1.Easy
Which footwear is safest for a hospitalized patient who is walking?
- ALoose slippers with an open heel that are easy to slide on
- BBare feet on the polished floor
- COrdinary cotton socks with no grip on the soles
- DNon-slip socks or well-fitting shoes with non-slip soles
2.Easy
How should a labeled specimen be sent to the laboratory?
- AIn the same bag as the request form, touching the paper
- BIn a sealed biohazard bag, with the request form in the separate pocket
- CIn an open cup placed on the transport trolley
- DLoose in the nurse’s uniform pocket so that it does not get lost on the way
3.Easy
A patient has confirmed seasonal influenza. Which transmission-based precautions are used?
- ANo precautions beyond hand hygiene
- BDroplet precautions
- CContact precautions only
- DAirborne precautions
4.Medium
Which PPE does a nurse wear when giving an IV chemotherapy drug?
- ATwo pairs of chemotherapy-tested gloves and a disposable impermeable gown
- BA reusable cloth gown and one pair of gloves
- CA surgical mask and no gloves
- DOne pair of standard latex gloves, changed after the infusion is started
5.Medium
Which patient has the highest risk of a burn from a heating pad?
- AA healthy young adult with a strained muscle
- BA patient with a sprained wrist who is fully alert
- CA patient recovering from a cold
- DA patient with diabetic peripheral neuropathy
6.Medium
A cup of water is spilled over an infusion pump plugged into the wall. What should the nurse do?
- ALeave it running and place a towel over it until it dries
- BTurn the pump upside down to drain it while running
- CWipe it dry quickly with a towel and keep using it for the infusion
- DSwitch it off and unplug it safely, then have it checked before reuse
7.Hard
A patient on chemotherapy develops shingles over several areas on both sides of the body. Which precautions are needed?
- AContact precautions only, with gloves for dressing changes
- BAirborne and contact precautions until all lesions are crusted
- CStandard precautions only, with the lesions covered
- DDroplet precautions until the pain settles
8.Hard
The fire alarm sounds, but the nurse does not know where the fire is. What should the nurse do?
- AOpen all doors so patients can be seen easily
- BLeave the unit and the building to find out where the fire is
- CClose the doors to patient rooms, stay on the unit and wait for instructions
- DEvacuate all patients down the stairs at once, starting with those in bed
Answer key
- 1. D · Non-slip socks or well-fitting shoes with non-slip soles
- 2. B · In a sealed biohazard bag, with the request form in the separate pocket
- 3. B · Droplet precautions
- 4. A · Two pairs of chemotherapy-tested gloves and a disposable impermeable gown
- 5. D · A patient with diabetic peripheral neuropathy
- 6. D · Switch it off and unplug it safely, then have it checked before reuse
- 7. B · Airborne and contact precautions until all lesions are crusted
- 8. C · Close the doors to patient rooms, stay on the unit and wait for instructions
Full step-by-step solutions: practise this topic on examproblems.com.