments that enter sterile tissue are “critical” items. Which processing do they need before reuse?
- ALow-level disinfection
- BSterilization
- CCleaning with detergent and water only
- DHigh-level disinfection
4.Medium
A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?
- AGive syrup of ipecac from the medicine cabinet
- BMake the child vomit, using a finger at the back of the throat
- CWait to see whether any symptoms develop over the next day
- DContact the local poison advice service now for specific advice
5.Medium
A patient has highly contagious viral conjunctivitis. Which teaching is most important?
- AWash hands often and do not share towels, pillows or eye drops
- BRub the eyes gently to remove the discharge
- CWear a surgical mask whenever someone else is in the room
- DKeep using the same contact lenses to protect the eyes
6.Medium
A patient with delirium is at risk of falls and of pulling out lines. Which option is less restrictive than restraints?
- AFour side rails raised and the door closed so the patient stays in bed
- BA vest restraint applied for the whole night
- CA sedative given every few hours as needed
- DA trained sitter or video monitoring with staff nearby
7.Hard
A nurse teaches new parents how to cope with an infant’s crying. Which statement shows a need for further teaching?
- A“I will check whether he is hungry, wet or too warm.”
- B“If I get frustrated, I will put him safely in the crib and take a short break.”
- C“I can call a friend or family member to help when I am tired.”
- D“If he won’t stop crying, a quick shake will get his attention.”
8.Hard
On admission, the medication list from home includes a blood thinner that is not on the new hospital orders. What should the nurse do?
- AClarify the discrepancy with the prescriber
- BTell the patient to take their own supply secretly
- CGive the home dose without an order
- DIgnore it, as the hospital orders replace home medicines
Answer key
- 1. B · A full clean and disinfection of a room after the patient leaves
- 2. A · They reduce the risk of injury if the patient falls out of bed
- 3. B · Sterilization
- 4. D · Contact the local poison advice service now for specific advice
- 5. A · Wash hands often and do not share towels, pillows or eye drops
- 6. D · A trained sitter or video monitoring with staff nearby
- 7. D · “If he won’t stop crying, a quick shake will get his attention.”
- 8. A · Clarify the discrepancy with the prescriber
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