1.Easy
What is medication reconciliation?
- AChecking expiry dates of the ward stock each month
- BComparing current medicines with new orders at each transfer
- CReturning unused medicines to the pharmacy at discharge
- DCounting the controlled drugs with a colleague at the end of each shift
2.Easy
Which precautions are needed for a patient with Legionnaires’ disease (Legionella pneumonia)?
- AStandard precautions
- BContact precautions
- CDroplet precautions
- DAirborne precautions
3.Easy
Which precautions are used for a patient with respiratory syncytial virus (RSV)?
- AAirborne precautions
- BNo precautions beyond hand hygiene
- CContact precautions
- DProtective (reverse) isolation
4.Medium
A patient on oxygen is being taken to another department by wheelchair. What should the nurse check first?
- AThat the cylinder is placed on the patient’s lap
- BThat the oxygen is turned off during the transfer to save the supply in the tank
- CThat the portable cylinder has enough oxygen for the whole trip
- DThat the cylinder is the largest size available
5.Medium
A portable x-ray is taken at the bedside. Which action protects the nurse?
- ALook directly at the x-ray tube during the exposure to check its position
- BStep away from the patient or wear a lead apron during the exposure
- CStand next to the patient and hold the film without protection
- DStay close to the patient to keep them still without protection
6.Medium
Which cleaning product is recommended for the room of a patient with Clostridioides difficile?
- AA scented air freshener spray
- BPlain water and a clean microfiber cloth
- CAlcohol-based wipes, used on every surface twice a day
- DA sporicidal agent, such as a chlorine-based solution
7.Hard
A night nurse suggests restraining a calm but wandering patient “so we can manage with fewer staff tonight”. Which response is correct?
- ARestraints are acceptable at night when staffing is low
- BRestraints are acceptable if removed in the morning
- CRestraints are acceptable if the family agrees to them in writing first
- DRestraint is never for staff convenience; use rounding or a sitter
8.Hard
A nurse calls a provider using SBAR about a patient with falling blood pressure. Which statement is the “Recommendation”?
- A“He is 72 and had a bowel resection yesterday.”
- B“I am calling about Mr. Jansen in room 12, who is hypotensive.”
- C“I think he needs to be assessed now. Can you come within the next 15 minutes?”
- D“His blood pressure has fallen from 130/80 to 88/50 over the last two hours.”
Answer key
- 1. B · Comparing current medicines with new orders at each transfer
- 2. A · Standard precautions
- 3. C · Contact precautions
- 4. C · That the portable cylinder has enough oxygen for the whole trip
- 5. B · Step away from the patient or wear a lead apron during the exposure
- 6. D · A sporicidal agent, such as a chlorine-based solution
- 7. D · Restraint is never for staff convenience; use rounding or a sitter
- 8. C · “I think he needs to be assessed now. Can you come within the next 15 minutes?”
Full step-by-step solutions: practise this topic on examproblems.com.