1.Easy
What is respiratory hygiene, or cough etiquette?
- ACoughing into the hands, then wiping them on clothing
- BTaking an antibiotic at the first sign of a cough
- CCovering coughs with a tissue or the elbow, then cleaning the hands
- DWearing an N95 respirator at all times whenever you have a cough
2.Easy
To which patients do standard precautions apply?
- AOnly to patients in isolation rooms
- BOnly to patients having surgery
- COnly to patients with a known infection
- DTo all patients, whatever their diagnosis
3.Easy
In the fire extinguisher acronym PASS, what does the A stand for?
- AAssess the size of the room
- BAim at the base of the fire
- CActivate the fire alarm
- DAlert the fire department
4.Medium
Before a blood transfusion is started, which check is required?
- AThe nurse checks only that the bag number matches the order
- BOne nurse checks the blood product against the order at the nurses’ station
- CThe patient’s identity is checked against the blood product and its paperwork at the bedside
- DThe patient signs the blood bag label to confirm their name before it is hung
5.Medium
How should a portable oxygen cylinder be kept in a patient’s room?
- ALying loose on the floor beside the bed
- BSecured upright in a stand or holder
- CLaid on the bed next to the patient
- DPlaced next to a heater to keep it warm
6.Medium
A patient wishes to refuse a prescribed medicine. What should the nurse do?
- AExplore the reason, explain, respect a competent choice and document
- BGive it anyway, because it was prescribed
- CHide the medicine in the patient’s food or drink to make sure it is taken
- DRecord the dose as given to avoid questions from the team
7.Hard
A nurse has given a medication to the wrong patient. The patient seems well. What is the first priority?
- AWait until the end of the shift to tell anyone
- BComplete the incident report before anything else
- CAssess the patient and monitor for effects of the drug
- DSay nothing to the patient, in order to avoid worrying them
8.Hard
A patient in the emergency waiting room has a cough for six weeks, night sweats, weight loss and blood in the sputum. What should the nurse do first?
- AAsk the patient to wait in the waiting room until called
- BStart contact precautions with a gown and gloves for staff
- CPlace the patient in a shared cubicle with the curtain closed
- DMask the patient and move them to an airborne isolation room
Answer key
- 1. C · Covering coughs with a tissue or the elbow, then cleaning the hands
- 2. D · To all patients, whatever their diagnosis
- 3. B · Aim at the base of the fire
- 4. C · The patient’s identity is checked against the blood product and its paperwork at the bedside
- 5. B · Secured upright in a stand or holder
- 6. A · Explore the reason, explain, respect a competent choice and document
- 7. C · Assess the patient and monitor for effects of the drug
- 8. D · Mask the patient and move them to an airborne isolation room
Full step-by-step solutions: practise this topic on examproblems.com.