1.Easy
Where must sterile items be held to stay sterile?
- ABelow the waist
- BAbove waist level and in front of the nurse
- CBehind the back
- DAny level, as long as nothing non-sterile touches it
2.Easy
Which type of knot is used to secure the straps of a restraint?
- AA knot tied on the patient’s wrist
- BA quick-release knot
- CA tight double knot
- DA square knot
3.Easy
On a sterile field, which area is considered non-sterile?
- AThe whole field once it has been opened to the air
- BOnly the corners
- CThe outer border of about 2.5 cm (1 inch)
- DThe center of the field
4.Medium
A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?
- ADo nothing until the patient is seen by the provider
- BGive everyone else in the waiting room a mask instead
- CGive the patient a mask and seat them apart from others
- DAsk the patient to wait outside in the car park
5.Medium
Why can side rails be dangerous for a confused, restless patient?
- ASide rails make the bed move by itself
- BSide rails stop staff from reaching the patient in an emergency
- CThe patient may climb over them or get trapped in gaps
- DSide rails always cause pressure injuries
6.Medium
A nurse is preparing medications for two patients. What is the safest approach?
- APut both patients’ medications in one cup and sort them at the bedside
- BPrepare and give medications for one patient at a time
- CPrepare both patients’ medications together to save time
- DAsk one patient to pass the medications to the other
7.Hard
A patient in a vest restraint has slid down in bed, and the vest is pressing against the neck. What should the nurse do first?
- ATighten the vest so the patient cannot slide down again
- BCall the provider to ask about a different restraint
- CWrite a note about the event in the chart
- DRelease the restraint at once and reposition the patient
8.Hard
A patient with severe immunosuppression after a stem cell transplant is in a protective environment. Which item should not be brought into the room?
- AFresh flowers or potted plants
- BA family photo in a frame that has been wiped clean
- CThe patient’s own clean clothes
- DA clean, disinfected tablet computer
Answer key
- 1. B · Above waist level and in front of the nurse
- 2. B · A quick-release knot
- 3. C · The outer border of about 2.5 cm (1 inch)
- 4. C · Give the patient a mask and seat them apart from others
- 5. C · The patient may climb over them or get trapped in gaps
- 6. B · Prepare and give medications for one patient at a time
- 7. D · Release the restraint at once and reposition the patient
- 8. A · Fresh flowers or potted plants
Full step-by-step solutions: practise this topic on examproblems.com.