1.Easy
When is a tuberculin skin test (Mantoux test) read?
- A12 hours after the injection
- B7 to 10 days after the injection
- C48 to 72 hours after the injection
- D15 minutes after the injection
2.Easy
Several people develop Salmonella infection after eating the same undercooked chicken. Which mode of transmission is this?
- AVehicle transmission
- BVector-borne transmission
- CAirborne transmission
- DDirect contact transmission
3.Easy
What is seclusion?
- AClosing the curtains during personal care
- BKeeping a patient alone in a room or area that they are prevented from leaving
- CMoving a patient to a private room at their request
- DPlacing a patient on contact precautions in a single room with the door closed
4.Medium
An infusion pump’s drug library warns that the programmed dose is above the safe limit. What should the nurse do?
- AContinue the infusion and recheck the pump at the end of the shift
- BSwitch off the drug library for this infusion
- COverride the alert, because pump alerts are often wrong
- DRecheck the order, the calculation and the pump settings first
5.Medium
After teaching a patient about a new medication, how does the nurse best check understanding?
- AAsk the patient to explain in their own words how and when to take it
- BAsk “Do you understand?” and accept a yes
- CAsk the family whether they understood the teaching
- DGive a printed leaflet about the drug and assume the patient will read it at home
6.Medium
Which technique is correct when collecting a wound culture?
- AClean the wound with sterile saline first, then swab clean tissue
- BCollect the sample only after antibiotics have been started
- CSwab the old pus on the dressing that was just removed from the wound
- DUse one swab to sample two different wounds
7.Hard
A nurse teaches an older adult about preventing falls at home. Which statement shows a need for further teaching?
- A“I use night lights between my bedroom and the bathroom.”
- B“I wear shoes with non-slip soles around the house.”
- C“I keep small rugs in the hall so my feet stay warm.”
- D“I had grab bars put in next to the toilet.”
8.Hard
Victims of a chemical spill arrive at the emergency department with liquid on their skin and clothing. What is the priority before they enter the building?
- ADecontaminate them outside, with staff wearing appropriate PPE
- BTake a full history in the waiting room
- CTake them straight into the resuscitation room so treatment is not delayed
- DGive them hospital gowns and seat them in triage
Answer key
- 1. C · 48 to 72 hours after the injection
- 2. A · Vehicle transmission
- 3. B · Keeping a patient alone in a room or area that they are prevented from leaving
- 4. D · Recheck the order, the calculation and the pump settings first
- 5. A · Ask the patient to explain in their own words how and when to take it
- 6. A · Clean the wound with sterile saline first, then swab clean tissue
- 7. C · “I keep small rugs in the hall so my feet stay warm.”
- 8. A · Decontaminate them outside, with staff wearing appropriate PPE
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