1.Easy
In the chain of infection, which link is broken when a patient covers the mouth and nose with a tissue when coughing?
- AThe susceptible host
- BThe infectious agent
- CThe reservoir
- DThe portal of exit
2.Easy
A corridor is filling with smoke. How should staff move through it?
- AOpen all windows on the way
- BHold their breath and run through
- CStay low, below the smoke
- DStand up straight and walk quickly
3.Easy
Which precautions are needed for a patient with scabies?
- ANo special precautions
- BContact precautions
- CDroplet precautions
- DAirborne precautions
4.Medium
An order reads “Give potassium chloride by IV push.” What should the nurse do?
- AGive it slowly by IV push over two minutes while watching the cardiac monitor
- BGive half by IV push and the rest later
- CDilute it in a small syringe and push it
- DNot give it, and contact the prescriber, because it is never given by IV push
5.Medium
Which statement about the use of physical restraints is correct?
- AStanding as-needed restraint orders are good practice
- BRestraints can be used whenever the unit is short of nursing staff
- CRestraints are checked once at the end of each shift
- DAlternatives come first, and a time-limited order is needed
6.Medium
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- ADecline, and give only medications that the nurse prepared or checked personally
- BGive it, as long as the syringe has a label with the drug name on it
- CGive it, because the colleague is experienced
- DGive it, and document that the colleague prepared it
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 he won’t stop crying, a quick shake will get his attention.”
- C“If I get frustrated, I will put him safely in the crib and take a short break.”
- D“I can call a friend or family member to help when I am tired.”
8.Hard
Only one airborne infection isolation room (negative pressure) is free. Which newly admitted patient should be placed in it?
- AA patient with C. difficile diarrhea
- BA patient with suspected active pulmonary tuberculosis
- CA patient with confirmed seasonal influenza and a cough
- DA patient with an MRSA wound infection
Answer key
- 1. D · The portal of exit
- 2. C · Stay low, below the smoke
- 3. B · Contact precautions
- 4. D · Not give it, and contact the prescriber, because it is never given by IV push
- 5. D · Alternatives come first, and a time-limited order is needed
- 6. A · Decline, and give only medications that the nurse prepared or checked personally
- 7. B · “If he won’t stop crying, a quick shake will get his attention.”
- 8. B · A patient with suspected active pulmonary tuberculosis
Full step-by-step solutions: practise this topic on examproblems.com.