1.Easy
Which of the "five moments for hand hygiene" comes before touching a patient?
- AAfter touching patient surroundings only
- BBefore patient contact
- COnly before an aseptic task
- DAfter body fluid exposure risk only
2.Easy
Which type of mattress helps prevent pressure ulcers in high-risk patients?
- AA firm mattress with a plastic cover only
- BA thin foam pad placed on the floor
- CA pressure-redistributing mattress
- DA mattress with extra blankets on top
3.Easy
Which IV fluid is isotonic?
- A0.9% sodium chloride
- BSterile water
- C3% sodium chloride
- D0.45% sodium chloride
4.Medium
A large pressure ulcer is left open and fills in with new tissue from its base. This is called healing by:
- ATertiary intention
- BSecondary intention
- CDelayed intention
- DPrimary intention
5.Medium
A patient refuses their regular evening tablets. What should the nurse do first?
- AExplore the reason for refusing
- BThrow the tablets away without telling anyone
- CHide the tablets in their food
- DInsist until the patient takes them
6.Medium
An older patient is found to be mildly hypothermic. Which care is most appropriate?
- APlacing hot water bottles directly on the skin
- BPutting the patient in a very hot bath straight away
- CGiving an alcoholic drink to warm them up
- DGradual rewarming with blankets and warm surroundings
7.Hard
Before giving a PRN dose of oral morphine, which assessment is most important?
- AThe patient's weight and height, recorded on admission
- BThe respiratory rate and level of sedation
- CThe patient's blood glucose level
- DThe patient's last bowel movement
8.Hard
A patient reports pain of 8/10 but is chatting calmly and has normal vital signs. What should the nurse do?
- ATell the patient they cannot be in that much pain
- BAccept the report, assess further and offer analgesia
- CWithhold analgesia until the vital signs change
- DRecord a lower score because the patient looks comfortable and calm
Answer key
- 1. B · Before patient contact
- 2. C · A pressure-redistributing mattress
- 3. A · 0.9% sodium chloride
- 4. B · Secondary intention
- 5. A · Explore the reason for refusing
- 6. D · Gradual rewarming with blankets and warm surroundings
- 7. B · The respiratory rate and level of sedation
- 8. B · Accept the report, assess further and offer analgesia
Full step-by-step solutions: practise this topic on examproblems.com.