1.Easy
Which precautions are used for a patient with mumps?
- ADroplet precautions
- BAirborne precautions
- CStandard precautions only
- DContact precautions only
2.Easy
What are the three parts of the Universal Protocol for preventing wrong-site surgery?
- AHand hygiene, gowning and gloving
- BPre-procedure verification, site marking and a time-out
- CSponge count, instrument count and needle count
- DConsent, anesthesia and a recovery room check
3.Easy
What is a “never event”?
- AAn event that has never been reported before
- BA rare side effect of a drug that has never been described in the literature before
- CA serious, preventable event that should never happen, such as wrong-site surgery
- DAn event that only happens at night
4.Medium
Which practice is safe when transferring a patient from a bed to a stretcher?
- AHave the patient slide across without help or a slide sheet
- BLock the wheels of both the bed and the stretcher before moving the patient
- CLeave the stretcher wheels unlocked so it can move with the patient
- DLower the stretcher side rails during transport
5.Medium
A nurse finds a used needle in a patient’s bed linen. What should the nurse do?
- APick it up by the hub or with forceps, put it in a sharps container and report it
- BRecap it with two hands before throwing it away
- CFold it into the linen and send it to the laundry
- DLeave it where it is for the housekeeping staff to remove later in the day
6.Medium
Which statement about the use of physical restraints is correct?
- AStanding as-needed restraint orders are good practice
- BAlternatives come first, and a time-limited order is needed
- CRestraints are checked once at the end of each shift
- DRestraints can be used whenever the unit is short of nursing staff
7.Hard
A small-bore feeding tube has just been inserted blindly at the bedside. Which method is the most reliable way to confirm its position before the first feeding?
- ABy putting the end in water to look for bubbles
- BBy checking that the patient can still talk
- CBy listening over the stomach while injecting air
- DBy an x-ray reviewed by a competent clinician
8.Hard
A patient is on contact precautions. Which task is appropriate for the nurse to delegate to assistive personnel?
- AHelping the patient bathe while wearing a gown and gloves
- BDeciding when the precautions can be stopped
- CAssessing the wound for new signs of infection during the bath
- DTeaching the family how to follow the precautions
Answer key
- 1. A · Droplet precautions
- 2. B · Pre-procedure verification, site marking and a time-out
- 3. C · A serious, preventable event that should never happen, such as wrong-site surgery
- 4. B · Lock the wheels of both the bed and the stretcher before moving the patient
- 5. A · Pick it up by the hub or with forceps, put it in a sharps container and report it
- 6. B · Alternatives come first, and a time-limited order is needed
- 7. D · By an x-ray reviewed by a competent clinician
- 8. A · Helping the patient bathe while wearing a gown and gloves
Full step-by-step solutions: practise this topic on examproblems.com.