1.Easy
Which medication is a high-alert medication?
- AAcetaminophen (paracetamol) tablets
- BMultivitamin tablets
- CInsulin
- DLactulose syrup
2.Easy
Which drug is the first-line treatment for anaphylaxis?
- AFamotidine
- BEpinephrine (adrenaline)
- CDiphenhydramine
- DPrednisone
3.Easy
Which device warns staff when a patient at high risk of falls starts to get up?
- AAn infusion pump occlusion alarm
- BA pulse oximeter
- CA bed or chair exit alarm
- DA cardiac monitor
4.Medium
Which practice is safe when transferring a patient from a bed to a stretcher?
- ALock the wheels of both the bed and the stretcher before moving the patient
- BHave the patient slide across without help or a slide sheet
- CLower the stretcher side rails during transport
- DLeave the stretcher wheels unlocked so it can move with the patient
5.Medium
A patient wishes to refuse a prescribed medicine. What should the nurse do?
- AGive it anyway, because it was prescribed
- BHide the medicine in the patient’s food or drink to make sure it is taken
- CRecord the dose as given to avoid questions from the team
- DExplore the reason, explain, respect a competent choice and document
6.Medium
A patient has leftover opioid tablets after surgery. Which advice about disposal is best?
- AReturn them to a pharmacy or an approved take-back site
- BKeep them in an unlocked drawer at home in case of future pain
- CGive them to a friend or relative who has back pain
- DLeave them in the bathroom cabinet indefinitely
7.Hard
A patient on airborne precautions needs an urgent CT scan. Which plan is correct?
- APatient wears an N95 respirator, so staff need no protection
- BThe scan is postponed until the patient is no longer infectious
- CPatient masked, CT warned in advance, staff in respirators
- DPatient goes unmasked, and the CT room is cleaned the next day
8.Hard
Before the wound is closed, the sponge count does not match the starting count. What should happen?
- ATell the surgeon and team, search for the item, and image the patient per policy if it is not found
- BAssume that the first count was wrong and continue
- CClose the wound to avoid a long anesthetic and recount the sponges after surgery
- DChange the count on the record so that it matches, then close the wound as planned
Answer key
- 1. C · Insulin
- 2. B · Epinephrine (adrenaline)
- 3. C · A bed or chair exit alarm
- 4. A · Lock the wheels of both the bed and the stretcher before moving the patient
- 5. D · Explore the reason, explain, respect a competent choice and document
- 6. A · Return them to a pharmacy or an approved take-back site
- 7. C · Patient masked, CT warned in advance, staff in respirators
- 8. A · Tell the surgeon and team, search for the item, and image the patient per policy if it is not found
Full step-by-step solutions: practise this topic on examproblems.com.