1.Easy
How should the bed be left for a patient at high risk of falls?
- AWith all four side rails up at all times
- BIn the highest position
- CIn the lowest position with the brakes locked
- DWith the brakes released so it can be moved quickly
2.Easy
Why are rings and wristwatches discouraged during direct patient care?
- AThey can interfere with hospital Wi-Fi signals
- BThey can interfere with the readings of patient monitors
- CThey can hold organisms and make hand hygiene less effective
- DThey can scratch the hospital furniture
3.Easy
How should a dose of half a milligram be written?
- A0.50 mg
- B1/2mg
- C0.5 mg
- D.5 mg
4.Medium
Why are blood cultures usually taken from two separate venipuncture sites?
- ABecause each site tests a different antibiotic
- BTo help tell a true infection from skin contamination
- CTo reduce the total amount of blood taken
- DTo make the results come back faster from the laboratory
5.Medium
A nurse pours sterile saline into a bowl on a sterile field. Which technique is correct?
- ARest the lip of the bottle on the edge of the bowl so that the saline does not splash
- BReach across the field to fill the bowl at the far side
- CPour from below the level of the field to reduce splashing
- DHold the bottle with the label in the palm and pour without touching the bowl
6.Medium
A nurse gives part of a dose of an opioid from a vial and must discard the rest. What is correct?
- AReturn the rest to the patient’s medication drawer
- BKeep the rest for the patient’s next dose
- CDiscard it in front of a second licensed (registered) nurse, who witnesses and documents it
- DDiscard it alone in the sink and document the amount wasted later in the shift
7.Hard
Which patient most needs fall precautions?
- AA young adult with a broken finger who walks steadily and safely unaided
- BAn alert patient on bed rest who follows instructions
- CAn older patient, newly confused, on a sedative, with an unsteady gait
- DA patient awaiting discharge who walks independently
8.Hard
A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?
- ALeave the device untouched and not tell anyone
- BDo it anyway, using only the device manual and the instructions on the screen
- CTell the charge nurse and ask for help or a change of assignment
- DAsk the patient or the family to explain how the device works
Answer key
- 1. C · In the lowest position with the brakes locked
- 2. C · They can hold organisms and make hand hygiene less effective
- 3. C · 0.5 mg
- 4. B · To help tell a true infection from skin contamination
- 5. D · Hold the bottle with the label in the palm and pour without touching the bowl
- 6. C · Discard it in front of a second licensed (registered) nurse, who witnesses and documents it
- 7. C · An older patient, newly confused, on a sedative, with an unsteady gait
- 8. C · Tell the charge nurse and ask for help or a change of assignment
Full step-by-step solutions: practise this topic on examproblems.com.