1.Easy
How should a labeled specimen be sent to the laboratory?
- ALoose in the nurse’s uniform pocket so that it does not get lost on the way
- BIn a sealed biohazard bag, with the request form in the separate pocket
- CIn the same bag as the request form, touching the paper
- DIn an open cup placed on the transport trolley
2.Easy
In the United States, what is a “boxed warning” (black box warning) on a drug label?
- AA label for drugs that are safe in children
- BA sign that the drug is no longer sold
- CA note that the drug must be kept in a locked box on the ward
- DThe strongest FDA warning, about a serious or life-threatening risk
3.Easy
What do the letters in SBAR stand for?
- ASituation, Behavior, Analysis, Review
- BSummary, Background, Assessment, Result
- CSituation, Background, Assessment, Recommendation
- DSymptoms, Baseline, Assessment, Response
4.Medium
A nurse who never had BCG vaccine has a positive tuberculin skin test for the first time. The chest x-ray is clear and there are no symptoms. What does this most likely mean?
- ALatent TB infection, which is not contagious
- BImmunity to TB from a past exposure
- CActive TB, which needs airborne isolation
- DA failed test that must be repeated next year
5.Medium
Why must visible dirt be removed from equipment before it is disinfected?
- AOrganic matter can shield organisms and weaken the disinfectant
- BDisinfectants only work on wet surfaces
- CCleaning first is only needed for metal items
- DDirt makes the disinfectant react and work too strongly on the surface
6.Medium
Which statement about the use of physical restraints is correct?
- AStanding as-needed restraint orders are good practice
- BRestraints can be used whenever the unit is short of nursing staff
- CRestraints are checked once at the end of each shift
- DAlternatives come first, and a time-limited order is needed
7.Hard
A nurse cannot find a confused patient who was in their room 15 minutes ago. What should the nurse do first?
- AWait an hour in case the patient comes back
- BAlert staff and security at once, following the missing-patient procedure
- CDocument the absence at the end of the shift
- DCall the family to ask whether the patient has gone home on their own
8.Hard
A nurse finds an unknown liquid leaking from a container in the utility room, with a strong smell. What should the nurse do first?
- ALeave the area, keep others out and alert the trained response team
- BMove closer and smell it carefully to identify what the substance is
- CPour water over it to dilute it
- DMop it up with paper towels
Answer key
- 1. B · In a sealed biohazard bag, with the request form in the separate pocket
- 2. D · The strongest FDA warning, about a serious or life-threatening risk
- 3. C · Situation, Background, Assessment, Recommendation
- 4. A · Latent TB infection, which is not contagious
- 5. A · Organic matter can shield organisms and weaken the disinfectant
- 6. D · Alternatives come first, and a time-limited order is needed
- 7. B · Alert staff and security at once, following the missing-patient procedure
- 8. A · Leave the area, keep others out and alert the trained response team
Full step-by-step solutions: practise this topic on examproblems.com.